Steps to Avoid Falls in the Elderly- A TECHnology Enhanced Intervention

Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Background: Falls and fall-related injuries among older adults are a significant health problem that results in injuries, prolonged hospitalisation, reduced mobility, and poorer quality of life. Previous falls prevention programs have demonstrated the effectiveness of multi-component falls prevention interventions in improving functional outcomes and reducing falls compared to usual care. A previous trial of a tailored multi-component falls intervention program for older adults recruited from the emergency department (SAFE) found that there is significant heterogeneity in terms of falls risk factors in high falls risk older adults. Thus, the effectiveness of SAFE in participants with poorer cognitive function or had more comorbidities were less effective and less cost-effective. Therefore, the aim of this trial is to demonstrate the effectiveness of a technology-enhanced, multi-domain and multi-component falls prevention intervention in reducing number of fallers and injurious fallers among older adults with elevated fall risk. Hypothesis: Using novel wearable technologies to a) identify older adults who are at high risk of falls and more likely to benefit from a multi-component intervention and b) tailor the exercise and educational components by giving individualized biofeedback will improve the effectiveness of an enhanced multi-domain, multi-component falls intervention program for community dwelling older adults. Methodology: This study is a randomized controlled trial aimed at demonstrating the effectiveness of a technology-enhanced, multi-domain and multi-component falls prevention intervention (SAFE-TECH) in community- dwelling older adults with elevated fall risk compared with usual care. Participants in both arms are selected based on questionnaire based and wearable sensor based predictions of their falls risk. Participants in the intervention arm will receive a 12-week active falls intervention program consisting of exercise and educational components, with detailed biofeedback of their functional status.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 60
Maximum Age: 95
Healthy Volunteers: f
View:

• Aged 60 to 95 years

• Ambulatory with or without walking aid

• Does not possess cognitive impairment with an Abbreviated Mental Score-Singapore \>=6

Locations
Other Locations
Singapore
Centre for Ageing Research & Education
RECRUITING
Singapore
Contact Information
Primary
Jing Wen Goh
jingwen_goh@duke-nus.edu.sg
+65 6601 3889
Backup
Kok Yang Tan
kokyang.tan@duke-nus.edu.sg
Time Frame
Start Date: 2024-03-01
Estimated Completion Date: 2026-02-28
Participants
Target number of participants: 400
Treatments
Experimental: Intervention group
12-weeks active intervention session includes exercise and educational components.~9 months maintenance phase
No_intervention: Control group
No intervention for 12 months during intervention period.
Sponsors
Leads: Duke-NUS Graduate Medical School

This content was sourced from clinicaltrials.gov