Protocol of a 12-week eHealth programme designed to reduce concerns about falling in community-living older people: Own Your Balance randomised controlled trial
Introduction Concerns about falling (CaF) are common in older people and have been associated with avoidance of activities of daily life. Exercise designed to prevent falls can reduce CaF, but the effects are usually short-lived. Cognitive behavioural therapy (CBT) can reduce CaF for longer but is n...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2024-02-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/2/e078486.full |
| _version_ | 1797269146887520256 |
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| author | Kaarin J Anstey Jacqueline Close Kim Delbaere Stephen R Lord Meghan Ambrens Lillian Miles Kimberley S van Schooten Bridianne O'Dea Alicia Brown Michelle Ngo Amy Perram Brian Draper Mei Ling Lim Kylie Radford Thi-Yen Hill Meg Letton |
| author_facet | Kaarin J Anstey Jacqueline Close Kim Delbaere Stephen R Lord Meghan Ambrens Lillian Miles Kimberley S van Schooten Bridianne O'Dea Alicia Brown Michelle Ngo Amy Perram Brian Draper Mei Ling Lim Kylie Radford Thi-Yen Hill Meg Letton |
| author_sort | Kaarin J Anstey |
| collection | DOAJ |
| description | Introduction Concerns about falling (CaF) are common in older people and have been associated with avoidance of activities of daily life. Exercise designed to prevent falls can reduce CaF, but the effects are usually short-lived. Cognitive behavioural therapy (CBT) can reduce CaF for longer but is not readily available in the community and unlikely to prevent falls. A multidomain intervention that combines CBT, motivational interviewing and exercise could be the long-term solution to treat CaF and reduce falls in older people with CaF. This paper describes the design of a randomised controlled trial to test the effectiveness of two different 12 week self-managed eHealth programmes to reduce CaF compared with an active control.Methods A total of 246 participants (82 per group) aged 65 and over, with substantial concerns about falls or balance will be recruited from the community. They will be randomised into: (1) myCompass-Own Your Balance (OYB) (online CBT programme) intervention or (2) myCompass-OYB plus StandingTall intervention (an eHealth balance exercise programme), both including motivational interviewing and online health education or (3) an active control group (online health education alone). The primary outcome is change in CaF over 12 months from baseline of both intervention groups compared with control. The secondary outcomes at 2, 6 and 12 months include balance confidence, physical activity, habitual daily activity, enjoyment of physical activity, social activity, exercise self-efficacy, rate of falls, falls health literacy, mood, psychological well-being, quality of life, exercise self-efficacy, programme adherence, healthcare use, user experience and attitudes towards the programme. An intention-to-treat analysis will be applied. The healthcare funder’s perspective will be adopted for the economic evaluation if appropriate.Ethics and dissemination Ethical approval was obtained from the South Eastern Sydney Local Health District Human Research Ethics Committee (2019/ETH12840). Results will be disseminated via peer-reviewed journals, local and international conferences, community events and media releases.Trial registration number ACTRN12621000440820. |
| first_indexed | 2024-03-08T06:50:35Z |
| format | Article |
| id | doaj.art-ef240fdea8124cc5b121c671b57b697c |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-25T01:43:45Z |
| publishDate | 2024-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-ef240fdea8124cc5b121c671b57b697c2024-03-08T00:50:09ZengBMJ Publishing GroupBMJ Open2044-60552024-02-0114210.1136/bmjopen-2023-078486Protocol of a 12-week eHealth programme designed to reduce concerns about falling in community-living older people: Own Your Balance randomised controlled trialKaarin J Anstey0Jacqueline Close1Kim Delbaere2Stephen R Lord3Meghan Ambrens4Lillian Miles5Kimberley S van Schooten6Bridianne O'Dea7Alicia Brown8Michelle Ngo9Amy Perram10Brian Draper11Mei Ling Lim12Kylie Radford13Thi-Yen Hill14Meg Letton15Ageing Futures Institute, University of New South Wales, Sydney, New South Wales, AustraliaNeuroscience Research Australia, Randwick, New South Wales, AustraliaNeuroscience Research Australia, Randwick, New South Wales, AustraliaNeuroscience Research Australia, Randwick, New South Wales, AustraliaNeuroscience Research Australia, Randwick, New South Wales, AustraliaNeuroscience Research Australia, Randwick, New South