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Completed

NCT Number: NCT03190460

Evaluating Technology-Based Fall Prevention Interventions

Approximately one in three older adults fall annually and it is the primary cause of traumatic injury in older adults. While exercise and balance programs have been shown to be effective in reducing fall risk, maintaining behavior change is known to be difficult. Thus additional interventions need to be validated to add to our current armamentarium to reduce falls in older adults. Cognitive training (CT) involves exercises that target specific cognitive tasks, such as memory or processing speed. It has been speculated that routinely performing such tasks may increase functional ability. Recent work has pointed to an increased risk of falls in community-dwelling older adults who have alterations in specific cognitive tasks. Thus the purpose of the proposed study is to demonstrate the feasibility and to explore the effectiveness of a 16 week CT intervention to reduce risk and incidence of fall and improve outcomes up to 1 month post-intervention in a group of community dwelling older adults at risk for fall.

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Key information

Conditions

Falls (Accidents) in Old Age

Age range

65 year–89 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Washington

Seattle, Washington, 98195, United States

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • 65-89 years old
  • speak and read English
  • live within 30 miles of the University of Washington
  • a score of 4 or higher on the Memory Impairment Screen (MIS-T)
  • regular access to a computer with internet capability (whether at home, friend/family, community center, public library, or other)
  • a positive response to any of the following three fall related questions: i) Have you had two or more falls in the prior 12 months? ii) Are you responding to the advertisement because of a recent fall? iii) Do you have difficulty with walking or balance?
  • <53 seconds on 90 second balance test or gait speed <1m/sec.

Exclusion criteria

  • current participation in formal cognitive training program
  • currently bedridden or wheelchair dependent

Treatment and study plan

Cognitive Training

Other

Web-based cognitive training intervention targeting specific cognitive tasks. Subjects complete 3 training sessions per week with at least 24 hours in between sessions.

Technology-based Education

Other

Subjects complete 16 web-based educational modules on healthy aging content. Following each module, subjects complete a learning reflection.

Primary outcomes

  1. Falls

    Time frame: 16 weeks

    Falls and Injurious Falls as per Fall Calendar

Secondary outcomes

  1. Disability

    Time frame: 8 weeks, 16 weeks, 20 weeks.

    Gill Disability Scale

  2. Cognitive Assessment

    Time frame: 8 weeks, 16 weeks, 20 weeks

    CANTAB Battery (Simple response time, one touch stockings of Cambridge, Stop Signal Task, Spatial Working Memory, Verbal Recognition Memory, Rapid Visual Information Processing)

  3. Gait Assessment

    Time frame: 8 weeks, 16 weeks, 20 weeks

    Assessment of Gait Parameters using APDM sensor system

  4. Balance Assessment

    Time frame: 8 weeks, 16 weeks, 20 weeks

    Assessment of Balance using APDM sensor system

Sponsors and collaborators

Lead sponsor

University of Washington

Other

Collaborators

  • National Institute of Nursing Research (NINR)

Registry information

Official study title

Influence of Cognitive Training on Fall Prevention in At Risk Older Adults

Acronym: FaCT2

Important dates

Study start
2017
Primary completion
2019
Study completion
2019
First posted
Jun 16, 2017
Registry last updated
Jun 7, 2022

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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