Condition category
Not Applicable
Date applied
07/10/2011
Date assigned
03/01/2012
Last edited
30/11/2012
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Lay summary under review 2

Trial website

http://www.gesundheithatkeinalter.at [German]

Contact information

Type

Scientific

Primary contact

Dr Martin Cichocki

ORCID ID

Contact details

Ludwig Boltzmann Institute Health Promotion Research
Untere Donaustrasse 47
Vienna
1020
Austria

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

1989

Study information

Scientific title

"Exciting Life [Bewegtes Leben]“: a comparative investigation into the effectiveness of promoting the mobility among users of residential long term care - a sub-project of the study “Health has no age [Gesundheit hat kein Alter]”

Acronym

Study hypothesis

The specified training program will reduce/ stabilize loss of mobility among residents and increase their functional autonomy
Aim is to improve or maintain the mobility of participants in terms of physical, cognitive and social functionality with a focus on achieving everyday tasks to strengthen their autonomy.

Ethics approval

Vienna Board of Retirement Residences [Kuratorium Wiener Pensionisten (KWP)] Ethics Committee 04 August 2011

Study design

Randomized controlled trial

Primary study design

Interventional

Secondary study design

Randomised controlled trial

Trial setting

Other

Trial type

Quality of life

Patient information sheet

Not available in web format, please use the contact details below to request a patient information sheet

Condition

Mobility and autonomy among elderly people

Intervention

Training program with 20 intervention units targeting the promotion of mobility among residents. Units 2-18 are divided into 3 different levels (Level A, B, C) considering the physical and cognitive state. Based on the level the single units differ in duration and performance. The following description offers an overview of the content for each unit.

Unit 1: Introduction and setting of personal goals. In this unit the participants are introducing each other and the trainer. They get an overview of the following dates and information about the content within the units. Furthermore the participants are going to set overall targets within the group. Another part of this unit is to set individual goals of each participant regarding daily routines, mobility and expectations to the intervention. These goals will be found in a personal dialogue between the participant and a supervisor. Thereby the housing situation of the resident can be considered to identify restrictive factors.
Unit 2: Fall prevention. The unit focuses on information about fall prevention, support for the daily routine (e.g. adaptation of shower) and the availability of walking and mobility aids.
Unit 3: Dance. In this unit the participants rehearse and conduct dances suitable for older adults. The aim of this unit is to promote coordination, balance and sensomotoric cognition.
Unit 4: Advanced Dance. Repetition of the dances from previous unit and rehearsing and conducting of progressive sequences. The aim of this unit is to promote coordination, balance and sensomotoric cognition.
Unit 5: Providing an exercise program. The participants receive a personal exercise program to take home. The program contains exercises illustrated with images which are relevant for everyday life.
Unit 6: Skittles/Ball game regarding an aim. Within this unit the participants bowl or throw a ball to a specific aim. The goal is to promote coordination and sensomotoric cognition.
Unit 7: Advanced Skittles/Ball game regarding an aim. Repeating Unit 6, but now within increased requirements.
Unit 8: Training the balance and the safety in walking. This unit contains passing a parcours, adapted to the ability of the participants. Goal is to promote anticipatory and compensatory skills while changing the posture.
Unit 9: Advanced balance training and safety training in walking. Either repeating unit 8, but now within increased requirements, or making a short travel by metro or tram. Travelling by public transport includes identifying the right transport, sit down and stand up in the transport etc.
Unit 10: Posture training and evaluation of the exercise program (unit 5). This unit contains different exercises by sitting or standing to cause a better posture. The goal is to promote an economic (pain reducing) posture, strength and coordination. Moreover the experiences with the home exercise program are going to be discussed.
Unit 11: Fitness & cardiovascular training in conjunction with everyday activities. This unit contains different exercises like walking along the corridor followed by conducting everyday activities (e.g. putting on socks) and once again walking. Goal of this unit is to obtain and promote endurance and to automate the control of movement.
Unit 12: Advanced fitness & cardiovascular training in conjunction with everyday activities. Walking a medium-length or long way and then going home by using public transport.
Unit 13: Functional invigoration. This unit contains different invigoration exercises for the upper and lower limbs and the trunk. The exercises should be linked to weekday functions (e.g. stand up and sit down). The goal is to promote strength.
Unit 14: Functional invigoration & evaluation of the individual goals of the residents so far. Repeating Unit 13 including some extended exercises. Moreover the individual goals of the residents are going to be discussed.
Unit 15: Proprioceptive training of cognition & balance & assault course, dual tasks. Within this unit the participants are going to pass an assault course for instance with different floorspaces and smaller and wider areas to go through. The goal is to promote coordination and sensomotoric cognition.
Unit 16: Advanced Proprioceptive training of cognition & balance & assault course, dual tasks. Re-peating unit 15 but with advanced barriers.
Unit 17: Breathing and relaxation exercises. This unit contains different exercises for breathing and re-laxation. The goal of this unit is to promote sensomotoric cognition, breath-economic and tone regulation of the musculature.
Unit 18: Yoga, Qi Gong, Tai Chi. This unit contains different exercises form a foreign cultural circle, like Yoga, Qi Gong, Tai Chi and others. The goal is to promote the sensomotoric cognition, breath-economic, invigoration, coordination and to obtain and improve the control of posture.
Unit 19: Flexible unit adjusted on the wish of the participants. The unit should focus on obtaining and improving endurance, invigoration and coordination together with a transfer into the daily routine.
Unit 20: Information and summary of the things and the activities happened, exchange of experiences and looking into the future. Within the last unit the participants are exchanging their experiences and discussing the fixed goals of the group (were the goals reached?, which things improved?, etc.). Furthermore the exercise programme for home is discussed once more and the participants get information about further mobility interventions available in the house. This unit ends with a dance.

