Approximately one in three older adults fall annually and it is the primary cause of traumatic injury in older adults. While exercise and balance programs have been shown to be effective in reducing fall risk, maintaining behavior change is known to be difficult. Thus additional interventions need to be validated to add to our current armamentarium to reduce falls in older adults. Cognitive training (CT) involves exercises that target specific cognitive tasks, such as memory or processing speed. It has been speculated that routinely performing such tasks may increase functional ability. Recent work has pointed to an increased risk of falls in community-dwelling older adults who have alterations in specific cognitive tasks. Thus the purpose of the proposed study is to demonstrate the feasibility and to explore the effectiveness of a 16 week CT intervention to reduce risk and incidence of fall and improve outcomes up to 1 month post-intervention in a group of community dwelling older adults at risk for fall.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
60
Web-based cognitive training intervention targeting specific cognitive tasks. Subjects complete 3 training sessions per week with at least 24 hours in between sessions.
Subjects complete 16 web-based educational modules on healthy aging content. Following each module, subjects complete a learning reflection.
University of Washington
Seattle, Washington, United States
Falls
Falls and Injurious Falls as per Fall Calendar
Time frame: 16 weeks
Disability
Gill Disability Scale
Time frame: 8 weeks, 16 weeks, 20 weeks.
Cognitive Assessment
CANTAB Battery (Simple response time, one touch stockings of Cambridge, Stop Signal Task, Spatial Working Memory, Verbal Recognition Memory, Rapid Visual Information Processing)
Time frame: 8 weeks, 16 weeks, 20 weeks
Gait Assessment
Assessment of Gait Parameters using APDM sensor system
Time frame: 8 weeks, 16 weeks, 20 weeks
Balance Assessment
Assessment of Balance using APDM sensor system
Time frame: 8 weeks, 16 weeks, 20 weeks
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