Evaluating the Effects of an Exercise Program (Staying UpRight) for Older Adults in Long-term Care on Rates of Falls: Study Protocol for a Randomised Controlled Trial

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aut.relation.articlenumber46en_NZ
aut.relation.journalTrialsen_NZ
aut.relation.volume21en_NZ
aut.researcherDrabsch, Julie
dc.contributor.authorTaylor, Len_NZ
dc.contributor.authorParsons, Jen_NZ
dc.contributor.authorTaylor, Den_NZ
dc.contributor.authorBinns, Een_NZ
dc.contributor.authorLord, Sen_NZ
dc.contributor.authorEdlin, Ren_NZ
dc.contributor.authorRochester, Len_NZ
dc.contributor.authorDel Din, Sen_NZ
dc.contributor.authorKlenk, Jen_NZ
dc.contributor.authorBuckley, Cen_NZ
dc.contributor.authorCavadino, Aen_NZ
dc.contributor.authorMoyes, SAen_NZ
dc.contributor.authorKerse, Nen_NZ
dc.date.accessioned2020-04-06T22:52:04Z
dc.date.available2020-04-06T22:52:04Z
dc.date.copyright2020en_NZ
dc.date.issued2020en_NZ
dc.description.abstractBackground: Falls are two to four times more frequent amongst older adults living in long-term care (LTC) than community-dwelling older adults and have deleterious consequences. It is hypothesised that a progressive exercise program targeting balance and strength will reduce fall rates when compared to a seated exercise program and do so cost effectively. Methods/design: This is a single blind, parallel-group, randomised controlled trial with blinded assessment of outcome and intention-to-treat analysis. LTC residents (age ≥ 65 years) will be recruited from LTC facilities in New Zealand. Participants (n = 528 total, with a 1:1 allocation ratio) will be randomly assigned to either a novel exercise program (Staying UpRight), comprising strength and balance exercises designed specifically for LTC and acceptable to people with dementia (intervention group), or a seated exercise program (control group). The intervention and control group classes will be delivered for 1 h twice weekly over 1 year. The primary outcome is rate of falls (per 1000 person years) within the intervention period. Secondary outcomes will be risk of falling (the proportion of fallers per group), fall rate relative to activity exposure, hospitalisation for fall-related injury, change in gait variability, volume and patterns of ambulatory activity and change in physical performance assessed at baseline and after 6 and 12 months. Cost-effectiveness will be examined using intervention and health service costs. The trial commenced recruitment on 30 November 2018. Discussion: This study evaluates the efficacy and cost-effectiveness of a progressive strength and balance exercise program for aged care residents to reduce falls. The outcomes will aid development of evidenced-based exercise programmes for this vulnerable population. Trial registration: Australian New Zealand Clinical Trials Registry ACTRN12618001827224. Registered on 9 November 2018. Universal trial number U1111-1217-7148.en_NZ
dc.identifier.citationTrials, 21(1), 46.
dc.identifier.doi10.1186/s13063-019-3949-4en_NZ
dc.identifier.issn1745-6215en_NZ
dc.identifier.issn1745-6215en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/13251
dc.publisherBioMed Centralen_NZ
dc.relation.urihttps://trialsjournal.biomedcentral.com/articles/10.1186/s13063-019-3949-4#author-information
dc.rightsThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectFalls; Exercise therapy; Randomised trials; Aged care; Long-term care
dc.titleEvaluating the Effects of an Exercise Program (Staying UpRight) for Older Adults in Long-term Care on Rates of Falls: Study Protocol for a Randomised Controlled Trialen_NZ
dc.typeJournal Article
pubs.elements-id368911
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Clinical Sciences
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
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