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AgingNCT05016141

Health in Motion- A Pragmatic Clinical Trial- Home

A study testing digital fall prevention program in people with Aging, run by Blue Marble Rehab Inc at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Falls among older adults are a serious public health concern and injuries resulting from falls can cause significant loss of independence, premature death, and higher caregiver burden. Read more about this study

Who is it for?
Ages 55 years and olderHealthy volunteers can take part
Conditions the study is for
Aging
What is being tested?
digital fall prevention program
Could I receive a placebo?
No, everyone receives an active treatment
How many people
101 participants
Where
1 siteUnited States
Study dates
10 Sep 2021to 12 Feb 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 55 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • age of 55 and older
  • if history of 2 or more falls in the past year with a physician or physical therapist approval
  • Score >31 on the TICS (Telephone Interview for Cognitive Screen)
  • Easy for Me screen for inclusion

Who cannot join

  • any person who has been told by their physician that they should not exercise

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Blue Marble Health

    Altadena, California, 91001

Other trials in United States

About this study

Official title: Health in Motion- A Digital Fall Prevention Program Designed to be Delivered in the Home

Falls among older adults are a serious public health concern and injuries resulting from falls can cause significant loss of independence, premature death, and higher caregiver burden. Home-based fall prevention programs, such as the Otago Exercise Program, educate older adults about the importance of identifying fall risk and provide strategies for reducing fall risk; however, many are costly and are not scalable, accessible, or sustainable. This project will evaluate the use of a digital solution that translates evidence-based fall prevention programs (such as Otago Exercise Program and Matter of Balance) to a digital solution (Health in Motion Fall Prevention Platform), as an alternative to home-based fall prevention programs that is affordable, scales to the millions of older adults across the country at risk for falls and is sustainable for the older adult's life.

Read the detailed description

This study will involve 2 groups. Both groups will be followed for 12 months. The investigators will use a comparative prospective longitudinal (12-months) observational cohort study to compare the Health in Motion Fall Prevention Program with a no-intervention group. Metrics of effectiveness include the rate of falls, fall risk, fear of falling, and falls efficacy. Economic benefit will be measured using the EQ-5D-5L, along with hospital and clinical visits. The primary outcome is the incidence of falls (rate in person-months).

Conditions
Aging
Being tested
digital fall prevention program
Keywords
fall, fall prevention, fall injury, fear of falling, fall efficacy

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • digital fall prevention programBehavioural

    The participants will receive a digital fall prevention program consisting of fall risk reduction education (modified Matter of Balance), Otago Exercise Program, Personalized S.M.A.R.T Goals, and will use the app to keep track of their health and health events, including falls.

Study groups in NCT05016141
Study groupRoleWhat they receive
no interventionNo interventionParticipants will be observed for 12 months. Participants will use the Health in Motion app to set goals and keep track of their health and health events, including falls. These participants will NOT receive the education modules or the exercise program.
digital fall prevention programExperimentalParticipants will complete the Health in Motion digital fall prevention program for 12 months. This program consists of education modules (modified from the Matter of Balance Program) and exercises based on a digital translation of the Otago Exercise Program.
Receives: Behavioral: digital fall prevention program

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Rate of Falls per month

    Number of falls per month / number of participants x 1000

    Measured: Change from baseline fall rate at 3 months

  2. Rate of Falls per month

    Number of falls per month / number of participants x 1000

    Measured: Change from baseline fall rate at 6 months

  3. Rate of Falls per month

    Number of falls per month / number of participants x 1000

    Measured: Change from baseline fall rate at 9 months

  4. Rate of Falls per month

    Number of falls per month / number of participants x 1000

    Measured: Change from baseline fall rate at 12 months

Secondary outcomes (53)
  1. Timed Up and Go Test

    Time taken to stand up from a seated position, walk 10 feet, turn around, return to the chair, sit down

    Measured: Change from baseline at 3 months

  2. Timed Up and Go Test

    Time taken to stand up from a seated position, walk 10 feet, turn around, return to the chair, sit down

