Can the Otago falls prevention program be delivered by video? A feasibility study

Jennifer C. Davis; Chun Liang Hsu; Winnie Cheung; Penny M.A. Brasher; Linda C. Li; Karim M. Khan; Jonathan Sykes; Dawn A. Skelton; Teresa Liu-Ambrose

doi:10.1136/bmjsem-2015-000059

Can the Otago falls prevention program be delivered by video? A feasibility study

Jennifer C. Davis, Chun Liang Hsu, Winnie Cheung, Penny M.A. Brasher, Linda C. Li, Karim M. Khan, Jonathan Sykes, Dawn A. Skelton, Teresa Liu-Ambrose

Research output: Journal article publication › Journal article › Academic research › peer-review

13 Citations (Scopus)

Abstract

Objectives We assessed the feasibility of delivering the Otago Exercise Programme (OEP) via an interactive DVD (ie, OEP-DVD) in combination with monthly physical therapist phone calls to older adults. Design This pre-post (baseline and 6-month follow-up) study included an intervention group (n=61) based in a rural location and a control group (n=21) based in a city. Setting Sechelt and Vancouver, British Columbia. Participants 82 community-dwelling adults ≥75 years. Intervention Individuals in the intervention group received the OEP-DVD and were instructed to do the exercises 3 times a week after their initial home physical therapist visit for 6 months. Primary and secondary outcomes Feasibility was ascertained by withdrawal rate and compliance to the OEP-DVD. The number of participants and the frequency (ie, number of times weekly) they performed the OEP exercises and walking were used to estimate compliance. The potential benefit of the OEP-DVD on falls risk profile (Physiological Profile Assessment (PPA)) and mobility were examined by comparing the change in the intervention group compared with the control group. Self-reported compliance to the exercise programme was assessed by monthly returned diary. Results Of the 82 participants, 2 withdrew from the OEP-DVD group and none withdrew from the control group. We obtained compliance data on 72% of participants in the intervention group. The mean OEP-DVD compliance was 87% and the mean walking compliance was 166%. After adjusting for baseline PPA, baseline age, sex, baseline comorbidities, baseline cognitive status and baseline falls-related self-efficacy, there was a significant between-group improvement in the overall PPA score (OEP group pre-PPA to post-PPA score: 0.79±1.2 to 0.7±0.9; p<0.05) at study completion. Conclusions Although the OEP-DVD resulted in significant reductions in falls risk among community-dwelling older adults, there was a notable loss to follow-up limiting the feasibility of this approach.

Original language	English
Article number	e000059
Journal	BMJ Open Sport and Exercise Medicine
Volume	2
Issue number	1
DOIs	https://doi.org/10.1136/bmjsem-2015-000059
Publication status	Published - 2016
Externally published	Yes

Keywords

Aging
Exercise
Fall

ASJC Scopus subject areas

Orthopedics and Sports Medicine
Physical Therapy, Sports Therapy and Rehabilitation

More information

10.1136/bmjsem-2015-000059

Cite this

@article{9bd2f5746d19402c9973c8d6308a948f,

title = "Can the Otago falls prevention program be delivered by video? A feasibility study",

abstract = "Objectives We assessed the feasibility of delivering the Otago Exercise Programme (OEP) via an interactive DVD (ie, OEP-DVD) in combination with monthly physical therapist phone calls to older adults. Design This pre-post (baseline and 6-month follow-up) study included an intervention group (n=61) based in a rural location and a control group (n=21) based in a city. Setting Sechelt and Vancouver, British Columbia. Participants 82 community-dwelling adults ≥75 years. Intervention Individuals in the intervention group received the OEP-DVD and were instructed to do the exercises 3 times a week after their initial home physical therapist visit for 6 months. Primary and secondary outcomes Feasibility was ascertained by withdrawal rate and compliance to the OEP-DVD. The number of participants and the frequency (ie, number of times weekly) they performed the OEP exercises and walking were used to estimate compliance. The potential benefit of the OEP-DVD on falls risk profile (Physiological Profile Assessment (PPA)) and mobility were examined by comparing the change in the intervention group compared with the control group. Self-reported compliance to the exercise programme was assessed by monthly returned diary. Results Of the 82 participants, 2 withdrew from the OEP-DVD group and none withdrew from the control group. We obtained compliance data on 72% of participants in the intervention group. The mean OEP-DVD compliance was 87% and the mean walking compliance was 166%. After adjusting for baseline PPA, baseline age, sex, baseline comorbidities, baseline cognitive status and baseline falls-related self-efficacy, there was a significant between-group improvement in the overall PPA score (OEP group pre-PPA to post-PPA score: 0.79±1.2 to 0.7±0.9; p<0.05) at study completion. Conclusions Although the OEP-DVD resulted in significant reductions in falls risk among community-dwelling older adults, there was a notable loss to follow-up limiting the feasibility of this approach.",

keywords = "Aging, Exercise, Fall",

author = "Davis, {Jennifer C.} and Hsu, {Chun Liang} and Winnie Cheung and Brasher, {Penny M.A.} and Li, {Linda C.} and Khan, {Karim M.} and Jonathan Sykes and Skelton, {Dawn A.} and Teresa Liu-Ambrose",

note = "Funding Information: Smith Foundation for Health Research (MSFHR) Scholar, a Canadian Institutes of Health Research (CIHR) New Investigator, and a Heart and Stroke Foundation of Canada{\textquoteright}s Henry JM Barnett{\textquoteright}s Scholarship recipient. JCD was funded by a CIHR and MSFHR Postdoctoral Fellowship. LCL is a MSFHR Scholar and a Canada Research Chair. CLH is a Alzheimer{\textquoteright}s Society Research Program Doctoral Trainee. Publisher Copyright: {\textcopyright} Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.",

year = "2016",

doi = "10.1136/bmjsem-2015-000059",

language = "English",

volume = "2",

journal = "BMJ Open Sport and Exercise Medicine",

issn = "2055-7647",

publisher = "BMJ Publishing Group",

number = "1",

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TY - JOUR

T1 - Can the Otago falls prevention program be delivered by video? A feasibility study

