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| ID | Type | Description | Link |
|---|---|---|---|
| 2R44AG043191-04A1 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Aging (NIA) | NIH |
| Partners In Care Foundation | UNKNOWN |
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Falls among older adults are a serious public health concern, and injuries resulting from falls can cause significant loss of independence, premature death, and higher caregiver burden. Home-based fall prevention programs, such as the Otago Exercise Program, educate older adults about the importance of identifying fall risk and provide strategies for reducing fall risk; however, many are costly and are not scalable, accessible, or sustainable. This project will compare a digital fall prevention program used in a group setting in the community with traditional community-based fall prevention programs.
This study will involve 2 groups. Group 1 will participate in traditional human-led community based fall prevention programs and Group 2 will participate in avatar-led community-based fall prevention program. Metrics of effectiveness include the rate of falls, fall risk, fear of falling, and falls efficacy. Economic benefit will be measured using the European Quality of Life 5-Dimensional Questionnaire, along with hospital and clinical visits. The primary outcome is the incidence of falls (rate in person-months).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Human-led fall prevention programs | Active Comparator | Participants will complete any human-led fall prevention program of their choice, in a group setting either in-person or via Zoom. |
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| Avatar-led fall prevention program | Experimental | Participants will complete an avatar-led fall prevention program at their local community center or community room of their housing complex |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Human-led fall prevention program | Behavioral | Human-led evidence-based fall prevention programs include Matter of Balance, Tai Chi Moving for Better Balance, Walk with Ease, or Arthritis Exercise |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of falls | number of falls during the intervention compared with the self-reported falls at baseline | change from baseline to end of intervention (about 3 months) |
| Measure | Description | Time Frame |
|---|---|---|
| Timed Up and Go Test | Time taken to stand up from a seated position, walk 10 feet, turn around, return to the chair, sit down | change from baseline to end of intervention (about 3 months) |
| 4 Stage Balance Test |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sheryl Flynn | Altadena | California | 91001 | United States |
Individual data will not be shared
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Jun 23, 2025 | |
| Reset | Jul 8, 2025 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jun 23, 2025 | Jul 8, 2025 |
comparative prospective observational cohort study
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| Avatar-led fall prevention program | Behavioral | The avatar-led fall prevention program consists of the Otago Exercise Program |
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This test measures the ability to stand for 10 seconds in 4 progressively more challenging positions from standing with feet side by side to standing on one leg. The score is equal to the total time taken to achieve the highest level. The maximum score is 40. If a participant is not able to stand with their feet in tandem, they are considered at higher risk of falling.
| change from baseline to end of intervention (about 3 months) |
| One Leg Stand Test | This test measures the ability to stand for on one leg for up to 30 seconds. If a participant is not able to stand for 5 seconds, they are considered at higher risk of falling. | change from baseline to end of intervention (about 3 months) |
| 30 Second Sit to Stand Test | This test measures the number of times a participant can stand up from a seated position in 30 seconds. | change from baseline to end of intervention (about 3 months) |
| Fall Risk Questionnaire | This is a multi-factorial questionnaire that can be used to predict fall risk. Questions relate to history of falls, gait/balance, muscle weakness, incontinence, sensation/proprioception, depression, vision and medications. The highest (worst) score = 14. A score of 0-3 denotes low fall risk and scores from 4-14 denote higher fall risk. | change from baseline to end of intervention (about 3 months) |
| Activities Specific Balance Confidence Scale (5 level) | This questionnaire measures the participant's confidence in performing activities of daily living in which each item is rated from 0% (no confidence) to 100% (complete confidence). It correlates with other measures of self-efficacy and balance measures. | change from baseline to end of intervention (about 3 months) |
| Veteran Rand-12 (VR-12) | This questionnaire measures quality of life over the past 4 weeks. | change from baseline to end of intervention (about 3 months) |
| European Quality of Life 5-Dimensional Questionnaire (EQ-5D-5L) | This is a standardized measure of health status for clinical and economic appraisal. The test is a self report health state that domains including mobility, self-care, anxiety/depression, pain/discomfort) using a 5 point scale and a visual analog scale (VAS). | change from baseline to end of intervention (about 3 months) |
| Trail Making Test | This is a standardized test of cognitive function. The test consists of two Trails, Trail A and Trail B. Trail A requires the participant to tap on 25 numbers on the screen in order from smallest to largest (1, 2, 3, etc). Trail B requires participants to tap on alternative numbers and letters in consecutive order from smallest/first to largest/last (1, A, 2, B, 3, C etc). | change from baseline to end of intervention (about 3 months) |
| modified Fear of Falling Avoidance Behavior Questionnaire (mFFABQ) | This is a standardized self-report assessment that measures behaviors that may be avoided due to a fear of falling. The item scores are summed to form a total score ranging from 0 to 56. Higher scores indicate a higher level of fear of falling avoidance behavior | change from baseline to end of intervention (about 3 months) |
| Upstream Social Isolation Risk Scale (USIR-S) | A standardized assessment of social isolation. Lower scores indicate lower risk of social isolation. | change from baseline to end of intervention (about 3 months) |