Laura Albornos-Muñoz1,2, María Teresa Moreno-Casbas3,4, Clara Sánchez-Pablo1, Ana Bays-Moneo5, Juan Carlos Fernández-Domínguez6, Manuel Rich-Ruiz4,7, Montserrat Gea-Sánchez8,9. 1. Nursing and Healthcare Research Unit (Investén-isciii), Madrid, Spain. 2. REDISSEC, Red de Investigación en Servicios de Salud de Enfermedades Crónicas, Madrid, Spain. 3. Instituto de Salud Carlos III, Nursing and Healthcare Research Unit (Investén-isciii), Madrid, Spain. 4. Ciber Fragilidad y Envejecimiento Saludable (CIBERFES), Madrid, Spain. 5. Department of Health Sciences, Public University of Navarra, Navarra, Spain. 6. Department of Nursing and Physiotherapy, University of the Balearic Islands, Palma de Mallorca, Balearic Islands, Palma, Spain. 7. Instituto Maimónides de Investigación Biomédica (IMIBIC)/Universidad de Córdoba/Hospital Universitario Reina Sofía, Córdoba, Spain. 8. Grup de Recerca de Cures de Salut, GRECS, Institut de Recerca Biomèdica, Lleida, Spain. 9. Grupo de Estudios Sociedad, Salud, Educación y Cultura, GESEC, Departament d'Infermeria i Fisioteràpia, Facultat d'Infermeria i Fisioteràpia, Universitat de Lleida, Lleida, Spain.
Abstract
AIM: This study will compare how falls can be reduced in non-institutionalized older Spanish adults aged 65-80 years by providing group orindividual exercise sessions using the Otago Exercise Programme. BACKGROUND: The Otago Exercise Programme is a progressive home-based exercise programme, where trained health professionals help people engage in strength, balance and endurance exercises. Its format is based on the evidence from four clinical trials. The benefits of the Otago Exercise Programme are the same for people who have and have not suffered falls and it can also be used for visually impaired people. DESIGN: A multicentre, simply blinded, randomized, non-inferiority clinical trial, with two arms-group training and individual training-that started in January 2017 and will continue until December 2019. METHODS: Each study group has 364 subjects, who will take part in four individual or group sessions delivered mainly by nurses over an 8-week period, with a reinforcement session 6 months later. Data will be collected at baseline and after 6 and 12 months. The fall percentage will be the most relevant clinical variable and we will also consider safety, viability, compliance, economic analysis and therapeutic value. Approval and funding was granted in December 2016 for this 3-year study by the Spanish Health Research Fund (PI16CIII/00031). DISCUSSION: Older people from 65-80 years old tend to be more isolated and tackling worries about falls can improve social activities and independence. It has been shown that group training provides better adherence to exercise than individual training and this study will test that hypothesis for the Otago Exercise Programme.
RCT Entities:
AIM: This study will compare how falls can be reduced in non-institutionalized older Spanish adults aged 65-80 years by providing group or individual exercise sessions using the Otago Exercise Programme. BACKGROUND: The Otago Exercise Programme is a progressive home-based exercise programme, where trained health professionals help people engage in strength, balance and endurance exercises. Its format is based on the evidence from four clinical trials. The benefits of the Otago Exercise Programme are the same for people who have and have not suffered falls and it can also be used for visually impaired people. DESIGN: A multicentre, simply blinded, randomized, non-inferiority clinical trial, with two arms-group training and individual training-that started in January 2017 and will continue until December 2019. METHODS: Each study group has 364 subjects, who will take part in four individual or group sessions delivered mainly by nurses over an 8-week period, with a reinforcement session 6 months later. Data will be collected at baseline and after 6 and 12 months. The fall percentage will be the most relevant clinical variable and we will also consider safety, viability, compliance, economic analysis and therapeutic value. Approval and funding was granted in December 2016 for this 3-year study by the Spanish Health Research Fund (PI16CIII/00031). DISCUSSION: Older people from 65-80 years old tend to be more isolated and tackling worries about falls can improve social activities and independence. It has been shown that group training provides better adherence to exercise than individual training and this study will test that hypothesis for the Otago Exercise Programme.
Authors: I Dewa Gde Agung Mahendra; Imam Subadi; Indrayuni Lukitra Wardhani; Rwahita Satyawati; I Putu Alit Pawana; Soenarnatalina Melaniani Journal: Ann Med Surg (Lond) Date: 2022-05-07
Authors: Joan Blanco-Blanco; Laura Albornos-Muñoz; Maria Àngels Costa-Menen; Ester García-Martínez; Esther Rubinat-Arnaldo; Jordi Martínez-Soldevila; María Teresa Moreno-Casbas; Ana Beatriz Bays-Moneo; Montserrat Gea-Sánchez Journal: Res Nurs Health Date: 2022-06-23 Impact factor: 2.238
Authors: María Consuelo Company-Sancho; Emma Alonso-Poncelas; Manuel Rich-Ruiz; María Ángeles Cidoncha-Moreno; Ana Gonzalez-Pisano; Eva Abad-Corpa Journal: Int J Environ Res Public Health Date: 2021-06-16 Impact factor: 3.390