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This proposed randomized controlled trial aims to study the long-term compliance of the LiFE program and its combined effects with a home safety visit on fall prevention in community-dwelling older fallers.
This will be a single-blinded randomized controlled trial. The subjects will be randomly assigned to the LiFE exercise plus home safety assessment group, or the control group by a computer program operated by an independent researcher. This study conforms to the ethical principles of the World Medical Association Declaration of Helsinki.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LiFE training and home safety assessment | Experimental | The participants will receive Lifestyle Integrated Functional Exercise Program and Home safety assessment |
|
| Control group | No Intervention | The control group will continue their usual daily routine. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lifestyle integrated functional exercise program | Other | Lifestyle-integrated exercise training targeting to improve strength and balance. Strategy to embed the exercise in the daily activity would also be taught so that the life exercise can be performed at any time of the day. The exercise would be taught in 6 home visits over 6-months. |
| Measure | Description | Time Frame |
|---|---|---|
| Fall | Prospective fall data will be collected through telephone follow-up for 1.5 year | 1.5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Handgrip strength | Hand grip strength will be assessed by handheld dynamometer | Baseline and follow-up assessment at 6-month |
| Functional lower body strength | Five-time sit-to-stand test will be used to assess lower body strength |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Timothy Kwok, MD | The Chinese University of Hong Kong Jockey Club Centre for Osteoporosis Care and Control | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Chinese University of Hong Kong Jockey Club Centre of Osteoporosis Care and Control | Hong Kong | Hong Kong | ||||
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| ID | Term |
|---|---|
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| Home safety assessment | Other | Home safety assessment and modification that targets to reduce environmental risk factors of falls. |
|
| Baseline and follow-up assessment at 6-month |
| Single leg standing balance | Single leg standing balance of both legs will be assessed | Baseline and follow-up assessment at 6-month |
| 10-meter walk test | The usual walking speed on a 10-meter walkway | Baseline and follow-up assessment at 6-month |
| Timed-up and Go test | The time required to stand up from a chair, walk 3-m, return, and sit down, in comfortable speed | Baseline and follow-up assessment at 6-month |
| Timed-up and Go test with dual-task | The timed-up and Go test would be tested while asking the participants to do serial-3-subtraction | Baseline and follow-up assessment at 6-month |
| Montreal Cognitive Assessment 5-minute protocol | A standardized cognitive test | Baseline and follow-up assessment at 6-month |
| Activity level | Selected participants will be asked to wear an activity tracker for 7 days to examine their activity level | Baseline and follow-up assessment at 6-month |
| Fall risk | Physiological Profile Assessment (PPA) will be used to assess fall risk | Baseline and follow-up assessment at 6-month |
| The Chinese University of Hong Kong |
| Hong Kong |
| Hong Kong |