    Measured: Change from baseline at 6 months

  3. Timed Up and Go Test

    Time taken to stand up from a seated position, walk 10 feet, turn around, return to the chair, sit down

    Measured: Change from baseline at 9 months

  4. Timed Up and Go Test

    Time taken to stand up from a seated position, walk 10 feet, turn around, return to the chair, sit down

    Measured: Change from baseline at 12 months

  5. 4 Stage Balance Test

    This test measures the ability to stand for 10 seconds in 4 progressively more challenging positions from standing with feet side by side to standing on one leg. The score is equal to the total time taken to achieve the highest level. The maximum score is 40. If a participant is not able to stand with their feet in tandem, they are considered at higher risk of falling.

    Measured: Change from baseline at 3 months

  6. 4 Stage Balance Test

    This test measures the ability to stand for 10 seconds in 4 progressively more challenging positions from standing with feet side by side to standing on one leg. The score is equal to the total time taken to achieve the highest level. The maximum score is 40. If a participant is not able to stand with their feet in tandem, they are considered at higher risk of falling.

    Measured: Change from baseline at 6 months

  7. 4 Stage Balance Test

    This test measures the ability to stand for 10 seconds in 4 progressively more challenging positions from standing with feet side by side to standing on one leg. The score is equal to the total time taken to achieve the highest level. The maximum score is 40. If a participant is not able to stand with their feet in tandem, they are considered at higher risk of falling.

    Measured: Change from baseline at 9 months

  8. 4 Stage Balance Test

    This test measures the ability to stand for 10 seconds in 4 progressively more challenging positions from standing with feet side by side to standing on one leg. The score is equal to the total time taken to achieve the highest level. The maximum score is 40. If a participant is not able to stand with their feet in tandem, they are considered at higher risk of falling.

    Measured: Change from baseline at 12 months

  9. One Leg Stand Test

    This test measures the ability to stand for on one leg for up to 30 seconds. If a participant is not able to stand for 5 seconds, they are considered at higher risk of falling.

    Measured: Change from baseline at 3 months

  10. One Leg Stand Test

    This test measures the ability to stand for on one leg for up to 30 seconds. If a participant is not able to stand for 5 seconds, they are considered at higher risk of falling.

    Measured: Change from baseline at 6 months

  11. One Leg Stand Test

    This test measures the ability to stand for on one leg for up to 30 seconds. If a participant is not able to stand for 5 seconds, they are considered at higher risk of falling.

    Measured: Change from baseline at 9 months

  12. One Leg Stand Test

    This test measures the ability to stand for on one leg for up to 30 seconds. If a participant is not able to stand for 5 seconds, they are considered at higher risk of falling.

    Measured: Change from baseline at 12 months

  13. 30 Second Sit to Stand Test

    This test measures the number of times a participant can stand up from a seated position in 30 seconds.

    Measured: Change from baseline at 3 months

  14. 30 Second Sit to Stand Test

    This test measures the number of times a participant can stand up from a seated position in 30 seconds.

    Measured: Change from baseline at 6 months

  15. 30 Second Sit to Stand Test

    This test measures the number of times a participant can stand up from a seated position in 30 seconds.

    Measured: Change from baseline at 9 months

  16. 30 Second Sit to Stand Test

    This test measures the number of times a participant can stand up from a seated position in 30 seconds.

    Measured: Change from baseline at 12 months

  17. Fall Risk Questionnaire

    This is a multi-factorial questionnaire that can be used to predict fall risk. Questions relate to history of falls, gait/balance, muscle weakness, incontinence, sensation/proprioception, depression, vision and medications. The highest (worst) score = 14. A score of 0-3 denotes low fall risk and scores from 4-14 denote higher fall risk.

    Measured: Change from baseline at 3 months

  18. Fall Risk Questionnaire

    This is a multi-factorial questionnaire that can be used to predict fall risk. Questions relate to history of falls, gait/balance, muscle weakness, incontinence, sensation/proprioception, depression, vision and medications. The highest (worst) score = 14. A score of 0-3 denotes low fall risk and scores from 4-14 denote higher fall risk.