At the end of the interventions the supervisor talks once again with the participants to discuss how far the individual goals, fixed at the beginning of the interventions, have been reached. The supervisor brings the existing activities in the house to the participants attention, so that the individual goals can be strengthen.

Intervention type

Other

Phase

Not Applicable

Drug names

Primary outcome measures

1. Occupational performance as measured by Canadian Occupational Performance Measure (COPM)
2. Risk for falling as measured by “Timed up and go” Test
3. Flexibility as measured by “Chair sit and reach” Test
4. Functional fitness (movement of shoulder) as measured by “Back scratch” Test]

All tests measured at baseline and at end of intervention

Secondary outcome measures

1. Cognitive and social mobility measured by assessing orientation and social situation
2. Health status / quality of life as measured by EQ5D
3. Pain status as measured by visual analogue scale (VAS)

All tests are measured at baseline and at end of intervention

Overall trial start date

15/10/2011

Overall trial end date

15/06/2012

Reason abandoned

Eligibility

Participant inclusion criteria

1. Male and female residents living in the participating institutions
2. Above 60 years of age (average age of residents in the participating institutions is 86 years)

Participant type

Patient

Age group

Senior

Gender

Both

Target number of participants

300 participants

Participant exclusion criteria

Residents with severe dementia and/or severe restriction in mobility

Recruitment start date

15/10/2011

Recruitment end date

15/06/2012

Locations

Countries of recruitment

Austria

Trial participating centre

Ludwig Boltzmann Institute Health Promotion Research
Vienna
1020
Austria

Sponsor information

Organisation

Main Association of Austrian Social Security Institutions (Austria)

Sponsor details

Kundmanngasse 21
Vienna
1031
Austria

Sponsor type

Government

Website

Funders

Funder type

Government

Funder name

Austrian Health Promotion Foundation (FGÖ) (Austria)

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Funder name

Association of Austrian Social Insurance Agencies (Austria)

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Funder name

Vienna Health Promotion (Austria)

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Funder name

Ludwig Boltzmann Institute Health Promotion Research (LBIHPR) (Austria)

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Results and Publications

Publication and dissemination plan

Not provided at time of registration

Intention to publish date

Participant level data

Not provided at time of registration

Results - basic reporting

Publication summary

Publication citations

Additional files

Editorial Notes