RecruitingNot ApplicableNCT06931067

OTAGO Exercise Program and Motivational Interviewing

Health Behavior Change for Fall Prevention

Sponsor

Oregon Health and Science University

Enrollment

60 participants

Start Date

Feb 20, 2025

Study Type

INTERVENTIONAL

Conditions

Physical Activity Fall Risk Factors Engagement, Patient

Summary

The goal of this study is to see if OTAGO instructors, who have been trained in a special communication method called motivational interviewing, can help older adults start and stick with the OTAGO exercise program. The results will help guide future research on how behavior change techniques can support other fall prevention strategies.

Eligibility

Min Age: 60 YearsMax Age: 120 Years

Inclusion Criteria6

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 Criteria6

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
-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)

Interested in this trial?

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Interventions

BEHAVIORALOTAGO Exercise Program with motivational interviewing

OTAGO exercise home visits will be offered 7 times with 2 phone-based check-ins during the 6-month period. As part of OTAGO home visits, participants will receive OTAGO exercise instruction and MI. Each home visit will be approximately an hour.