    Measured: Change from baseline at 6 months

  19. Fall Risk Questionnaire

    This is a multi-factorial questionnaire that can be used to predict fall risk. Questions relate to history of falls, gait/balance, muscle weakness, incontinence, sensation/proprioception, depression, vision and medications. The highest (worst) score = 14. A score of 0-3 denotes low fall risk and scores from 4-14 denote higher fall risk.

    Measured: Change from baseline at 9 months

  20. Fall Risk Questionnaire

    This is a multi-factorial questionnaire that can be used to predict fall risk. Questions relate to history of falls, gait/balance, muscle weakness, incontinence, sensation/proprioception, depression, vision and medications. The highest (worst) score = 14. A score of 0-3 denotes low fall risk and scores from 4-14 denote higher fall risk.

    Measured: Change from baseline at 12 months

  21. Activities Specific Balance Confidence Scale 5 Level

    This questionnaire measures the participant's confidence in performing activities of daily living in which each item is rated from 0% (no confidence) to 100% (complete confidence). It correlates with other measures of self-efficacy and balance measures.

    Measured: Change from baseline at 3 months

  22. Activities Specific Balance Confidence Scale 5 Level

    This questionnaire measures the participant's confidence in performing activities of daily living in which each item is rated from 0% (no confidence) to 100% (complete confidence). It correlates with other measures of self-efficacy and balance measures.

    Measured: Change from baseline at 6 months

  23. Activities Specific Balance Confidence Scale 5 Level

    This questionnaire measures the participant's confidence in performing activities of daily living in which each item is rated from 0% (no confidence) to 100% (complete confidence). It correlates with other measures of self-efficacy and balance measures.

    Measured: Change from baseline at 9 months

  24. Activities Specific Balance Confidence Scale 5 Level

    This questionnaire measures the participant's confidence in performing activities of daily living in which each item is rated from 0% (no confidence) to 100% (complete confidence). It correlates with other measures of self-efficacy and balance measures.

    Measured: Change from baseline at 12 months

  25. VR-12

    This questionnaire measures quality of life over the past 4 weeks.

    Measured: Change from baseline at 3 months

  26. VR-12

    This questionnaire measures quality of life over the past 4 weeks.

    Measured: Change from baseline at 6 months

  27. VR-12

    This questionnaire measures quality of life over the past 4 weeks.

    Measured: Change from baseline at 9 months

  28. VR-12

    This questionnaire measures quality of life over the past 4 weeks.

    Measured: Change from baseline at 12 months

  29. European Quality of Life 5-Dimensional Questionnaire (EQ-5D-5L)

    This is a standardized measure of health status for clinical and economic appraisal. The test is a self report health state that domains including mobility, self-care, anxiety/depression, pain/discomfort) using a 5 point scale and a visual analog scale (VAS).

    We will calculate quality-adjusted life years (QALY) using the EQ-5D-5L and the appropriate weights from each instrument to compare differences in the incremental cost-effectiveness ratios.

    Measured: Change from baseline at 3 months

  30. European Quality of Life 5-Dimensional Questionnaire (EQ-5D-5L)

    This is a standardized measure of health status for clinical and economic appraisal. The test is a self report health state that domains including mobility, self-care, anxiety/depression, pain/discomfort) using a 5 point scale and a visual analog scale (VAS).

    We will calculate quality-adjusted life years (QALY) using the EQ-5D-5L and the appropriate weights from each instrument to compare differences in the incremental cost-effectiveness ratios.

    Measured: Change from baseline at 6 months

  31. European Quality of Life 5-Dimensional Questionnaire (EQ-5D-5L)

    This is a standardized measure of health status for clinical and economic appraisal. The test is a self report health state that domains including mobility, self-care, anxiety/depression, pain/discomfort) using a 5 point scale and a visual analog scale (VAS).

    We will calculate quality-adjusted life years (QALY) using the EQ-5D-5L and the appropriate weights from each instrument to compare differences in the incremental cost-effectiveness ratios.

