The overall aim with this project is to collaborate with four organisations for retired persons located in a small region of middle Sweden. The project aims to test and evaluate a newly developed group-based fall prevention exercise program regarding the effects and experiences of both leading and participating in the intervention. The design of the study is a randomised controlled trial including a total of 100 participants (60+), 50 participants in the intervention and 50 participants in the control group.
Research questions of interest in the project are: 1. Can an eight week (eight sessions) high intensity group based fall prevention program increase strength, balance, activity level, quality of life, self-efficacy as well as reduce sedentary behavior, fear of falling and fall frequency in older adults? 2. Can older adults learn fall techniques by participating in an eight-week (eight-session) high intensity group based fall prevention program? 3. What experiences are there from the trained leaders and the participants in the intervention? 4. How can the program be implemented in the organisations for retired persons, facilitators and barriers? A total of at least 10 volunteers will be recruited from the organisations for retired persons and trained to be instructors of the FallFitness program. These FallFitness instructors will lead the intervention groups in the planned randomised controlled trial. For the 50 participants randomized to the intervention group a eight program including six different central components, strength, balance, self-efficacy, motor skills, and falling technique will be introduced. Estimation of about ten participants in each group with a total of five groups are planned. Materials needed are mainly soft judo carpets. The exercise takes place in groups and most of the exercises are done in pairs, which has been a successful concept in previously research on a similar programme, Judo4Balance. Outcome measures of interest: Strength, balance, quality of life, activity level, fear of falling, confidence in one's own ability to perform various activities without falling, fall frequency and falling techniques. Further a "train the trainer" approach will be evaluated for implementation and a long term perspective of fallprevention.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
100
Eight week group-based fallprevention intervention. A total of eight session (1-hour once a week).
Marina Arkkukangas
Eskilstuna, Sormland, Sweden
RECRUITINGPhysical function by Short Physical Performance Battery
Balance, strength and walking
Time frame: Baseline and at two months follow up
Self-efficacy (balance confidence)
Falls self-efficacy
Time frame: Baseline and at two months follow up
Fear of Falling
Questionnaire
Time frame: Baseline and at two months follow up
EuroQoL-5 Dimension Questionnaire (EQ-5D)
Quality of life questionnaire
Time frame: Baseline and at two months follow up
Fallfrequency
Falldiary every month
Time frame: A total of 12 months falldiary from baseline
Falling techniques
Falling backwards and sideways
Time frame: Baseline and at two months follow up
Handgrip strength
Handgrip strength measured by hand dynamometer
Time frame: Baseline and at two months follow up
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