AU - Davis, Jennifer C.

AU - Hsu, Chun Liang

AU - Cheung, Winnie

AU - Brasher, Penny M.A.

AU - Li, Linda C.

AU - Khan, Karim M.

AU - Sykes, Jonathan

AU - Skelton, Dawn A.

AU - Liu-Ambrose, Teresa

N1 - Funding Information: Smith Foundation for Health Research (MSFHR) Scholar, a Canadian Institutes of Health Research (CIHR) New Investigator, and a Heart and Stroke Foundation of Canada’s Henry JM Barnett’s Scholarship recipient. JCD was funded by a CIHR and MSFHR Postdoctoral Fellowship. LCL is a MSFHR Scholar and a Canada Research Chair. CLH is a Alzheimer’s Society Research Program Doctoral Trainee. Publisher Copyright: © Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

PY - 2016

Y1 - 2016

N2 - Objectives We assessed the feasibility of delivering the Otago Exercise Programme (OEP) via an interactive DVD (ie, OEP-DVD) in combination with monthly physical therapist phone calls to older adults. Design This pre-post (baseline and 6-month follow-up) study included an intervention group (n=61) based in a rural location and a control group (n=21) based in a city. Setting Sechelt and Vancouver, British Columbia. Participants 82 community-dwelling adults ≥75 years. Intervention Individuals in the intervention group received the OEP-DVD and were instructed to do the exercises 3 times a week after their initial home physical therapist visit for 6 months. Primary and secondary outcomes Feasibility was ascertained by withdrawal rate and compliance to the OEP-DVD. The number of participants and the frequency (ie, number of times weekly) they performed the OEP exercises and walking were used to estimate compliance. The potential benefit of the OEP-DVD on falls risk profile (Physiological Profile Assessment (PPA)) and mobility were examined by comparing the change in the intervention group compared with the control group. Self-reported compliance to the exercise programme was assessed by monthly returned diary. Results Of the 82 participants, 2 withdrew from the OEP-DVD group and none withdrew from the control group. We obtained compliance data on 72% of participants in the intervention group. The mean OEP-DVD compliance was 87% and the mean walking compliance was 166%. After adjusting for baseline PPA, baseline age, sex, baseline comorbidities, baseline cognitive status and baseline falls-related self-efficacy, there was a significant between-group improvement in the overall PPA score (OEP group pre-PPA to post-PPA score: 0.79±1.2 to 0.7±0.9; p<0.05) at study completion. Conclusions Although the OEP-DVD resulted in significant reductions in falls risk among community-dwelling older adults, there was a notable loss to follow-up limiting the feasibility of this approach.

AB - Objectives We assessed the feasibility of delivering the Otago Exercise Programme (OEP) via an interactive DVD (ie, OEP-DVD) in combination with monthly physical therapist phone calls to older adults. Design This pre-post (baseline and 6-month follow-up) study included an intervention group (n=61) based in a rural location and a control group (n=21) based in a city. Setting Sechelt and Vancouver, British Columbia. Participants 82 community-dwelling adults ≥75 years. Intervention Individuals in the intervention group received the OEP-DVD and were instructed to do the exercises 3 times a week after their initial home physical therapist visit for 6 months. Primary and secondary outcomes Feasibility was ascertained by withdrawal rate and compliance to the OEP-DVD. The number of participants and the frequency (ie, number of times weekly) they performed the OEP exercises and walking were used to estimate compliance. The potential benefit of the OEP-DVD on falls risk profile (Physiological Profile Assessment (PPA)) and mobility were examined by comparing the change in the intervention group compared with the control group. Self-reported compliance to the exercise programme was assessed by monthly returned diary. Results Of the 82 participants, 2 withdrew from the OEP-DVD group and none withdrew from the control group. We obtained compliance data on 72% of participants in the intervention group. The mean OEP-DVD compliance was 87% and the mean walking compliance was 166%. After adjusting for baseline PPA, baseline age, sex, baseline comorbidities, baseline cognitive status and baseline falls-related self-efficacy, there was a significant between-group improvement in the overall PPA score (OEP group pre-PPA to post-PPA score: 0.79±1.2 to 0.7±0.9; p<0.05) at study completion. Conclusions Although the OEP-DVD resulted in significant reductions in falls risk among community-dwelling older adults, there was a notable loss to follow-up limiting the feasibility of this approach.

KW - Aging

KW - Exercise

KW - Fall

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DO - 10.1136/bmjsem-2015-000059

M3 - Journal article

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ER -

Can the Otago falls prevention program be delivered by video? A feasibility study

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