Evaluation and Development of Falls Prevention and Management in the Community for Older Adults

Falls Prevention Clinical Trial

Official title:

Evaluation and Development of Falls Prevention and Management in the Community of Central and North of Singapore for Older Adults

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05198193
• Other study ID #: NUS-IRB-2020-024
• Status: Recruiting
• Phase: N/A
• Start date: December 10, 2021
• Est. completion date: September 30, 2022

Study information

• Verified date: April 2022
• Source: National University, Singapore
• Contact: Su-Chin Hsu, PhD
• Phone: +6566011672
• Email: schsu[@]nus.edu.sg
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study investigates how differently-framed messages can affect people's attitude towards falls risk and prevention in older adults. This study considers the potentiality of adult children acting as change agents in influencing parents in falls prevention.

Description:

A randomized controlled trial (RCT) will be conducted to test the effectiveness of two messaging types (positively vs negatively framed) via two target audiences (older vs younger adults).

The RCT evaluates the effectiveness of the differently-framed messages delivered to older and younger adults in affecting people's attitude toward falls risk and motivating them to learn about preventing falls. Also, the potential of adult children acting as change agents to positively influence parents in preventing falls is explored.

Older and younger adults who are eligible to participate in this study are randomly given one message. For older adults, the objective is to study which message is more effective in affecting their attitude towards falls risk and motivating them to learn about preventing falls. For younger adults, the aim is to understand which message is more effective in motivating them to learn about preventing falls for their parents.

Hypotheses:

H1: The negatively framed message is more effective than the positively framed counterpart in motivating older adults to find out about preventing falls. However, this effect decreases as the socioeconomic status decreases.

H2: The negatively framed message is more effective than the positively framed counterpart in motivating younger adults to find out about preventing falls.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 1200
• Est. completion date: September 30, 2022
• Est. primary completion date: September 30, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 30 Years and older

Eligibility

Inclusion Criteria:

• Singaporean or Permanent Residents (PRs)

• Read/speak English, Mandarin, or Malay

• Either age 60 years old and above, walk independently with or without assistive devices, have no self-reported/detected dementia or cognitive impairments or age between 30 and 59 years old and have either one of the parents age 60 years old and above who walk independently with or without assistive devices

Exclusion Criteria:

• Not Singaporean or PRs

• Do not read/speak English, Chinese, and Malay

• Age 29 years old and below

• Cannot walk independently with and without assistive devices

• Have self-reported/detected dementia or cognitive impairments

Related Conditions & MeSH terms

• Falls Prevention

Intervention

Behavioral:
• No Message Given
Participants in this arm are not given any intervention.
• Positive Message Given - Older Adults
Participants in this arm are given a positively framed message from an older adult's point of view.
• Negative Message Given - Older Adults
Participants in this arm are given a negatively framed message from an older adult's point of view.
• Positive Message Given - Younger Adults
Participants in this arm are given a positively framed message from an adult child's point of view.
• Negative Message Given - Younger Adults
Participants in this arm are given a negatively framed message from an adult child's point of view.

Locations

Country	Name	City	State
Singapore	National University of Singapore	Singapore

Sponsors (1)

Lead Sponsor	Collaborator
National University, Singapore

Country where clinical trial is conducted

Singapore, 

References & Publications (2)

Dickinson A, Machen I, Horton K, Jain D, Maddex T, Cove J. Fall prevention in the community: what older people say they need. Br J Community Nurs. 2011 Apr;16(4):174-80. — View Citation

Liu X, Shuster MM, Mikels JA, Stine-Morrow EAL. Doing What Makes You Happy: Health Message Framing for Younger and Older Adults. Exp Aging Res. 2019 Jul-Sep;45(4):293-305. doi: 10.1080/0361073X.2019.1627491. Epub 2019 Jun 12. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	How much does the participant want to find out about preventing falls for himself/herself or his/her father/mother?	This is a scale variable ranging from 1 to 9, which is "1" if not at all and "9" if a lot	After being given a message during the survey, an average of 2 minutes
Secondary	Whether the participant or the participant's father/mother has fallen in the past 12 months	This is a categorical variable, which is "Yes" if the participant or the participant's father/mother has fallen in the past 12 months, "No" if not, and "Do not know" if the participant does not know whether his/her father/mother has fallen in the past 12 months	After being given a message during the survey, an average of 2 minutes
Secondary	Whether the participant or the participant's father/mother is concerned about falling	This is a categorical variable, which is "Very concerned" if the participant or the participant's father/mother is very concerned about falling, "Slightly concerned" if s/he is slightly concerned about falling, "Not concerned" if s/he is not concerned about falling, and "Do not know" if the participant does not know whether his/her father/mother is concerned about falling	After being given a message during the survey, an average of 2 minutes
Secondary	Whether the participant or the participant's father/mother feels like s/he is going to fall when standing or walking	This is a categorical variable, which is "Always" if the participant or the participant's father/mother always feels like s/he is going to fall when standing or walking, "Sometimes" if s/he sometimes feels like s/he is going to fall when standing or walking, "Never" if s/he never feels like s/he is going to fall when standing or walking, and "Do not know" if the participant does not know whether his/her father/mother feels like s/he is going to fall when standing or walking	After being given a message during the survey, an average of 2 minutes