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This study evaluates the feasibility of a larger randomized controlled trial to examine the effect of reminiscence aided physical activity on the balance and mobility of older adults living in long term care. The study uses the jDome BikeAround system, which is a stationary bicycle with a projector screen that runs google earth, as the user bicycles, the map progresses giving the appearance that the user is bicycling through the environment chosen. Half of the participants will use the system during the first 6 week campaign, there will then be a 6 week washout period. Following the washout period, there will be a second 6 week campaign when the other half of the participants will use the jDome BikeAround system.
Physical activity has been shown to have numerous benefits for physical well-being and function. Stationary cycling is one example of physical activity that can provide opportunities for residents who are inactive, living in long term care and are at high risk for falls.
The use of jDome BikeAround provides older adults in long term care an opportunity to engage in a motivating reminiscence activity that is coupled with physical activity. Participants will be divided into two groups, one group will take part in jDome BikeAround sessions 3x per week for 6 weeks in addition to The Glebe Centre's Fall Prevention program, while the second group will just participant in Fall Prevention program. There will be a 6 week wash out, then the second cohort will participant in the jDome Bike Around sessions 3x a week in addition to the Fall Prevention program while the first cohort will just participate in the Fall Prevention Program.
Participants will have their balance, mobility, leg strength, endurance tested as well as a tracking of fall risks at the beginning and end of each of the jDome BikeAround sessions (4 measurement points). Feasibility will be determined by the ability to enroll an adequate number of participants, protocol completion by participants, and the number of adverse events.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| System + Fall Prevention First, then Fall Prevention | Experimental | Participants in this arm will be invited to use the jDome BikeAround system for up to 30 minute sessions up to 3 times a week during the first 6 week campaign. During this campaign the participants will also participant in the standard fall prevention program. Following the 6 week washout period, the participants in this arm will just participate in the Fall Prevention program alone. Fall Prevention Program focuses on reducing the incidence of residents' falls and mitigating risks of falls through a resident focused, team approach which ensures that a resident's environment and social, physical, cognitive and emotional strengths are supported. This is an interdisciplinary program involving nursing and program staff, physician/pharmacist, dietician, physiotherapist, housekeeping staff and the resident/POA. They communicate regarding their planned interventions and evaluation of resident progress and outcomes in falls prevention through documentation. |
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| Fall Prevention first, then System +Fall Prevention | Experimental | Participants in this arm will participate in the Fall Prevention program alone during the first 6 week campaign. Following the 6 week washout period the participants will be invited to use the jDome BikeAround system for up to 30 minute sessions up to 3 times a week during the second 6 week campaign. During this campaign the participants will also participant in the standard fall prevention program Fall Prevention Program focuses on reducing the incidence of residents' falls and mitigating risks of falls through a resident focused, team approach which ensures that a resident's environment and social, physical, cognitive and emotional strengths are supported. This is an interdisciplinary program involving nursing and program staff, physician/pharmacist, dietician, physiotherapist, housekeeping staff and the resident/POA. They communicate regarding their planned interventions and evaluation of resident progress and outcomes in falls prevention through documentation. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Motivating reminiscence technology | Other | The jDome BikeAround uses Google Street View, a stationary bike and a domed screen. Residents are seated in front of the screen; their destination is typed into the computer and when loaded the image appears on the screen. Using pedals on the bike they can propel themselves down the street, steer and change direction as they wish. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Recruited | Determine the feasibility of a future randomized controlled trial to evaluate the impact on balance and mobility of motivating reminiscence technology using the jDome BikeAround system for adults in long term care. Feasibility will be determined by the ability to recruit 30 residents (based on the LTC population base at The Glebe Centre). | Baseline |
