Effectiveness of a Multifactorial Intervention Program to Reduce Falls Incidence Among Community-Living Older Adults: A Randomized Controlled Trial

2012 ◽  
Vol 93 (10) ◽  
pp. 1677-1684 ◽  
Author(s):  
Luis A. Pérula ◽  
Francisco Varas-Fabra ◽  
Victoriano Rodríguez ◽  
Roger Ruiz-Moral ◽  
José A. Fernández ◽  
...  
Keyword(s):  
Older Adults ◽  
Randomized Controlled Trial ◽  
Intervention Program ◽  
Controlled Trial ◽  
Community Living ◽  
Multifactorial Intervention ◽  
Randomized Controlled

scholarly journals Complex lifestyle intervention among inactive older adults with elevated cardiovascular disease risk and obesity. A mixed-method, single-arm feasibility study for RESTART- a randomized controlled trial

2020 ◽  
Author(s):  
Trygve Deraas ◽  
Laila Hopstock ◽  
André Henriksen ◽  
Bente Morseth ◽  
Anne Sofie Sand ◽  
...  
Keyword(s):  
Older Adults ◽  
Randomized Controlled Trial ◽  
Lifestyle Intervention ◽  
Feasibility Study ◽  
Mixed Method ◽  
Intervention Program ◽  
Controlled Trial ◽  
Lifestyle Changes ◽  
Randomized Controlled ◽  
Exercise Induced

Abstract Background: Physical inactivity and obesity are global public health challenges. Older adults are important to target for prevention and management of disease and chronic conditions. However, many individuals struggle with maintaining increased physical activity (PA) and improved diet. This feasibility study provides the foundation for the RESTART trial, a randomized controlled trial (RCT) to test a complex intervention to facilitate favourable lifestyle changes older adults can sustain. The primary objective of this study was to investigate study feasibility (recruitment, adherence, side-effects and logistics) using an interdisciplinary approach.Methods: This mixed-method one-year prospective single-arm feasibility study was conducted in Tromsø, Norway from September 2017. We invited by mail randomly selected participants from the 7 th survey of the Tromsø Study (2015-16) aged 55-75 years with sedentary lifestyle, obesity and elevated cardiovascular risk. Participants attended a six-month complex lifestyle intervention program, comprising instructor-led high-intensive exercise and nutritionist- and psychologist-led counselling, followed by a six-month follow-up. All participants used a Polar activity tracker for daily activity monitoring during the intervention. Participants were interviewed three times throughout the study. Primary outcome was study feasibility measures.Results: We invited potential participants (n=75) by mail of which 27 % (n=20) agreed to participate. Telephone screening excluded four participants, and altogether 16 participants completed baseline screening.The intervention and test procedures of primary and secondary outcomes were feasible and acceptable for the participants. There were no exercise-induced injuries, indicating that the intervention program is safe. Participants experienced that the dietary and psychological counselling were delivered too early in the intervention and in too close proximity to the start of the exercise program. Minor logistic improvements were implemented throughout the intervention period.Conclusion: This study indicates that it is feasible to conduct a full-scale RCT of a multi- component randomised intervention trial, based on the model of the present study. No drop-outs due to exercise-induced injury indicates that the exercises were safe. While minor improvements in logistics were implemented during the intervention, we will improve recruitment and adherence strategies, rearrange schedule of intervention contents (exercise, diet and psychology) as well as improving the content of the dietary and behavioural counselling to maximize outcome effects in the RESTART protocol.

A Randomized Controlled Trial Comparing Physical and Mental Lingual Exercise for Healthy Older Adults

Dysphagia ◽  
2020 ◽  
Author(s):  
Sarah H. Szynkiewicz ◽  
Erin Kamarunas ◽  
Teresa Drulia ◽  
Christina V. Nobriga ◽  
Lindsay Griffin ◽  
...  
Keyword(s):  
Older Adults ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Healthy Older Adults ◽  
Randomized Controlled
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