OTAGO Exercise Program with Motivational Support for Older Adults
Health Behavior Change for Fall Prevention
This study tests whether older adults at high risk of falls can stick to an exercise program better with the help of supportive instructors who motivate them over six months.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 60 (estimated) |
| Ages | 60 Years to 120 Years |
| Sex | All |
| Sponsor | Oregon Health and Science University Academic / other |
| Locations | 1 site (Portland, Oregon) |
| Trial ID | NCT06931067 on ClinicalTrials.gov |
What this trial studies
This study evaluates the effectiveness of OTAGO instructors trained in motivational interviewing to encourage older adults at high risk of falls to engage in the OTAGO exercise program. The intervention involves regular visits from instructors over a six-month period, focusing on improving participants' adherence to fall prevention behaviors. Participants will be monitored for an additional six months to assess the long-term impact of the program on their physical activity and fall risk. The findings aim to inform future research on behavior change techniques in fall prevention.
Who should consider this trial
Good fit: Ideal candidates are community-dwelling older adults aged 60 and above who are at high risk of falls.
Not a fit: Patients currently receiving physical therapy focused on balance and strength improvement may not benefit from this study.
Why it matters
Potential benefit: If successful, this program could significantly reduce fall risks and improve physical activity levels among older adults.
How similar studies have performed: Previous studies have shown promise in using motivational interviewing to enhance engagement in exercise programs among older adults, suggesting a potential for success in this approach.
Eligibility criteria
Show full inclusion / exclusion 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)
Where this trial is running
Portland, Oregon
- Oregon Health & Science University — Portland, Oregon, United States (Recruiting)
Study contacts
- Study coordinator: Hiroko Kiyoshi-Teo, PhD, RN
- Email: kiyoshi@ohsu.edu
- Phone: 5034943858
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.