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Completed

NCT Number: NCT02280928

Development and Evaluation of a Home-Based Dual-Task Training Program to Improve Balance Performance for Older Adults

The purpose of this study is to (1) develop and test the effectiveness of home-based interventions on dual-task performance in older adults; and (2) determine the generalizability of the four trainings (i.e. single-task motor training, single-task cognitive training, dual-task motor-cognitive training, and dual-task cognitive-cognitive trainings) to novel tasks.

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Key information

Conditions

Elderly Aged

Age range

65 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of Associated Medical Sciences, Chiang Mai University

Sripoom, Chiang Mai, 50200, Thailand

About this study

Although, dual-task motor-cognitive training has proven to be more effective in improving dual-task balance performance than traditional single-task motor training, poor evidence of training-related transfer to a novel dual task has been shown. Additionally, another important impediment to the development of intervention to improve dual-task balance performance is that the previous studies have largely focused on training in a laboratory, or clinical setting, often with one-on-one supervision by a therapist or research assistant. Even though the home-based approach is more pragmatic, desirable, and encourages accessibility, no study has been done to examine the efficacy of home-based dual-task training.

Therefore, this study aims to address these gaps in the literature by conducting a home-based program designed to improve dual-task performance with a broader transfer-of-training effects in older adults. Participants will be randomly assigned to one of four groups (i.e. single-task motor training, single-task cognitive training, dual-task motor-cognitive training, and dual-task cognitive-cognitive trainings).

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Able to walk at least 10 meters without any assistive device
  • Having greater than 16/23 for illiterate persons, greater than 20/30 for primary education level persons, and greater than 23/30 for secondary education level persons on the Mini-Mental State Examination-Thai 2002 (MMSE-Thai2002)

Exclusion criteria

  • Severe neurological problems that could account for possible imbalance such as cerebral vascular accident, Parkinson's disease, transient ischemic attacks, and neuropathy
  • Severe musculoskeletal problems that could impact gait such as severe osteoarthritis and active inflammatory joint disease
  • Severe cardiopulmonary problems such as asthma and chronic obstructive pulmonary disease
  • Visual impairment that cannot be corrected by lenses
  • Severe auditory impairment such as deafness
  • Depression as scored ≥ 13 by Thai Geriatric Depression Scale (TGDS)

Treatment and study plan

Balance exercise

Other

Balance activities, using a task-oriented approach, progress participants from body stability, to body stability plus hand manipulation, then body transport, and finally body transport plus hand manipulation.

Cognitive Training

Other

Cognitive training involves executive function, attention, and working memory. Examples of cognitive training include finding the exit to a maze, calculation, visual-spatial skills, Sudoku, Stroop color-word task, word search, spot the differences, visual discrimination, and memory scanning skills.

Dual-task cognitive-cognitive training

Other

The Dual-task cognitive-cognitive training involves applying two cognitive tasks at the same time.

Primary outcomes

  1. The Center of Mass velocity and Base of Support distance

    Time frame: At baseline and after 4-week training

    The Center of Mass velocity and Base of Support distance is referred as the direction of the center of mass velocity in relation to base of support. It is used to measure the control of dynamic balance throughout gait under single-task and dual-task conditions in order to examine training effect.

  2. Spatio-temporal gait parameters

    Time frame: At baseline and after 4-week training

    Spatio-temporal gait parameters is measured throughout gait under single-task and dual-task conditions in order to examine training effect.

Sponsors and collaborators

Lead sponsor

Chiang Mai University

Other

Registry information

Important dates

Study start
2014
Primary completion
2015
Study completion
2015
First posted
Nov 3, 2014
Registry last updated
Jul 22, 2015

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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