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This study aims to guide older people living in the community on appropriate strategies within a fall prevention program. This program is aimed at training in physical exercises carried out through group workshops or at preventing risk situations at home.
Two-arm, non-blind, non-inferiority experimental design. Multicenter, randomized trial.
The study tries to assess whether a group intervention following the principles of the LiFE program is no less effective than individual intervention in reducing the incidence of falls.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Individual treatment | Active Comparator | The strength and balance activities of the LiFE program will be carried out. Participants will receive 7 home visits and will be given the support material for the manual (diptychs, pictures, etc.). |
|
| Groupal treatment | Experimental | The strength and balance activities of the LiFE program will be carried out. Participants will be invited to participate in groups of about 8 - 12 people in community venues. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Individual treatment | Behavioral | Participants will receive 7 home visits to implement the program. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of falls | Number of falls in relation to the degree of physical activity | 6 months |
| Physical activity | It will be evaluated with a digital pedometer | 9 days |
| Cost-effectiveness | Evaluated by the incremental cost-effectiveness ratio | 6 months |
| Health effects | They are measured using quality-adjusted life years (QALYs) based on the EQ-5D-5 | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Fear of falling | It will be assessed using the Short Falls International Scale of Efficacy. This scale measures of "concerns about falling". This scale has 7 items with a Likert scale with 4 options: 1) not at all concerned, 2) somewhat concerned, 3) fairly concerned, and 4) very concerned. | 6 months |
| Adherence to exercise |
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Inclusion Criteria:
Exclusion Criteria:
Perform moderate to vigorous physical activity> 150 min / week in the last 3 months
Present any of the following medical conditions:
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| Name | Affiliation | Role |
|---|---|---|
| Luis GarcÃa-Ortiz | Primary Health Care Research Unit | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Infosalud | Salamanca | 37005 | Spain |
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| ID | Term |
|---|---|
| D000073496 | Frailty |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001519 | Behavior |
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| Groupal treatment | Behavioral | Subjects will participate in groups of about 8 - 12 to implement the program. |
|
It will be assessed using the Exercise Adherence Rating Scale (EARS). This scale is composed of 16 items and they were scored using a 5-point Likert scale (0 = completely agree to 4 = completely disagree) with a possible summed score range from 0 to 64. |
| 6 months |