| Protocol Adherence | Determine the feasibility of a future randomized controlled trial to evaluate the impact on balance and mobility of motivating reminiscence technology using the jDome BikeAround system for adults in long term care. Feasibility will be determined by the number of residents to complied with the protocol during their respective campaign by using the jDome BikeAround system 3 times a week. | Week 18 |
| Number of Participants Who Experience an Adverse Events While Using the jDome BikeAround (System) | The number of adverse events while directly interacting with the jDome BikeAround system will be tracked to help determine feasibility of this kind of randomized trial. | Week 18 |
| Performance Oriented Mobility Assessment | The Performance Oriented Mobility Assessment Tool is a simple, easily administered test that measures a resident's gait and balance. The test is scored on the resident's ability to perform specific tasks as either 0, 1 or 2 where a score of 0 represents the most impaired while a score of 2 represents independence. The total is calculated by adding the score for each individual activity, the lowest possible score is 0 and the highest possible score is 28. The higher the score the better the more mobile the participant is. This will give us a baseline value for the participants. | Baseline |
| Performance Oriented Mobility Assessment |
| Measure | Description | Time Frame |
|---|---|---|
| 2 Minute Walk Test | Distance participant can walk without assistance for 2 minutes measured from the starting position. | Baseline |
| 2 Minute Walk Test | Distance participant can walk without assistance for 2 minutes measured from the starting position. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mark Campbell, MD, MSc | Bruyere Continuing Care | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Glebe Centre | Ottawa | Ontario | K1S 5A7 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20556547 | Background | Lautenschlager NT, Cox K, Kurz AF. Physical activity and mild cognitive impairment and Alzheimer's disease. Curr Neurol Neurosci Rep. 2010 Sep;10(5):352-8. doi: 10.1007/s11910-010-0121-7. | |
| 19196369 | Background | Vogel T, Brechat PH, Lepretre PM, Kaltenbach G, Berthel M, Lonsdorfer J. Health benefits of physical activity in older patients: a review. Int J Clin Pract. 2009 Feb;63(2):303-20. doi: 10.1111/j.1742-1241.2008.01957.x. |
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We will not be making IPD available to other researchers.
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| ID | Title | Description |
|---|---|---|
| FG000 | System+Fall Prevention First, Then Fall Prevention Alone | Participants in this arm will be invited to use the jDome BikeAround system for up to 30 minute sessions up to 3 times a week during the first 6 week campaign. During this campaign the participants will also participant in the standard fall prevention program. Following the 6 week washout period, the participants in this arm will just participate in the Fall Prevention program alone. Fall Prevention Program focuses on reducing the incidence of residents' falls and mitigating risks of falls through a resident focused, team approach which ensures that a resident's environment and social, physical, cognitive and emotional strengths are supported. This is an interdisciplinary program involving nursing and program staff, physician/pharmacist, dietician, physiotherapist, housekeeping staff and the resident/POA. They communicate regarding their planned interventions and evaluation of resident progress and outcomes in falls prevention through documentation. |
| FG001 | Fall Prevention First, Then System+Fall Prevention | Participants in this arm will participate in the Fall Prevention program alone during the first 6 week campaign. Following the 6 week washout period the participants will be invited to use the jDome BikeAround system for up to 30 minute sessions up to 3 times a week during the second 6 week campaign. During this campaign the participants will also participant in the standard fall prevention program Fall Prevention Program focuses on reducing the incidence of residents' falls and mitigating risks of falls through a resident focused, team approach which ensures that a resident's environment and social, physical, cognitive and emotional strengths are supported. This is an interdisciplinary program involving nursing and program staff, physician/pharmacist, dietician, physiotherapist, housekeeping staff and the resident/POA. They communicate regarding their planned interventions and evaluation of resident progress and outcomes in falls prevention through documentation. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Campaign 1 |
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| Washout |
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| Campaign 2 |
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One participant who was part of the cohort using the campaign during the second campaign was withdrawn from the study due to an injury that occurred during the washout period between the two campaigns. This injury was not study related.
