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| ID | Type | Description | Link |
|---|---|---|---|
| 307301 | Other Grant/Funding Number | Regional forskningsrådet i Uppsala- och Örebroregionen |
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Fall-related injuries are a major health problem in the growing older population. Most older people are not aware of that physical training can decrease the risk of falling. The aim of tha study is to investigate the effect of the Otago home exercise programme with and without motivational interviewing in community-dwelling people 75 years or older on frequence of falls, fall-related injuries, physical capacity, fall-related self-efficacy, quality of life, mortality and health-related costs.
Participants in the two intervention groups will exercise at home with supervision from physiotherapist week one, two, four and eight. They will then be contacted for telephone follow-up month five, seven and twelve after the start of training. The control group is encouraged to live as usual.
All participants are assessed at baseline, after three, 12 and 24 months from inclusion in the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Otago home training programme | Experimental | Otago home exercise programme was designed specifically to prevent fall. It consists of a set of leg muscle strengthening and balance retraining exercises progressing in difficulty, and a walking plan. The exercise are individually prescribed and increase in difficulty during a series of five home visits by a physiotherapist. |
|
| Motivational interviewing plus Otago | Experimental | This group is not only exercising at home but also getting motivational interviewing from the physiotherapist at he five home visits. The physiotherapists doing motivational interviewing are specially trained in motivational interviewing. |
|
| Control grop | No Intervention | Participants are instructed to live their ordinary lives. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Otago home exercise programme | Other | Otago home exercise program was designed specifically to prevent falls. It consists of a set of leg muscle strengthening and balance retraining exercises progressing in difficulty, and a walking plan. The exercise are individually prescribed and increase in difficulty during a series of five home visits by a physiotherapist. |
| Measure | Description | Time Frame |
|---|---|---|
| Frequence of falls will be measured with a monthly fall-calender | A fall-calender with registration of falls on a monthly bases will be used to record falls. The fall-calender should be sent in each month. Falls will be followed-up with telephone interviews. | Two year |
| Measure | Description | Time Frame |
|---|---|---|
| Fall-related injuries will be measured by telephone interviews. | Two years | |
| Physical performance will be measured with Short Physical Performance Battery (SPPB) | SPPB measures balance, functional leg strength and walking speed. |
| Measure | Description | Time Frame |
|---|---|---|
| Fall-related self-efficacy will be measured with Fall efficacy scale, Swedish version. | Two years | |
| Grip strength will be measured with Jamar Hand Dynamometer | Two years | |
Inclusion Criteria:
75 years or older, community-dwelling, in need of homecare or rollator
Exclusion Criteria:
Cognitive impairment (below 25 on Mini Mental test) Not able to transfer independently indoors -
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| Name | Affiliation | Role |
|---|---|---|
| Karin E Hellström, PhD | Uppsala University | Principal Investigator |
| Ann-Christin Johansson, PhD | Mälardalens University, Sweden | Principal Investigator |
| Anne Söderlund, Professor | Mälardalens University, Sweden | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Homes | Uppsala | Sweden | ||||
| Homes |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39360568 | Derived | Drahota A, Udell JE, Mackenzie H, Pugh MT. Psychological and educational interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2024 Oct 3;10(10):CD013480. doi: 10.1002/14651858.CD013480.pub2. | |
| 31088557 | Derived | Arkkukangas M, Hultgren S. Implementation of motivational interviewing in a fall prevention exercise program: experiences from a randomized controlled trial. BMC Res Notes. 2019 May 14;12(1):270. doi: 10.1186/s13104-019-4309-x. |
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| ID | Term |
|---|---|
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D062405 | Motivational Interviewing |
| ID | Term |
|---|---|
| D037001 | Directive Counseling |
| D003376 | Counseling |
| D008605 | Mental Health Services |
| D004191 | Behavioral Disciplines and Activities |
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|
| Motivational interviewing plus Otago | Other | This group is not only exercising at home but also getting motivational interviewing from the physiotherapist at he five home visits. The physiotherapists doing motivational interviewing are specially trained in motivational interviewing. |
|
| Two years |
| Dynamic balance will be assessed with Mini-BESTest | Mini-BESTest assess dynamic balance impairments in 14 items. The items covers a broad spectrum of performance tasks, including transitions and anticipatory postural adjustments, postural responses to to perturbation, sensory orientation and dynamic stability in gait. | Two years |
| Physical Activity level will be measured with Frändin/Grimby activity scale. |
| Two years |
| Health related quality of life will be measured with European quality of life questionaire (EQ-5D). | Two years |
| Västerås |
| Sweden |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |