Accidental Falls Clinical Trial
Official title:
The Effects of Simplified 10-step Tai-chi Programme on the Motor Performance and Fall Prevention of Community-dwelling Older People With Dementia: a Pilot Cluster Randomized Control Trial
This study evaluates the feasibility and the preliminary effects of a simplified 10-step
Tai-chi programme (a dyadic approach) on the mobility performance of people with mild to
moderate dementia.
Four community health centres were recruited and each was randomised to either the
intervention group (Tai-chi) or the control group. Tai-chi group received a 16-week 10-step
simplified Tai-chi training programme in which additional measures were implemented to
enhance participants' engagement. The control group took part in group recreational
activities organized by the community centres.
It was hypothesized that the Tai-chi group would outperform the control group regarding their
mobility performance.
Four community health centres that provide dementia care services were recruited through
convenience sampling. Each was viewed as one cluster and was randomized to either the Tai-chi
or the control group, based on computer-generated random numbers prepared by an independent
statistician.
Participants allocated to the Tai-chi group took part in the 16-week 10-step simplified
Tai-chi programme, which was derived from the traditional Yang style and has been proven to
be effective in enhancing older people's balance and mobility. Each week, the dyads attended
two 1-hour sessions of centre-based Tai-chi training and practised at least three 30-minute
Tai-chi sessions at home. Additional measures targeted cognitively impaired people were
implemented to promote engagement, including the adoption of multiple sensory cues, slow and
relaxed practice, a dyadic approach, and positive emotional motivation techniques.
Participants allocated to the control group took part in group recreational activities such
as watching movies or listening to music, which was organized by the community centres with
similar frequency and duration of the Tai-chi sessions that were organized for the Tai-chi
group. The control group participants were instructed to continue their usual lifestyles and
levels of physical activity.
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