OTAGO Exercise Program and Motivational Interviewing

Official title

Health Behavior Change for Fall Prevention

Overview

The goal of this study is to see if OTAGO instructors, who have been trained in a special communication method called motivational interviewing, can help older adults start and stick with the OTAGO exercise program. The results will help guide future research on how behavior change techniques can support other fall prevention strategies.

Detailed description

The objective of this study is to evaluate the feasibility and impact of OTAGO instructors who are trained in motivational interviewing communication approach to facilitate older adult's uptake of the OTAGO exercises. This study will create the basis for future trials that will explore the impact of behavior change interventions on other fall prevention strategies.

We propose a single-arm quasi-experimental trial with older adults with high fall risks. The study intervention consists of OTAGO visits by study staff (MI-trained OTAGO instructor) over 6 months to improve older adults' engagement in fall prevention behaviors with a focus on OTAGO exercises. Participants will be followed for additional 6 months for the total study duration of 12 months.

Interventions

• Behavioral OTAGO Exercise Program with motivational interviewing
  OTAGO exercise home visits will be offered 7 times with 2 phone-based check-ins during the 6-month period. As part of OTAGO home visits, participants will receive OTAGO exercise instruction and MI. Each home visit will be approximately an hour.

Primary outcome measures

• OTAGO exercise adherence [Time frame: Baseline, 6-months & 12 months]

Secondary outcome measures (3)

• 4-stage balance test [Time frame: Baseline & 6-months]
• Sit-to-stand test [Time frame: Baseline & 6-months]
• Falls Efficacy Scale Short International [Time frame: Baseline, 6-months, and 12-months]

Eligibility criteria

Inclusion criteria

• Age ≥60
• At high fall risk: At least one "Yes" to 1) had a fall in the past year; 2) answer "difficult" to the question "do you find it hard to stand without using your hands"; 3) worry about falling
• Able to converse audibly and coherently in English
• Ambulatory with or without assistive device use
• Self-report challenges navigating the environment outside of the home
• At least one "some or much difficulty" or "unable to do" to:Walking one block?; Stepping up onto a curb?; Getting out of a straight back chair? Climbing one flight of stairs? Getting out of the house

Exclusion criteria

• o Receiving ongoing physical therapy with a primary focus on improving balance and strength of lower extremities

• Experiencing acute health issues such as fracture, pain, or infection that prohibits them from participating in exercises
• Able to stand on one foot for more than 10 seconds without holding onto something
• 6-item Callahan cognitive assessment over the phone: Patients with scores of 2 or less, positive for dementia criteria, will be excluded.
• Patients participating in other studies that may impact fall-related behavior change.
• Participants engaged in routine moderate or vigorous physical activities that require lower extremity balance and strength (e.g., >100 minutes/week for more than 3 months)

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation

N/A

Model

Single group

Masking

Open label

Primary purpose

Prevention

Study locations

United States · 1 center

• Oregon Health & Science University — Portland

Identifiers

NCT: NCT06931067 · 27787

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