Effectiveness of a self-managed digital exercise programme to prevent falls in older community-dwelling adults: study protocol for the Safe Step randomised controlled trial

Pettersson, Beatrice; Lundin-Olsson, Lillemor; Skelton, Dawn A.; Liv, Per; Zingmark, Magnus; Rosendahl, Erik; Sandlund, Marlene

doi:10.1136/bmjopen-2019-036194

Cited by 14 publications

(17 citation statements)

References 45 publications

(44 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[ 30 , 31 ] At present, there are no clear prevention and treatment measures for falls caused by the decline of balance function in clinical practice, and the key role of exercise in falls is mainly emphasized. [ 32 ]…”

Section: Discussionmentioning

confidence: 99%

Effect of baduanjin on the fall and balance function in middle-aged and elderly people

Xiao

Qin

et al. 2021

Medicine

View full text Add to dashboard Cite

Background: The risk of fall seriously affects the health and quality of life of the middle-aged and elderly people, especially the injury and disability caused by fall of the middle-aged and elderly people, which imposes a huge burden on family and social medical care. Baduanjin exercise may be an effective intervention to enhance the muscle strength and stability of lower limbs, improve the balance ability and gait of middle-aged and elderly people, reduce the incidence of falls, improve the quality of life, and promote the health of middle-aged and elderly people. The aim of this study is to summarize evidence and systematically review the efficacy and safety of Baduanjin on the fall and balance function in middle-aged and elderly people. Methods: We conducted a systematic search of English and Chinese RCTs in the following 8 electronic databases: PubMed, EMBASE, Web of Science, The Cochrane Library, Chinese Biomedical Literature Database (CBM), Chinese National Knowledge Infrastructure (CNKI), Chinese Science and Technology Periodical Database (VIP), Wanfang Database, from their respective dates of inception to July 2021. Other resources will be searched if necessary. The primary outcome is the fall rate in middle-aged and elderly people and the secondary outcomes include the Single-Leg Standing (SLS) Test, Berg Balance Scale (BBS), Timed Up and Go (TUG) Test. The study selection, data extraction, risk of bias, data synthesis and analysis, reporting biases, and the quality of evidence will be independently conducted by 2 reviewers who use the EndNote X9 software, Cochrane handbook assessment tool, RevMan 5.3 software, a funnel plot and GRADE system. Results: This study will evaluate the effect of Baduanjin on falls and balance function of middle-aged and elderly people from multiple outcome evaluation indicators such as fall rate, and provide high-quality evidence. Conclusion: This study will provide evidence for whether Baduanjin has an effect on falls and balance function in middle-aged and elderly people. Ethics and dissemination: Ethics approval is not required for systematic review, since it does not infringe on personal interests. The results will be submitted to peer-review journals or disseminated at scientific conferences.

show abstract

Section: Discussionmentioning

confidence: 99%

Effect of baduanjin on the fall and balance function in middle-aged and elderly people

Xiao

Qin

et al. 2021

Medicine

View full text Add to dashboard Cite

show abstract

“…At present, there is a big supply of smartphone applications for exercise, however, most lack evidence regarding their scientific and implementation validity in the older population. Research in the area is, however, developing and one example is an ongoing large clinical trial on digital fall prevention in Sweden [121].…”

Section: Discussionmentioning

confidence: 99%

Health-promoting and preventive interventions for community-dwelling older people published from inception to 2019: a scoping review to guide decision making in a Swedish municipality context

2020

Self Cite

View full text Add to dashboard Cite

Background Despite the promising evidence of health-promoting and preventive interventions for maintaining health among older people, not all interventions can be implemented due to limited resources. Due to the variation of content in the interventions and the breadth of outcomes used to evaluate effects in such interventions, comparisons are difficult and the choice of which interventions to implement is challenging. Therefore, more information, beyond effects, is needed to guide decision-makers. The aim of this review was to investigate, to what degree factors important for decision-making have been reported in the existing health-promoting and preventive interventions literature for community-dwelling older people in the Nordic countries. Methods This review was guided by the PRISMA-ScR checklist (Preferred Reporting Items for Systematic reviews and Meta-Analysis extension for Scoping Reviews), the methodological steps for scoping reviews described in the Arksey and O′Malley’s framework, and the Medical Research Council’s (MRC) guidance on complex interventions. Eligible studies for inclusion were randomised controlled trials (RCTs) concerning health promotion or primary prevention for community-dwelling older people implemented in the Nordic countries. Additionally, all included RCTs were searched for related papers that were reporting on additional factors. Eligible studies were searched in seven databases: PubMed, SCOPUS, CINAHL, Academic Search Elite, PsycINFO, SocINDEX, and SPORTDiscus. Results Eighty-two studies met the inclusion criteria (twenty-seven unique studies and fifty-five related studies). Twelve studies focused on fall prevention, eleven had a health-promoting approach, and four studies focused on preventing disability. All interventions, besides one, reported positive effects on at least one health outcome. Three studies reported data on cost-effectiveness, three on experiences of participants and two conducted feasibility studies. Only one intervention, reported information on all seven factors. Conclusions All identified studies on health-promoting and preventive interventions for older people evaluated in the Nordic countries report positive effects although the magnitude of effects and number of follow-ups differed substantially. Overall, there was a general lack of studies on feasibility, cost-effectiveness, and experiences of participants, thus, limiting the basis for decision making. Considering all reported factors, promising candidates to be recommended for implementation in a Nordic municipality context are ‘Senior meetings’, ‘preventive home visits’ and ‘exercise interventions’ on its own or combined with other components.