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| ID | Title | Description |
|---|---|---|
| BG000 | System + Fall Prevention First, Then Fall Prevention | Participants in this arm will be invited to use the jDome BikeAround system for up to 30 minute sessions up to 3 times a week during the first 6 week campaign. During this campaign the participants will also participant in the standard fall prevention program. Following the 6 week washout period, the participants in this arm will just participate in the Fall Prevention program alone. Motivating reminiscence technology: The jDome BikeAround uses Google Street V |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants Recruited | Determine the feasibility of a future randomized controlled trial to evaluate the impact on balance and mobility of motivating reminiscence technology using the jDome BikeAround system for adults in long term care. Feasibility will be determined by the ability to recruit 30 residents (based on the LTC population base at The Glebe Centre). | Posted | Count of Participants | Participants | Baseline |
|
18 weeks
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | System + Fall Prevention First, Then Fall Prevention | Participants in this arm will be invited to use the jDome BikeAround system for up to 30 minute sessions up to 3 times a week during the first 6 week campaign. During this campaign the participants will also participant in the standard fall prevention program. Following the 6 week washout period, the participants in this arm will just participate in the Fall Prevention program alone. Motivating reminiscence technology: The jDome BikeAround uses Google Street V |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Katherine Reilly | The University of Ottawa | 613-562-5800 | 8238 | kreilly@uottawa.ca |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | May 14, 2019 | Apr 14, 2020 | Prot_SAP_001.pdf |
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This study has 2 six week campaigns with a six week washout in between the 2 campaigns. During the first campaign half of the participants will use the motivating reminiscence technology while receiving the standard fall prevention programming, while the second half will receive just the standard fall prevention programming. During the 6 week washout period all participants will just receive the standard fall prevention programming. After the washout period, there will be the second campaign where the other half of the participants will use the motivating reminiscence technology while receiving the standard fall prevention programming, whereas the remaining participants will just receive the standard fall prevention programming.
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All outcome measures will be collected by the physiotherapy team at The Glebe Centre. The physiotherapy team will be blinded to the group allocation of each participant.
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The Performance Oriented Mobility Assessment Tool is a simple, easily administered test that measures a resident's gait and balance. The test is scored on the resident's ability to perform specific tasks as either 0, 1 or 2 where a score of 0 represents the most impaired while a score of 2 represents independence. The total is calculated by adding the score for each individual activity, the lowest possible score is 0 and the highest possible score is 28. The higher the score the better the more mobile the participant is. This measure will be taken after the first campaign has been completed.
| Week 6 |
| Performance Oriented Mobility Assessment | The Performance Oriented Mobility Assessment Tool is a simple, easily administered test that measures a resident's gait and balance. The test is scored on the resident's ability to perform specific tasks as either 0, 1 or 2 where a score of 0 represents the most impaired while a score of 2 represents independence. The total is calculated by adding the score for each individual activity, the lowest possible score is 0 and the highest possible score is 28. The higher the score the better the more mobile the participant is. This measure will be taken just before the second campaign is to begin. | Week 12 |
| Performance Oriented Mobility Assessment | The Performance Oriented Mobility Assessment Tool is a simple, easily administered test that measures a resident's gait and balance. The test is scored on the resident's ability to perform specific tasks as either 0, 1 or 2 where a score of 0 represents the most impaired while a score of 2 represents independence. The total is calculated by adding the score for each individual activity, the lowest possible score is 0 and the highest possible score is 28. The higher the score the better the more mobile the participant is. This measure will be taken after the second campaign has been completed. | Week 18 |
| 6 Week |
| 2 Minute Walk Test | Distance participant can walk without assistance for 2 minutes measured from the starting position. | 12 Week |
| 2 Minute Walk Test | Distance participant can walk without assistance for 2 minutes measured from the starting position. | 18 Week |
