Multifaceted Intervention Using Telehealth to Reduce the Risk of Falls and Fractures in Older Men (MisterFIt)
Osteoporosis, Osteoporotic Fractures, Osteoporosis, Age-Related
About this trial
This is an interventional treatment trial for Osteoporosis
Eligibility Criteria
Community-dwelling individuals ≥ 60 years who self-identify as men will be considered eligible if their risk for fracture is evaluated to be high, defined by the presence of one of the following inclusion criteria: Individuals on a Heath Canada-approved anti-osteoporosis medication (oral or intravenous bisphosphonate, denosumab, teriparatide, or romozosumab) to reduce fracture risk Prior hip or clinically diagnosed vertebral fracture or prior multiple fragility fractures since age 40 Fracture at any skeletal site (excluding skull, hands, and feet) within the previous 2 years Ten-year probability of major osteoporotic fracture of ≥20% using the FRAX tool BMD T-score of ≤ -2.0 (performed as part of usual clinical care) WITH either the presence of one or more moderate or severe vertebral fractures on spine radiography OR the presence of ≥1 comorbidities (Diabetes Type I or Type II if on treatment, Parkinson's disease, congestive heart failure, chronic obstructive pulmonary disease (COPD) with previous systemic corticosteroid exposure, prostate cancer with current or prior recent (≤ 2 years) use of hormonal therapy) OR ≥ 2 falls in the previous year. Exclusion Criteria: Inability to communicate in English or French; No access to a mobile device, tablet, or computer with a camera; Clinical or symptomatic spine fracture in the last 4 months, or a lower/upper limb fracture in the last 2 months; Uncontrolled medical comorbidity including but not limited to congestive heart failure exacerbation in the last 12 months or COPD exacerbation in the last 3 months Currently doing similar exercise program ≥ 2x/week Unable to perform basic activities of daily living or severe cognitive impairment or terminal illness Presence of absolute exercise contraindications unless physician approval is obtained if contraindications are present
Sites / Locations
- University of Calgary
- McMaster University
- University Health Network
- McGill University Health CentreRecruiting
- Centre Hospitalier Universitaire de Québec
Arms of the Study
Arm 1
Arm 2
Experimental
Other
Misterfit online group
MisterFit offline group
The Misterfit online group will receive a 12-month virtually-delivered fracture prevention intervention that includes a personalized gender-tailored strength training and balance-based exercise program, nutritional counselling and fall and fracture prevention education.
The Misterfit offline group will act as an attention control group receiving a fracture prevention intervention with the same components as the experimental group, but the components will not be virtual, personalized or gender-tailored.