show abstract

“…An integrated virtual physiotherapist provides reminders and feedback after each exercise session. More details on the Safe Step programme are published elsewhere ( 22 ). A more detailed description of the intervention can also be found in the Template for intervention Description and Replication (TIDieR) guide ( Supplementary Material 2 ).…”

Section: Methodsmentioning

confidence: 99%

“…Participants were instructed through the web-based questionnaires in performing the self-administered test. The instructions have been developed by the research group and were advised with a group of seniors before finalizing the instructions ( 22 ). Fear of falling was measured by the Swedish version of the Falls Efficacy Scale-International (FES-I) ( 35 ).…”

Section: Methodsmentioning

confidence: 99%

“…That intervention had good adherence that ranged from 30–40% over 2 years. The Safe Step exercise application is currently under evaluation in a nationwide Swedish randomized controlled trial ( 22 ). Safe Step is a fully self-managed digital exercise programme developed in co-creation with older people who were 70 years of age or older ( 23 ).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Reaching Older People With a Digital Fall Prevention Intervention in a Swedish Municipality Context—an Observational Study

Bajraktari

Zingmark

Pettersson

et al. 2022

Front. Public Health

Self Cite

View full text Add to dashboard Cite

BackgroundThere is robust evidence that falls in old age can be prevented by exercise programs that include balance training, functional exercises, and strength training. For the interventions to have a population health impact, outreach to the population of focus with suitable interventions is needed. While digital interventions are promising there is limited knowledge on the characteristics of who is reached. The aim of this study was to describe the recruitment process, estimate reach rate at the population level and to describe participants characteristics and representativeness in a digital fall prevention intervention study.MethodsIn a municipality-based observational study, reach of a digital fall prevention intervention was evaluated. The intervention included a digital exercise programme (Safe Step) and optional supportive strategies, complemented with a range of recruitment strategies to optimize reach. Recruitment during a period of 6 months was open to people 70 years or older who had experienced a fall or a decline in balance the past year. Reach was based on data from the baseline questionnaire including health and demographic characteristics of participants. Representativeness was estimated by comparing participants to a sample of older people from the Swedish National Public Health Survey.ResultsThe recruitment rate was 4.7% (n = 173) in relation to the estimated population of focus (n = 3,706). Most participants signed up within the first month of the intervention (n = 131). The intervention attracted primarily women, older people with high education, individuals who used the internet or digital applications almost every day and those perceiving their balance as fair or poor. Safe step participants lived more commonly alone and had higher education and better walking ability in comparison to the Swedish National Public Health Survey.ConclusionsWith a range of recruitment strategies most participants were recruited to a digital fall intervention during the first month. The intervention attracted primarily highly educated women who frequently used the internet or smart technologies. In addition to digital fall prevention interventions, a higher diversity of intervention types (digital and non-digital) is more likely to reach a larger group of older people with different needs.Clinical Trial RegistrationClinicalTrials.gov, NCT04161625 (Retrospectively registered), https://clinicaltrials.gov/ct2/show/NCT04161625.

show abstract

Effectiveness of a self-managed digital exercise programme to prevent falls in older community-dwelling adults: study protocol for the Safe Step randomised controlled trial

Cited by 14 publications

References 45 publications

Effect of baduanjin on the fall and balance function in middle-aged and elderly people

Effect of baduanjin on the fall and balance function in middle-aged and elderly people

Health-promoting and preventive interventions for community-dwelling older people published from inception to 2019: a scoping review to guide decision making in a Swedish municipality context

Reaching Older People With a Digital Fall Prevention Intervention in a Swedish Municipality Context—an Observational Study

Contact Info

Product

Resources

About