Skip to main content
OpenTrials
Completed

NCT Number: NCT06823882

Practicing Getting Up From the Floor to Reduce Fear of Falling and Improve Floor-Rise Ability in Community-Dwelling Older Adults: A Pilot Study

Goal:

This pilot study aims to determine whether practicing getting down to and standing up from the floor reduces fear of falling (FoF) and improves older adults' ability to complete this task. The study compares this to a control group that watches educational videos on the same topic. This practice is referred to as Floor-Rise Training (FRT).

Main Questions:

1. Can a short FRT intervention reduce fear of falling? 2. Can a short FRT intervention improve the ability to rise from kneeling, sitting, and lying positions? 3. Does watching an instructional video on FRT improve fear of falling or floor-rise ability?

Study Design:

Researchers will compare:

* A group receiving 20 minutes of FRT weekly for 5 weeks. * A control group watching FRT videos followed by discussions over the same period. Changes in floor-rise ability and FoF will be assessed to determine the effectiveness of FRT.

Participants:

Participants will be recruited from five Otago exercise classes (a falls prevention program without FRT) in Renfrewshire. Each class will be randomly assigned to either:

* The FRT intervention group (3 classes). * The control group (2 classes) watching videos that include an FRT demonstration. Participants will complete questionnaires (to assess FoF) and timed floor-rise tests before and after the intervention. Some may also be invited to focus groups to share their experiences with the intervention, videos and with our recruitment procedures.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Fear of Falling Falls Floor-Rise Ability Older Adults (65 Years and Older) Post-Fall Recovery

Age range

65 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Glasgow Caledonian University

Glasgow, Scotland, G4 0BA, United Kingdom

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Aged 65 or older
  • Able to provide written informed consent
  • Currently engaged with ROAR and attending the Otago exercise classes

Exclusion criteria

  • Requiring a walking frame indoors to mobilise
  • Have any medical condition that renders it inadvisable to descend to the floor (e.g. such as awaiting knee replacement surgery)
  • Any uncontrolled medical condition requiring medical input
  • BM I≥ 30 kg/m2
  • Lacking capacity to consent to participate
  • Unable to comprehend FRT instructions

Treatment and study plan

Floor-Rise Training

Behavioral

Practicing getting up from the floor using the Backward Chaining Method (BCM) for 20 minutes per week for 5 weeks

Other names: Backward Chaining Method

Video Demonstration

Behavioral

Watching a 20-min video on floor-rise technique and over 5 weeks, with discussions. This video explains how to get up safely from the floor and how to practice.

Primary outcomes

  1. Falls Efficacy Scale-International (FES-I)

    Time frame: Baseline and 1 week following the intervention (6 weeks post-baseline).

    A 16-item questionnaire that assesses concern about falling during daily activities. Scores range from 16 (no concern) to 64 (severe concern). A lower score indicates a lower fear of falling.

Secondary outcomes

  1. Timed Floor-Rise (Supine to Standing)

    Time frame: Baseline and 1 week following the intervention (6 weeks post-baseline).

    Time taken (in seconds) for a participant to rise independently from a supine position (lying on their back) to a standing position using a sturdy chair. Faster time indicates improved ability.

  2. Timed Floor-Rise (Sitting to Standing)

    Time frame: Baseline and 1 week following the intervention (6 weeks post-baseline).

    Time taken (in seconds) for a participant to rise from a sitting position on the floor to standing using a sturdy chair. Faster time indicates improved ability.

  3. Timed Floor-Rise (Kneeling to Standing)

    Time frame: Baseline and 1 week following the intervention (6 weeks post-baseline).

    Time taken (in seconds) for a participant to rise from a kneeling position to standing using a sturdy chair. Faster time indicates improved ability.

  4. Perceived Ability to Manage Falls (PAMF)

    Time frame: Baseline and 1 week following the intervention (6 weeks post-baseline).

    The PAMF is a 5-item questionnaire measuring confidence in independently recovering from a fall. Scores range from 4 to 20, with higher scores indicating greater confidence.

  5. Fear of Falling Visual Analog Scale (VAS) - Indoor

    Time frame: Baseline and 1 week following the intervention (6 weeks post-baseline).

    Participants mark with an "x" on a 0-100 scale measuring fear of falling indoors, with higher scores indicating greater fear.

  6. Fear of Falling Visual Analog Scale (VAS) - Outdoor

    Time frame: Baseline and 1 week following the intervention (6 weeks post-baseline).

    Participants mark with an "x" on a 0-100 scale measuring fear of falling outdoors, with higher scores indicating greater fear.

  7. Activity Avoidance (VAS)

    Time frame: Baseline and 1 week following the intervention (6 weeks post-baseline).

    Participants mark with an "x" on a 0-100 scale measuring the percentage of activities avoided due to fear of falling, with higher scores indicating greater avoidance.

Sponsors and collaborators

Lead sponsor

Glasgow Caledonian University

Other

Registry information

Official study title

The Impact of Floor-rise Training on Fear of Falling and Independent Floor-rise Ability in Older Adults Living in the Community: A Pilot Cluster Randomised Controlled Trial With Multiple Methods.

Important dates

Study start
2024
Primary completion
2024
Study completion
2024
First posted
Feb 12, 2025
Registry last updated
Feb 12, 2025

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.

Related clinical trials

Published trials that share one or more normalized conditions with this study.