N/A
N=200
Engaging Older Adults in Fall Prevention Using Motivational Interviewing (MI)
Fall · Motivation · Behavior · Coping Behavior
Bottom Line
View on ClinicalTrials.gov: NCT04612842 ↗Enrolled (actual)
200
Serious AEs
12.0%
Results posted
Aug 2024
Primary outcome: Primary: Falls Self-Efficacy Scale-International (FES-I) Results — 13.07; 13.71; 13.41; 14.35 units on a scale — p=<0.05
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Motivational Interviewing (Behavioral)
- Age
- Older Adult · 65+ yrs
- Sex
- All
- Sponsor
- Oregon Health and Science University
- Primary completion
- Mar 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Falls Self-Efficacy Scale-International (FES-I) Results |
13.07; 13.71; 13.41; 14.35; 13.01; 13.82 | <0.05 sig |
| PRIMARY Fall Behavioral (FAB) Scale Results |
3.16; 3.08; 3.23; 3.11; 3.17; 3.14 | — |
| SECONDARY Patient Activation Measure Results |
70.6; 71.59; 70.23; 67.33; 70.44; 68.21 | — |
| SECONDARY Level of Confidence to Prevent Falls |
8.09; 7.74; 8.04; 7.79; 7.56; 7.67 | — |
| SECONDARY Level of Importance to Prevent Falls |
9.68; 9.41; 9.62; 9.63; 9.60; 9.59 | — |
| SECONDARY Balance Measure (Feet Side by Side) |
10; 10 | — |
| SECONDARY Balance Measure (Semi-tandem Stand) |
10; 9.79 | — |
| SECONDARY Balance Measure (Tandem Stand) |
8.46; 7.47 | — |
| SECONDARY Balance Measure (One-leg Stand) |
6.84; 5.28 | — |
| SECONDARY 30-second Sit-to-stand Assessment |
11.01; 9.5 | — |
| SECONDARY Number of Participants With Self-reported Falls |
56; 50 | — |
Summary
This mixed-methods, two-arm, randomized controlled trial will evaluate the impact of Motivational Interviewing (MI) as a follow-up care to patients who received fall prevention recommendations at Oregon Health & Science University Internal Medicine and Geriatrics Clinic provided over 12 months.
Eligibility Criteria
Inclusion Criteria
- Oregon Health & Science University (OHSU) Internal Medicine and Geriatrics Clinic patients
- 65 years old or older
- Moderate-to-high risk for falling using the STEADI fall screening and management algorithm
- Cognitively oriented (Mini-Cog≥ 3)
- Able to converse audibly and coherently in English
- Living independently in the community
- Able to receive study phone calls
- Ambulatory with or without assistive device use
Exclusion Criteria
- Cognitively impaired patients (Mini-Cog< 2)
- Patients who have sensory difficulty with verbal communication (hard-of-hearing despite the use of hearing aids or speech is hard to understand despite a talking device)
- Living in institutions with 24-hour care such as skilled nursing facilities
- Unable to stand without assistance by others
- Life-expectancy of less than 3-months
- Patients participating in other studies that may impact fall-related behavior change
Data sourced from ClinicalTrials.gov (NCT04612842). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.