| Knee Range of Motion Test | Test that asses the range of motion of a participant's knee | Baseline |
| Knee Range of Motion Test | Test that asses the range of motion of a participant's knee | 6 weeks |
| Knee Range of Motion Test | Test that asses the range of motion of a participant's knee | 12 weeks |
| Knee Range of Motion Test | Test that asses the range of motion of a participant's knee | 18 weeks |
| Background | Menne HL, Johnson JD, Whitlatch CJ, Schwartz SM. Activity Preferences of Persons With Dementia. Activities, Adaptation & Aging, 36(3): 195-213, 2012. DOI: 10.1080/01924788.2012.696234 |
| 23434919 | Background | Benjamin K, Edwards N, Ploeg J, Legault F. Barriers to physical activity and restorative care for residents in long-term care: a review of the literature. J Aging Phys Act. 2014 Jan;22(1):154-65. doi: 10.1123/japa.2012-0139. Epub 2013 Feb 20. |
| 29755934 | Background | de Hollander EL, Proper KI. Physical activity levels of adults with various physical disabilities. Prev Med Rep. 2018 Apr 24;10:370-376. doi: 10.1016/j.pmedr.2018.04.017. eCollection 2018 Jun. |
| 29431549 | Background | Varela S, Cancela JM, Seijo-Martinez M, Ayan C. Self-Paced Cycling Improves Cognition on Institutionalized Older Adults Without Known Cognitive Impairment: A 15-Month Randomized Controlled Trial. J Aging Phys Act. 2018 Oct 1;26(4):614-623. doi: 10.1123/japa.2017-0135. Epub 2018 Sep 8. |
| 29345533 | Background | Batcir S, Melzer I. Daily Bicycling in Older Adults May be Effective to Reduce Fall Risks-A Case-Control Study. J Aging Phys Act. 2018 Oct 1;26(4):570-576. doi: 10.1123/japa.2017-0263. Epub 2018 Aug 29. |
| 29182418 | Background | Harvey S, Rissel C, Pijnappels M. Associations Between Bicycling and Reduced Fall-Related Physical Performance in Older Adults. J Aging Phys Act. 2018 Jul 1;26(3):514-519. doi: 10.1123/japa.2017-0243. Epub 2018 Jun 22. |
| 12937026 | Background | Macaluso A, Young A, Gibb KS, Rowe DA, De Vito G. Cycling as a novel approach to resistance training increases muscle strength, power, and selected functional abilities in healthy older women. J Appl Physiol (1985). 2003 Dec;95(6):2544-53. doi: 10.1152/japplphysiol.00416.2003. Epub 2003 Aug 22. |
| 26341034 | Background | Huang HC, Chen YT, Chen PY, Huey-Lan Hu S, Liu F, Kuo YL, Chiu HY. Reminiscence Therapy Improves Cognitive Functions and Reduces Depressive Symptoms in Elderly People With Dementia: A Meta-Analysis of Randomized Controlled Trials. J Am Med Dir Assoc. 2015 Dec;16(12):1087-94. doi: 10.1016/j.jamda.2015.07.010. Epub 2015 Sep 1. |
| 28912076 | Background | Karssemeijer EGA, Aaronson JA, Bossers WJ, Smits T, Olde Rikkert MGM, Kessels RPC. Positive effects of combined cognitive and physical exercise training on cognitive function in older adults with mild cognitive impairment or dementia: A meta-analysis. Ageing Res Rev. 2017 Nov;40:75-83. doi: 10.1016/j.arr.2017.09.003. Epub 2017 Sep 12. |
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| NOT COMPLETED |
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| BG001 | Fall Prevention First, Then System +Fall Prevention | Participants in this arm will participate in the Fall Prevention program alone during the first 6 week campaign. Following the 6 week washout period the participants will be invited to use the jDome BikeAround system for up to 30 minute sessions up to 3 times a week during the second 6 week campaign. During this campaign the participants will also participant in the standard fall prevention program Motivating reminiscence technology: The jDome BikeAround uses Google Street V |
| BG002 | Total | Total of all reporting groups |
| Years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race and Ethnicity Not Collected | Race and Ethnicity were not collected from any participant. | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Scott Fall Risk | Scott Fall Risk is an assessment tool that measures the risk of falls for a resident in long term care. The higher the value on the assessment indicates a higher risk of falls and the range is -5 - 19. A score below 7 indicates that universal fall precautions with a plan for individual risks need to be in place for that individual, a score equal to or greater than 7 but equal to or less than 12 indicates the individual is at high risk for a fall and a score above 12 indicates the individual is at a high risk for a fall and has unsafe ambulation. | Mean | Standard Deviation | units on a scale |
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| Cognitive Performance Scale (CPS) | CPS is tool to assess the cognitive abilities of residents living in long-term care. CPS has a range 0-5, the higher the value the greater the cognitive impairment | Mean | Standard Deviation | units on a scale |
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| Index for Social Engagement (ISE) | Index for Social Engagement assess a resident's social engagement while living in Long Term Care. The range is 0-6 and a higher scores indicate a higher level of social engagement | Mean | Standard Deviation | units on a scale |