    Measured: Change from baseline at 9 months

  32. European Quality of Life 5-Dimensional Questionnaire (EQ-5D-5L)

    This is a standardized measure of health status for clinical and economic appraisal. The test is a self report health state that domains including mobility, self-care, anxiety/depression, pain/discomfort) using a 5 point scale and a visual analog scale (VAS).

    We will calculate quality-adjusted life years (QALY) using the EQ-5D-5L and the appropriate weights from each instrument to compare differences in the incremental cost-effectiveness ratios.

    Measured: Change from baseline at 12 months

  33. Education Modules Data (Intervention Group Only)

    Time Taken: The Health in Motion App captures data time taken to complete the lessons.

    Measured: through study completion, an average of 1 year.

  34. Education Modules Data (Intervention Group Only)

    Qualitative Analysis of text entries.

    Measured: through study completion, an average of 1 year.

  35. System Usability Scale

    The System Usability Scale is used to evaluate usability and learnability of software products. We will use information from this survey to improve the usability of Health in Motion. The test uses a 0-5 Likert scale. The statements are worded such that the best score alternates between 1 (Strongly Disagree) and 5 (Strongly Agree). For example, statement #1 is "I think that I would like to use this system frequently" whereas statement #2 is "I found this system unnecessarily complex". The participant's scores for each question are converted to a new number, added together, and then multiplied by 2.5 to convert the original scores of 0-40 to 0-100. Though the scores are 0-100, these are not percentages and should be considered only in terms of their percentile ranking.

    SUS scores above 68 are considered above average and anything below 68 is below average.

    Measured: Change from baseline at 3 months

  36. System Usability Scale

    The System Usability Scale is used to evaluate usability and learnability of software products. We will use information from this survey to improve the usability of Health in Motion. The test uses a 0-5 Likert scale. The statements are worded such that the best score alternates between 1 (Strongly Disagree) and 5 (Strongly Agree). For example, statement #1 is "I think that I would like to use this system frequently" whereas statement #2 is "I found this system unnecessarily complex". The participant's scores for each question are converted to a new number, added together, and then multiplied by 2.5 to convert the original scores of 0-40 to 0-100. Though the scores are 0-100, these are not percentages and should be considered only in terms of their percentile ranking.

    SUS scores above 68 are considered above average and anything below 68 is below average.

    Measured: Change from baseline at 6 months

  37. System Usability Scale

    The System Usability Scale is used to evaluate usability and learnability of software products. We will use information from this survey to improve the usability of Health in Motion. The test uses a 0-5 Likert scale. The statements are worded such that the best score alternates between 1 (Strongly Disagree) and 5 (Strongly Agree). For example, statement #1 is "I think that I would like to use this system frequently" whereas statement #2 is "I found this system unnecessarily complex". The participant's scores for each question are converted to a new number, added together, and then multiplied by 2.5 to convert the original scores of 0-40 to 0-100. Though the scores are 0-100, these are not percentages and should be considered only in terms of their percentile ranking.

    SUS scores above 68 are considered above average and anything below 68 is below average.

    Measured: Change from baseline at 9 months

  38. System Usability Scale

    The System Usability Scale is used to evaluate usability and learnability of software products. We will use information from this survey to improve the usability of Health in Motion. The test uses a 0-5 Likert scale. The statements are worded such that the best score alternates between 1 (Strongly Disagree) and 5 (Strongly Agree). For example, statement #1 is "I think that I would like to use this system frequently" whereas statement #2 is "I found this system unnecessarily complex". The participant's scores for each question are converted to a new number, added together, and then multiplied by 2.5 to convert the original scores of 0-40 to 0-100. Though the scores are 0-100, these are not percentages and should be considered only in terms of their percentile ranking.

    SUS scores above 68 are considered above average and anything below 68 is below average.

    Measured: Change from baseline at 12 months

  39. Trail Making Test - Digital

    This is a standardized test of cognitive function. The test consists of two Trails, Trail A and Trail B. Trail A requires the participant to tap on 25 numbers on the screen in order from smallest to largest (1, 2, 3, etc). Trail B requires participants to tap on alternative numbers and letters in consecutive order from smallest/first to largest/last (1, A, 2, B, 3, C etc).

