Otago Exercise Programme+ (OEP+): Physiotherapists (PTs) will receive OEP and BAP training. They will provide at home visits and follow-up phone calls to the older adult participants (5 at home visits and 3 phone calls).
Older adults will have access to the OEP app.
Otago Exercise Programme (OEP): PTs will receive OEP training. They will provide at home visits and follow-up phone calls to the older adult participants (5 at home visits and 3 follow-up phone calls).
Study summary
Falls are a major health care problem for seniors. The Otago Exercise Program, which consists of strength and balance training delivered by a physiotherapist, can reduce falls in this population. We will test two methods to deliver the Otago program. These will include a new coaching approach by a physiotherapist with the use of a Fitbit to provide feedback versus the traditional delivery. The degree to which the program is delivered as intended by physiotherapists as well as the number of falls, risk of falling, and participation in walking activities in older adults will be assessed over 24 months. Lastly, we will assess if the coaching approach is a cost-effective option.
Eligibility
Sex
ALL
Min age
70 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria (Older Adults):
* over 70 years of age
* self-report a non-syncopal fall corroborated by an informant, in the previous six months
* are able to walk three meters with or without an assistive device
* have a Mini-Mental State Examination score \> 24/30
* have a Physiological Profile Assessment composite score of at least 1.0 standard deviation above age-normative value or have a Timed Up and Go test \> 15 seconds, or had one additional non-syncopal fall in the previous 12 months
* live in an area served by Vancouver Coastal Health
* understand, speak, and read English proficiently
* have access to a mobile device
* are willing to have their OEP sessions audio-recorded
* able to provide written informed consent
Exclusion Criteria (Older Adults):
* people not meeting the criteria above
Inclusion Criteria (Physiotherapists):
* willing to participate in training on the OEP
* complete the BAP training
* be audio-recorded during the OEP sessions
* be randomized to the OEP group with coaching or without coaching
Exclusion Criteria (Physiotherapists):
* not willing to participate in the above criteria
Primary outcome measure(s)
Physiotherapist-level outcome - Brief Action Planning (BAP) Scores — During the 12-month intervention This measure includes 33 items from three domains: 1) BAP content, 2) warmth and tone, and 3) overall interaction quality (total score: 0-35, higher score = better). The scores will be derived from the physiotherapists' sessions with the first, middle (Participant 3 or 4 out of 8) and last older adult participant. The recording from these treatment sessions will be coded and analysed by one of four researchers. The average of BAP scores of the middle and last participants for each PT will be used in the analysis .
Older Adult-Level Outcome - rate of adherence to the Otago Exercise Program (OEP) — During the 12-month intervention The number of exercise completed out of the total number of exercise prescribed during the intervention period
Trial sites (1)
Facility
City
Region
Status
Arthritis Research Canada
Vancouver
British Columbia
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This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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