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| OG001 | Fall Prevention First, Then System +Fall Prevention | Participants in this arm will participate in the Fall Prevention program alone during the first 6 week campaign. Following the 6 week washout period the participants will be invited to use the jDome BikeAround system for up to 30 minute sessions up to 3 times a week during the second 6 week campaign. During this campaign the participants will also participant in the standard fall prevention program Motivating reminiscence technology: The jDome BikeAround uses Google Street V |
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| Primary | Protocol Adherence | Determine the feasibility of a future randomized controlled trial to evaluate the impact on balance and mobility of motivating reminiscence technology using the jDome BikeAround system for adults in long term care. Feasibility will be determined by the number of residents to complied with the protocol during their respective campaign by using the jDome BikeAround system 3 times a week. | Posted | Count of Participants | Participants | Week 18 |
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| Primary | Number of Participants Who Experience an Adverse Events While Using the jDome BikeAround (System) | The number of adverse events while directly interacting with the jDome BikeAround system will be tracked to help determine feasibility of this kind of randomized trial. | Posted | Count of Participants | Participants | Week 18 |
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| Primary | Performance Oriented Mobility Assessment | The Performance Oriented Mobility Assessment Tool is a simple, easily administered test that measures a resident's gait and balance. The test is scored on the resident's ability to perform specific tasks as either 0, 1 or 2 where a score of 0 represents the most impaired while a score of 2 represents independence. The total is calculated by adding the score for each individual activity, the lowest possible score is 0 and the highest possible score is 28. The higher the score the better the more mobile the participant is. This will give us a baseline value for the participants. | To complete this test, the participant must have a certain level of mobility. Out of the 14 participants in the "System + Fall Prevention First, then Fall Prevention" cohort, 4 couldn't complete the test. | Posted | Mean | Standard Deviation | units on a scale | Baseline |
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| Primary | Performance Oriented Mobility Assessment | The Performance Oriented Mobility Assessment Tool is a simple, easily administered test that measures a resident's gait and balance. The test is scored on the resident's ability to perform specific tasks as either 0, 1 or 2 where a score of 0 represents the most impaired while a score of 2 represents independence. The total is calculated by adding the score for each individual activity, the lowest possible score is 0 and the highest possible score is 28. The higher the score the better the more mobile the participant is. This measure will be taken after the first campaign has been completed. | To complete this test, the participant must have a certain level of mobility. Out of the 14 participants in the "Motivating reminiscence technology + Fall Prevention" cohort, 3 couldn't complete the test. | Posted | Mean | Standard Deviation | units on a scale | Week 6 |
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| Primary | Performance Oriented Mobility Assessment | The Performance Oriented Mobility Assessment Tool is a simple, easily administered test that measures a resident's gait and balance. The test is scored on the resident's ability to perform specific tasks as either 0, 1 or 2 where a score of 0 represents the most impaired while a score of 2 represents independence. The total is calculated by adding the score for each individual activity, the lowest possible score is 0 and the highest possible score is 28. The higher the score the better the more mobile the participant is. This measure will be taken just before the second campaign is to begin. | To complete this test, the participant must have a certain level of mobility. Out of the 14 participants in the "System + Fall Prevention First, then Fall Prevention" cohort, 5 couldn't complete the test and 2 participant out of the 13 participants in the 'Fall Prevention first, then System +Fall Prevention' cohort that could not complete the test. | Posted | Mean | Standard Deviation | units on a scale | Week 12 |
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| Primary | Performance Oriented Mobility Assessment | The Performance Oriented Mobility Assessment Tool is a simple, easily administered test that measures a resident's gait and balance. The test is scored on the resident's ability to perform specific tasks as either 0, 1 or 2 where a score of 0 represents the most impaired while a score of 2 represents independence. The total is calculated by adding the score for each individual activity, the lowest possible score is 0 and the highest possible score is 28. The higher the score the better the more mobile the participant is. This measure will be taken after the second campaign has been completed. | To complete this test, the participant must have a certain level of mobility. Out of the 14 participants in the "System + Fall Prevention First, then Fall Prevention" cohort, 5 couldn't complete the test and 1 participant out of the 13 in the 'Fall Prevention first, then System +Fall Prevention' cohort that could not complete the test. | Posted | Mean | Standard Deviation | units on a scale | Week 18 |