    Measured: Change from baseline at 3 months

  40. Trail Making Test - Digital

    This is a standardized test of cognitive function. The test consists of two Trails, Trail A and Trail B. Trail A requires the participant to tap on 25 numbers on the screen in order from smallest to largest (1, 2, 3, etc). Trail B requires participants to tap on alternative numbers and letters in consecutive order from smallest/first to largest/last (1, A, 2, B, 3, C etc).

    Measured: Change from baseline at 6 months

  41. Trail Making Test - Digital

    This is a standardized test of cognitive function. The test consists of two Trails, Trail A and Trail B. Trail A requires the participant to tap on 25 numbers on the screen in order from smallest to largest (1, 2, 3, etc). Trail B requires participants to tap on alternative numbers and letters in consecutive order from smallest/first to largest/last (1, A, 2, B, 3, C etc).

    Measured: Change from baseline at 9 months

  42. Trail Making Test - Digital

    This is a standardized test of cognitive function. The test consists of two Trails, Trail A and Trail B. Trail A requires the participant to tap on 25 numbers on the screen in order from smallest to largest (1, 2, 3, etc). Trail B requires participants to tap on alternative numbers and letters in consecutive order from smallest/first to largest/last (1, A, 2, B, 3, C etc).

    Measured: Change from baseline at 12 months

  43. Modified Fear of Falling Avoidance Behavior Questionnaire

    This is a standardized self-report assessment that measures behaviors that may be avoided due to a fear of falling

    Measured: Change from baseline at 3 months

  44. Modified Fear of Falling Avoidance Behavior Questionnaire

    This is a standardized self-report assessment that measures behaviors that may be avoided due to a fear of falling

    Measured: Change from baseline at 6 months

  45. Modified Fear of Falling Avoidance Behavior Questionnaire

    This is a standardized self-report assessment that measures behaviors that may be avoided due to a fear of falling

    Measured: Change from baseline at 9 months

  46. Modified Fear of Falling Avoidance Behavior Questionnaire

    This is a standardized self-report assessment that measures behaviors that may be avoided due to a fear of falling

    Measured: Change from baseline at 12 months

  47. Depression Screen

    The Depression Screen is a 2-item questionnaire that asks about how the person has been feeling over the past 2 weeks.

    Measured: Change from baseline at 3 months

  48. Depression Screen

    The Depression Screen is a 2-item questionnaire that asks about how the person has been feeling over the past 2 weeks.

    Measured: Change from baseline at 6 months

  49. Depression Screen

    The Depression Screen is a 2-item questionnaire that asks about how the person has been feeling over the past 2 weeks.

    Measured: Change from baseline at 9 months

  50. Depression Screen

    The Depression Screen is a 2-item questionnaire that asks about how the person has been feeling over the past 2 weeks.

    Measured: Change from baseline at 12 months

  51. Adherence to Exercise Program (Intervention Group Only)

    Average number of days per week the exercise program was completed

    Measured: through study completion, an average of 1 year

  52. Total number of repetitions of all exercises completed

    Total number of repetitions of all exercises completed

    Measured: through study completion, an average of 1 year

  53. Adherence to Education Modules

    Total number of education modules completed

    Measured: through study completion, an average of 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Aug 2021
  2. Study start10 Sep 2021
  3. Primary completion23 Oct 2023
  4. Study completion12 Feb 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
comparative prospective longitudinal (12-months) observational cohort study
Masking
None (open label)
Enrolment
101 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05016141
Sponsor's protocol ID
AG043191
Other IDs
2R44AG043191-04A1
Status last verified
Sep 2024
First submitted
19 Jul 2021
Last updated
1 Oct 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual data will not be shared

Questions about this trial

What is this clinical trial studying?

A study testing digital fall prevention program in people with Aging, run by Blue Marble Rehab Inc at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 1 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Rate of Falls per month (time frame: Change from baseline fall rate at 3 months). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Oct 2024.

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