RecruitingNot ApplicableNCT06345118

Evaluate the Results of Fall Prevention in Older Adults With Type 2 Diabetes Mellitus

Sponsor

National Geriatric Hospital

Enrollment

80 participants

Start Date

Mar 1, 2024

Study Type

INTERVENTIONAL

Conditions

Diabetes Mellitus, Type 2 Fall Elderly Patient

Summary

.This randomized controlled clinical trial aims to evaluate the effects of fall prevention in older adults with type 2 diabetes mellitus. The main questions it aims to answer are: * Describe the current situation of falls, the risk of falls, and some related factors in elderly type 2 diabetic patients * Evaluate the results of fall prevention and related factors in the study population. Participants will be randomly divided into control and intervention groups. The intervention group will be trained to follow the Otago Training Program as the primary fall prevention method. On the other hand, the control group will receive the standard care following the treatment guidelines for type 2 diabetes mellitus and other comorbidities. At the end of the intervention, the study will mainly compare the rate of fall incidents after 6 months of intervention as well as other physical performance tests.

Eligibility

Min Age: 60 YearsMax Age: 60 Years

Plain Language Summary

Simplified for easier understanding

This study looks at fall prevention in older adults with type 2 diabetes. Falls are a serious risk for people with diabetes due to nerve damage, balance issues, and low blood sugar episodes. Researchers want to identify who is at risk and test targeted prevention strategies. **You may be eligible if...** - You are between 60 and 80 years old - You have been diagnosed with type 2 diabetes - Your blood sugar (HbA1c) is between 7.0% and 9.0% - You are assessed as being at moderate or high risk of falls (for the follow-up portion of the study) **You may NOT be eligible if...** - You are experiencing an acute diabetes complication - You have an active joint condition causing significant pain or limited movement (like a gout flare or acute arthritis) - You have a condition that significantly affects your thinking or your ability to move around safely Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALOtago exercise program

The OEP consists of 17 strength and balance exercises and a walking program performed thrice a week by the older adult at home. Program Prescription The program is designed to be delivered over 6 months and includes a minimum of 5 visits. The first visit is Day 1 of Otago when performance of the functional measures is assessed, and the exercises are prescribed at the Rehabilitation Center of the National Geriatric Hospital. Then, the therapist will see the patient for 4 visits over an 8-week period (typically every other week). This is considered the initial bolus of Otago. Then, the therapist will follow the patient via phone calls every week and make a visit at three months, four months, five months, and six months to reassess the patient's training ability and compliance. Monitoring: Calendars can be completed each month to document any falls. A calendar or diary can be used to monitor compliance with the exercise programme