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| Secondary | 2 Minute Walk Test | Distance participant can walk without assistance for 2 minutes measured from the starting position. | Due to the inability to ambulate for 2 minutes independently, in the arm "System + Fall Prevention First, then Fall Prevention" 4 residents were unable to complete the test and 2 residents in the "Fall Prevention first, then System +Fall Prevention" were unable to complete the test. | Posted | Mean | Standard Deviation | Meter | Baseline |
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| Secondary | 2 Minute Walk Test | Distance participant can walk without assistance for 2 minutes measured from the starting position. | Due to the inability to ambulate for 2 minutes independently, in the arm "System + Fall Prevention First, then Fall Prevention" 4 residents were unable to complete the test and 2 residents in the "Fall Prevention first, then System +Fall Prevention" were unable to complete the test. | Posted | Mean | Standard Deviation | Meter | 6 Week |
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| Secondary | 2 Minute Walk Test | Distance participant can walk without assistance for 2 minutes measured from the starting position. | Due to the inability to ambulate for 2 minutes independently, in the arm "System + Fall Prevention First, then Fall Prevention" 4 residents were unable to complete the test and 2 residents in the "Fall Prevention first, then System +Fall Prevention" were unable to complete the test. | Posted | Mean | Standard Deviation | Meter | 12 Week |
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| Secondary | 2 Minute Walk Test | Distance participant can walk without assistance for 2 minutes measured from the starting position. | Due to the inability to ambulate for 2 minutes independently, in the arm "System + Fall Prevention First, then Fall Prevention" 4 residents were unable to complete the test and 2 residents in the "Fall Prevention first, then System +Fall Prevention" were unable to complete the test. | Posted | Mean | Standard Deviation | Meter | 18 Week |
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| Secondary | Knee Range of Motion Test | Test that asses the range of motion of a participant's knee | 2 participants in the "Fall Prevention first, then System +Fall Prevention" could not have their knee range of motion measures. | Posted | Mean | Standard Deviation | Degrees | Baseline |
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| Secondary | Knee Range of Motion Test | Test that asses the range of motion of a participant's knee | 2 participants in the "Fall Prevention first, then System +Fall Prevention" could not have their knee range of motion measures. | Posted | Mean | Standard Deviation | Degrees | 6 weeks |
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| Secondary | Knee Range of Motion Test | Test that asses the range of motion of a participant's knee | One participants in the "System + Fall Prevention First, then Fall Prevention" could not have their knee range of motion measures. | Posted | Mean | Standard Deviation | Degrees | 12 weeks |
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| Secondary | Knee Range of Motion Test | Test that asses the range of motion of a participant's knee | Posted | Mean | Standard Deviation | Degrees | 18 weeks |
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| 0 |
| 14 |
| 0 |
| 14 |
| 0 |
| 14 |
| EG001 | Fall Prevention First, Then System +Fall Prevention | Participants in this arm will participate in the Fall Prevention program alone during the first 6 week campaign. Following the 6 week washout period the participants will be invited to use the jDome BikeAround system for up to 30 minute sessions up to 3 times a week during the second 6 week campaign. During this campaign the participants will also participant in the standard fall prevention program Motivating reminiscence technology: The jDome BikeAround uses Google Street V | 0 | 13 | 0 | 13 | 0 | 13 |
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| Left Knee Flexion |
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| Right Knee Flexion |
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| Left Knee Flexion |
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| Right Knee Flexion |
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| Left Knee Flexion |
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| Right Knee Flexion |
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| Left Knee Flexion |
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| Right Knee Flexion |
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