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Increasing the Accessibility of a Falls Prevention Intervention for Community Dwelling Older Adults With Low Vision

Primary Purpose

Low Vision, Fall

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Original SAFE Intervention
Adapted SAFE Intervention
Sponsored by
Sarah Blaylock
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Low Vision

Eligibility Criteria

60 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • 60 and older;
  • Visual impairment with some remaining reading ability.

Exclusion Criteria:

  • Less than age 60;
  • Complete blindness;
  • Vertebral osteoporosis.

Sites / Locations

  • Department of Veteran Affairs

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Adapted SAFE Intervention

Original SAFE Intervention

Arm Description

Adapted version of the SAFE Health Behavior and Exercise intervention.

Original version of the SAFE intervention.

Outcomes

Primary Outcome Measures

Change in knowledge of falls prevention
10 multiple choice questions based on the SAFE intervention content

Secondary Outcome Measures

Short Physical Performance Battery
Measures of balance, gait, and sit to stand
PROMIS Depression Scale
Measures depression
PROMIS Participation Scale
Measures daily participation
PROMIS Global Health
Measures general health
UAB Life-Space Inventory
Measures places travelled within past month

Full Information

First Posted
January 18, 2017
Last Updated
January 2, 2018
Sponsor
Sarah Blaylock
Collaborators
VA Office of Research and Development
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1. Study Identification

Unique Protocol Identification Number
NCT03028493
Brief Title
Increasing the Accessibility of a Falls Prevention Intervention for Community Dwelling Older Adults With Low Vision
Official Title
Increasing the Accessibility of a Falls Prevention Intervention for Community Dwelling Older Adults With Low Vision
Study Type
Interventional

2. Study Status

Record Verification Date
January 2018
Overall Recruitment Status
Completed
Study Start Date
January 18, 2017 (Actual)
Primary Completion Date
December 15, 2017 (Actual)
Study Completion Date
December 15, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Sarah Blaylock
Collaborators
VA Office of Research and Development

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study serves to test a previously evaluated falls prevention intervention recommended by the Centers for Disease Control and Prevention, entitled the Study of Accidental Falls in the Elderly (SAFE) Health Behavior and Exercise Intervention, to evaluate if the intervention is accessible to older adults with low vision receiving services from the Southeastern Blind Rehabilitation Center (SBRC). This study also serves to pilot a version of the SAFE intervention that has been adapted to be accessible for individuals with low vision at SBRC.
Detailed Description
This study serves to compare the comprehension and retention of individuals completing a version of the SAFE falls prevention intervention adapted for low vision versus individuals receiving the original intervention. One group of participants will complete the standard SAFE intervention format while another group will complete the same intervention with written materials adapted for those with vision loss. One intervention (either standard or adapted SAFE program) will be delivered at a time. The SAFE intervention is comprised of four, 90-minute group classes that address environmental, behavioral, and physical falls risk factors. Classes involve lecture and group discussions as well as review of low intensity exercises. The adapted content is presented in large print with high contrast and has been rewritten on a lower grade level. A nutritionist, a physical therapist, a physician, 5 older adults with low vision, 10 low vision occupational therapist, and 5 health literacy experts provided feedback to strengthen the adapted intervention.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Low Vision, Fall

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Sequential Assignment
Masking
Outcomes Assessor
Masking Description
Three individuals not involved in intervention delivery will complete pre-post measures.
Allocation
Non-Randomized
Enrollment
9 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Adapted SAFE Intervention
Arm Type
Experimental
Arm Description
Adapted version of the SAFE Health Behavior and Exercise intervention.
Arm Title
Original SAFE Intervention
Arm Type
Active Comparator
Arm Description
Original version of the SAFE intervention.
Intervention Type
Behavioral
Intervention Name(s)
Original SAFE Intervention
Intervention Description
A CDC recommended, evidence-based falls prevention intervention.
Intervention Type
Behavioral
Intervention Name(s)
Adapted SAFE Intervention
Intervention Description
An adapted version of the SAFE intervention meant to target older adults with low vision.
Primary Outcome Measure Information:
Title
Change in knowledge of falls prevention
Description
10 multiple choice questions based on the SAFE intervention content
Time Frame
Pre and post (2 weeks after start of intervention delivery)
Secondary Outcome Measure Information:
Title
Short Physical Performance Battery
Description
Measures of balance, gait, and sit to stand
Time Frame
Pre
Title
PROMIS Depression Scale
Description
Measures depression
Time Frame
Pre
Title
PROMIS Participation Scale
Description
Measures daily participation
Time Frame
Pre
Title
PROMIS Global Health
Description
Measures general health
Time Frame
Pre
Title
UAB Life-Space Inventory
Description
Measures places travelled within past month
Time Frame
Pre

10. Eligibility

Sex
All
Minimum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: 60 and older; Visual impairment with some remaining reading ability. Exclusion Criteria: Less than age 60; Complete blindness; Vertebral osteoporosis.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Cynthia Brown, MD, MSPH
Organizational Affiliation
Birmingham VA and UAB School of Medicine
Official's Role
Principal Investigator
Facility Information:
Facility Name
Department of Veteran Affairs
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35205
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
All data serves to fulfill dissertation requirement and will not be shared with additional researchers.

Learn more about this trial

Increasing the Accessibility of a Falls Prevention Intervention for Community Dwelling Older Adults With Low Vision

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