Wales, AustraliaAgeing Futures Institute, University of New South Wales, Sydney, New South Wales, AustraliaBlack Dog Institute, University of New South Wales, Sydney, New South Wales, AustraliaNeuroscience Research Australia, Randwick, New South Wales, AustraliaNeuroscience Research Australia, Randwick, New South Wales, AustraliaNeuroscience Research Australia, Randwick, New South Wales, AustraliaDiscipline of Psychiatry and Mental Health, University of New South Wales, Randwick, New South Wales, AustraliaSchool of Population Health, University of New South Wales, Sydney, New South Wales, AustraliaNeuroscience Research Australia, Randwick, New South Wales, AustraliaNeuroscience Research Australia, Randwick, New South Wales, AustraliaNeuroscience Research Australia, Randwick, New South Wales, AustraliaIntroduction Concerns about falling (CaF) are common in older people and have been associated with avoidance of activities of daily life. Exercise designed to prevent falls can reduce CaF, but the effects are usually short-lived. Cognitive behavioural therapy (CBT) can reduce CaF for longer but is not readily available in the community and unlikely to prevent falls. A multidomain intervention that combines CBT, motivational interviewing and exercise could be the long-term solution to treat CaF and reduce falls in older people with CaF. This paper describes the design of a randomised controlled trial to test the effectiveness of two different 12 week self-managed eHealth programmes to reduce CaF compared with an active control.Methods A total of 246 participants (82 per group) aged 65 and over, with substantial concerns about falls or balance will be recruited from the community. They will be randomised into: (1) myCompass-Own Your Balance (OYB) (online CBT programme) intervention or (2) myCompass-OYB plus StandingTall intervention (an eHealth balance exercise programme), both including motivational interviewing and online health education or (3) an active control group (online health education alone). The primary outcome is change in CaF over 12 months from baseline of both intervention groups compared with control. The secondary outcomes at 2, 6 and 12 months include balance confidence, physical activity, habitual daily activity, enjoyment of physical activity, social activity, exercise self-efficacy, rate of falls, falls health literacy, mood, psychological well-being, quality of life, exercise self-efficacy, programme adherence, healthcare use, user experience and attitudes towards the programme. An intention-to-treat analysis will be applied. The healthcare funder’s perspective will be adopted for the economic evaluation if appropriate.Ethics and dissemination Ethical approval was obtained from the South Eastern Sydney Local Health District Human Research Ethics Committee (2019/ETH12840). Results will be disseminated via peer-reviewed journals, local and international conferences, community events and media releases.Trial registration number ACTRN12621000440820.https://bmjopen.bmj.com/content/14/2/e078486.full |
| spellingShingle | Kaarin J Anstey Jacqueline Close Kim Delbaere Stephen R Lord Meghan Ambrens Lillian Miles Kimberley S van Schooten Bridianne O'Dea Alicia Brown Michelle Ngo Amy Perram Brian Draper Mei Ling Lim Kylie Radford Thi-Yen Hill Meg Letton Protocol of a 12-week eHealth programme designed to reduce concerns about falling in community-living older people: Own Your Balance randomised controlled trial BMJ Open |
| title | Protocol of a 12-week eHealth programme designed to reduce concerns about falling in community-living older people: Own Your Balance randomised controlled trial |
| title_full | Protocol of a 12-week eHealth programme designed to reduce concerns about falling in community-living older people: Own Your Balance randomised controlled trial |
| title_fullStr | Protocol of a 12-week eHealth programme designed to reduce concerns about falling in community-living older people: Own Your Balance randomised controlled trial |
| title_full_unstemmed | Protocol of a 12-week eHealth programme designed to reduce concerns about falling in community-living older people: Own Your Balance randomised controlled trial |
| title_short | Protocol of a 12-week eHealth programme designed to reduce concerns about falling in community-living older people: Own Your Balance randomised controlled trial |
| title_sort | protocol of a 12 week ehealth programme designed to reduce concerns about falling in community living older people own your balance randomised controlled trial |
| url | https://bmjopen.bmj.com/content/14/2/e078486.full |
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