Assessment and Referral Versus Exercise in Primary Prevention of Falls: PA Healthy Steps Program
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Purpose
Older adults at high risk of falls will complete the PA Healthy Steps program. This program will be implemented by research staff who will follow the training manual and implement the program as it was designed to assess the effectiveness of the program. Participants will then be randomly assigned to three arms: (i) Follow-up only; (ii) Falls case management, in which adherence to physician and home safety assessments will be facilitated; and (iii) Healthy Steps in Motion, a 4-week group exercise program designed to complement Healthy Steps. All participants will be followed monthly for 6 months through personal and automated telephone interview protocols to ascertain falls and injuries.
| Condition | Intervention | Phase |
|---|---|---|
|
Lower Extremity Weakness Balance Problems |
Behavioral: Assessment and education Behavioral: Healthy Steps with Falls Case Management Behavioral: Healthy Steps in Motion |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | Assessment and Referral Versus Exercise in Primary Prevention of Falls: PA Healthy Steps Program |
- Falls [ Time Frame: 6 months ] [ Designated as safety issue: No ]Falls ascertained in automated monthly telephone contact
- Fall-related injuries requiring hospitalization/emergency department care [ Time Frame: 6 months ] [ Designated as safety issue: No ]Events ascertained in a monthly automated telephone interview
| Estimated Enrollment: | 180 |
| Study Start Date: | March 2012 |
| Estimated Study Completion Date: | December 2012 |
| Estimated Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Healthy Steps
Healthy Steps program as currently implemented by the PA Department of Aging
|
Behavioral: Assessment and education
PA Healthy Steps program
|
|
Experimental: Healthy Steps with Falls Case Management
Healthy Steps program augmented with research interventionist guidance on seeking physician care and home safety assessment
|
Behavioral: Healthy Steps with Falls Case Management
Counseling to ensure that participants receive a physician assessment and home safety check
|
|
Experimental: Healthy Steps in Motion
Healthy Steps program augmented with Healthy Steps in Motion, a 4-week, twice a week program of group exercise.
|
Behavioral: Healthy Steps in Motion
Group exercise program
|
Eligibility| Ages Eligible for Study: | 50 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Able to provide informed consent
- Willing to be randomized
- Scoring in the lowest tertile on at least one test in the Healthy Steps lower extremity performance battery
- Age 50+
Exclusion Criteria:
- Hospice enrollee or life-threatening illness
- Active cancer treatment
- Neurologic disease linked to falls risk, such as Parkinson's
- Unable to ambulate indoors
- High likelihood of moving in next 6 months
Contacts and Locations| Contact: Jennifer King, BA | 412-383-8630 | jenking@pitt.edu |
| United States, Pennsylvania | |
| University of Pittsburgh | Recruiting |
| Pittsburgh, Pennsylvania, United States, 15261 | |
| Contact: Jennifer King, BA 412-383-8630 jenking@pitt.edu | |
| Principal Investigator: Steven M Albert, PhD | |
| Principal Investigator: | Steven M Albert, PhD | University of Pittsburgh |
More Information
No publications provided
| Responsible Party: | University of Pittsburgh |
| ClinicalTrials.gov Identifier: | NCT01552551 History of Changes |
| Other Study ID Numbers: | U48DP002657-RCT |
| Study First Received: | March 8, 2012 |
| Last Updated: | March 12, 2012 |
| Health Authority: | United States: Federal Government |
Keywords provided by University of Pittsburgh:
|
Falls exercise safety injury Older adults |
Additional relevant MeSH terms:
|
Asthenia Muscle Weakness Signs and Symptoms Muscular Diseases Musculoskeletal Diseases |
Neuromuscular Manifestations Neurologic Manifestations Nervous System Diseases Pathologic Processes |
ClinicalTrials.gov processed this record on June 18, 2013