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A Feasibility Study of a Randomised Controlled Trial Comparing Fall Prevention Using Exercise with or Without the Support of Motivational Interviewing

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Journal Prev Med Rep
Date 2016 Feb 5
PMID 26844061
Citations 12
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Abstract

Objective: The aim of this investigation was to study the feasibility of a randomised controlled trial (RCT) based on a multicentre fall prevention intervention including exercise with or without motivational interviewing compared to standard care in community-living people 75 years and older.

Method: The feasibility of a three-armed, randomised controlled trial was evaluated according to the following: process, resources, management by questionnaire, and treatment outcomes. The outcome measures were fall frequency, physical performance and falls self-efficacy evaluated after three months. Twelve physiotherapists conducted the measurements and treatments and responded to the questionnaire. The first 45 participants recruited to the ongoing RCT were included: 16 individuals in the Otago Exercise Program group (OEP), 16 individuals in the OEP combined with motivational interviewing group (MI), and 13 individuals in the control group. The study was conducted from November 2012 to December 2013.

Results: The feasibility of the study process, resources and management reached the set goals in most aspects; however, the set goal regarding the MI guide and planned exercise for the participating older people was not completely reached. No significant differences were found between the groups regarding the outcome measures.

Conclusion: This study confirmed the acceptable feasibility for the study protocol in the ongoing RCT.

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The Otago Exercise Program With or Without Motivational Interviewing for Community-Dwelling Older Adults: A 12-Month Follow-Up of a Randomized, Controlled Trial.

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PMID: 32114877 PMC: 7874375. DOI: 10.1177/0733464820902652.


References
1.
Cotter P, Timmons S, OConnor M, Twomey C, OMahony D . The financial implications of falls in older people for an acute hospital. Ir J Med Sci. 2006; 175(2):11-3. DOI: 10.1007/BF03167941. View

2.
Yardley L, Bishop F, Beyer N, Hauer K, Kempen G, Piot-Ziegler C . Older people's views of falls-prevention interventions in six European countries. Gerontologist. 2006; 46(5):650-60. DOI: 10.1093/geront/46.5.650. View

3.
Thabane L, Ma J, Chu R, Cheng J, Ismaila A, Rios L . A tutorial on pilot studies: the what, why and how. BMC Med Res Methodol. 2010; 10:1. PMC: 2824145. DOI: 10.1186/1471-2288-10-1. View

4.
Chodzko-Zajko W, Proctor D, Fiatarone Singh M, Minson C, Nigg C, Salem G . American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc. 2009; 41(7):1510-30. DOI: 10.1249/MSS.0b013e3181a0c95c. View

5.
Gillespie L, Robertson M, Gillespie W, Sherrington C, Gates S, Clemson L . Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2012; (9):CD007146. PMC: 8095069. DOI: 10.1002/14651858.CD007146.pub3. View