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Goal:
This pilot study aims to determine whether practicing getting down to and standing up from the floor reduces fear of falling (FoF) and improves older adults' ability to complete this task. The study compares this to a control group that watches educational videos on the same topic. This practice is referred to as Floor-Rise Training (FRT).
Main Questions:
Study Design:
Researchers will compare:
Participants:
Participants will be recruited from five Otago exercise classes (a falls prevention program without FRT) in Renfrewshire. Each class will be randomly assigned to either:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Floor-Rise Training Group | Experimental | Participants practiced getting up from the floor using a structured approach called the Backward Chaining Method (BCM). Sessions lasted 20 minutes weekly for 5 weeks, led by an instructor. |
|
| Video Demonstration Group | Active Comparator | Participants watched a 20-minute instructional video called "Upwards and Onwards", available on the NHS Inform website. The video explains how to get up from the floor safely and how to practice. It was divided into shorter sections over 5 weeks, with group discussions ensuring a total of 20 minutes per week. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Floor-Rise Training | Behavioral | Practicing getting up from the floor using the Backward Chaining Method (BCM) for 20 minutes per week for 5 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Falls Efficacy Scale-International (FES-I) | A 16-item questionnaire that assesses concern about falling during daily activities. Scores range from 16 (no concern) to 64 (severe concern). A lower score indicates a lower fear of falling. | Baseline and 1 week following the intervention (6 weeks post-baseline). |
| Measure | Description | Time Frame |
|---|---|---|
| Timed Floor-Rise (Supine to Standing) | Time taken (in seconds) for a participant to rise independently from a supine position (lying on their back) to a standing position using a sturdy chair. Faster time indicates improved ability. | Baseline and 1 week following the intervention (6 weeks post-baseline). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Dawn A Skelton, PhD | Glasgow Caledonian University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Glasgow Caledonian University | Glasgow | Scotland | G4 0BA | United Kingdom |
De-identified participant-level data for primary and secondary outcome measures
Starting 6 months after publication and ending 5 years after publication.
Qualified researchers affiliated with academic institutions will be able to access the de-identified participant-level data for primary and secondary outcome measures and study protocol by contacting the principal investigator.
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Cluster Randomization
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|
| Video Demonstration | Behavioral | Watching a 20-min video on floor-rise technique and over 5 weeks, with discussions. This video explains how to get up safely from the floor and how to practice. |
|
| Timed Floor-Rise (Sitting to Standing) |
Time taken (in seconds) for a participant to rise from a sitting position on the floor to standing using a sturdy chair. Faster time indicates improved ability. |
| Baseline and 1 week following the intervention (6 weeks post-baseline). |
| Timed Floor-Rise (Kneeling to Standing) | Time taken (in seconds) for a participant to rise from a kneeling position to standing using a sturdy chair. Faster time indicates improved ability. | Baseline and 1 week following the intervention (6 weeks post-baseline). |
| Perceived Ability to Manage Falls (PAMF) | The PAMF is a 5-item questionnaire measuring confidence in independently recovering from a fall. Scores range from 4 to 20, with higher scores indicating greater confidence. | Baseline and 1 week following the intervention (6 weeks post-baseline). |
| Fear of Falling Visual Analog Scale (VAS) - Indoor | Participants mark with an "x" on a 0-100 scale measuring fear of falling indoors, with higher scores indicating greater fear. | Baseline and 1 week following the intervention (6 weeks post-baseline). |
| Fear of Falling Visual Analog Scale (VAS) - Outdoor | Participants mark with an "x" on a 0-100 scale measuring fear of falling outdoors, with higher scores indicating greater fear. | Baseline and 1 week following the intervention (6 weeks post-baseline). |
| Activity Avoidance (VAS) | Participants mark with an "x" on a 0-100 scale measuring the percentage of activities avoided due to fear of falling, with higher scores indicating greater avoidance. | Baseline and 1 week following the intervention (6 weeks post-baseline). |