Implementing an Online Virtual Falls Prevention Intervention During a Public Health Pandemic for Older Adults with Mild Cognitive Impairment: A Feasibility Trial

Fuzhong Li,1 Peter Harmer,2 Jan Voit,3 Li-Shan Chou4 1Oregon Research Institute, Eugene, OR, USA; 2Willamette University, Department of Exercise and Health Science, Salem, OR, USA; 3Voit Better Balance, Seattle, WA, USA; 4Iowa State University, Department of Kinesiology, Ames, IA, USACorrespondence:...

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Autores principales:	Li F, Harmer P, Voit J, Chou LS
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	cognitive function dual-task incidental falls elderly exercise e-health Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/372dec39ecd74586bd5905c50b5a393c
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spelling	oai:doaj.org-article:372dec39ecd74586bd5905c50b5a393c2021-12-02T15:43:55ZImplementing an Online Virtual Falls Prevention Intervention During a Public Health Pandemic for Older Adults with Mild Cognitive Impairment: A Feasibility Trial1178-1998https://doaj.org/article/372dec39ecd74586bd5905c50b5a393c2021-05-01T00:00:00Zhttps://www.dovepress.com/implementing-an-online-virtual-falls-prevention-intervention-during-a--peer-reviewed-fulltext-article-CIAhttps://doaj.org/toc/1178-1998Fuzhong Li,1 Peter Harmer,2 Jan Voit,3 Li-Shan Chou4 1Oregon Research Institute, Eugene, OR, USA; 2Willamette University, Department of Exercise and Health Science, Salem, OR, USA; 3Voit Better Balance, Seattle, WA, USA; 4Iowa State University, Department of Kinesiology, Ames, IA, USACorrespondence: Fuzhong LiOregon Research Institute 1776 Millrace Dr., Eugene, OR 97403, USAEmail fuzhongl@ori.orgPurpose: This study evaluates the feasibility of delivering a virtual (online) falls prevention intervention for older adults with mild cognitive impairment (MCI).Methods: Community-dwelling older adults with MCI (mean age = 76.2 years, 72% women) were randomized to either a Tai Ji Quan (n = 15) or stretching group (n = 15) and participated in 60-minute virtual exercise sessions, via Zoom, twice weekly for 24 weeks. The primary outcome was the incidence of falls. Secondary outcomes were the number of fallers and changes from baseline in the 4-Stage Balance Test, 30-second chair stands, and Timed Up and Go Test under both single- and dual-task conditions.Results: The intervention was implemented with good fidelity, an overall attendance rate of 79%, and 13% attrition. Compared with stretching, Tai Ji Quan did not reduce falls (incidence rate ratio = 0.58; 95% confidence interval [CI], 0.32 to 1.03) or the number of fallers (relative risk ratio = 0.75; 95% CI, 0.46 to 1.22) at week 24. The Tai Ji Quan group, however, performed consistently better than the stretching group in balance (between-group difference in change from baseline, 0.68 points; 95% CI, 0.12 to 1.24), 30-second chair stands (1.87 stands; 95% CI, 1.15 to 2.58), and Timed Up and Go under single-task (− 1.15 seconds; 95% CI, − 1.85 to − 0.44) and dual-task (− 2.35; 95% CI, − 3.06 to − 1.64) conditions. No serious intervention-related adverse events were observed.Conclusion: Findings from this study suggest the feasibility, with respect to intervention fidelity, compliance, and potential efficacy, of implementing an at-home, virtual, interactive Tai Ji Quan program, delivered in real-time, as a potential balance training and falls prevention intervention for older adults with MCI. The study provides preliminary data to inform future trials.Keywords: cognitive function, dual-task, incidental falls, elderly, exercise, e-healthLi FHarmer PVoit JChou LSDove Medical Pressarticlecognitive functiondual-taskincidental fallselderlyexercisee-healthGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 16, Pp 973-983 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cognitive function dual-task incidental falls elderly exercise e-health Geriatrics RC952-954.6
spellingShingle	cognitive function dual-task incidental falls elderly exercise e-health Geriatrics RC952-954.6 Li F Harmer P Voit J Chou LS Implementing an Online Virtual Falls Prevention Intervention During a Public Health Pandemic for Older Adults with Mild Cognitive Impairment: A Feasibility Trial
description	Fuzhong Li,1 Peter Harmer,2 Jan Voit,3 Li-Shan Chou4 1Oregon Research Institute, Eugene, OR, USA; 2Willamette University, Department of Exercise and Health Science, Salem, OR, USA; 3Voit Better Balance, Seattle, WA, USA; 4Iowa State University, Department of Kinesiology, Ames, IA, USACorrespondence: Fuzhong LiOregon Research Institute 1776 Millrace Dr., Eugene, OR 97403, USAEmail fuzhongl@ori.orgPurpose: This study evaluates the feasibility of delivering a virtual (online) falls prevention intervention for older adults with mild cognitive impairment (MCI).Methods: Community-dwelling older adults with MCI (mean age = 76.2 years, 72% women) were randomized to either a Tai Ji Quan (n = 15) or stretching group (n = 15) and participated in 60-minute virtual exercise sessions, via Zoom, twice weekly for 24 weeks. The primary outcome was the incidence of falls. Secondary outcomes were the number of fallers and changes from baseline in the 4-Stage Balance Test, 30-second chair stands, and Timed Up and Go Test under both single- and dual-task conditions.Results: The intervention was implemented with good fidelity, an overall attendance rate of 79%, and 13% attrition. Compared with stretching, Tai Ji Quan did not reduce falls (incidence rate ratio = 0.58; 95% confidence interval [CI], 0.32 to 1.03) or the number of fallers (relative risk ratio = 0.75; 95% CI, 0.46 to 1.22) at week 24. The Tai Ji Quan group, however, performed consistently better than the stretching group in balance (between-group difference in change from baseline, 0.68 points; 95% CI, 0.12 to 1.24), 30-second chair stands (1.87 stands; 95% CI, 1.15 to 2.58), and Timed Up and Go under single-task (− 1.15 seconds; 95% CI, − 1.85 to − 0.44) and dual-task (− 2.35; 95% CI, − 3.06 to − 1.64) conditions. No serious intervention-related adverse events were observed.Conclusion: Findings from this study suggest the feasibility, with respect to intervention fidelity, compliance, and potential efficacy, of implementing an at-home, virtual, interactive Tai Ji Quan program, delivered in real-time, as a potential balance training and falls prevention intervention for older adults with MCI. The study provides preliminary data to inform future trials.Keywords: cognitive function, dual-task, incidental falls, elderly, exercise, e-health
format	article
author	Li F Harmer P Voit J Chou LS
author_facet	Li F Harmer P Voit J Chou LS
author_sort	Li F
title	Implementing an Online Virtual Falls Prevention Intervention During a Public Health Pandemic for Older Adults with Mild Cognitive Impairment: A Feasibility Trial
title_short	Implementing an Online Virtual Falls Prevention Intervention During a Public Health Pandemic for Older Adults with Mild Cognitive Impairment: A Feasibility Trial
title_full	Implementing an Online Virtual Falls Prevention Intervention During a Public Health Pandemic for Older Adults with Mild Cognitive Impairment: A Feasibility Trial
title_fullStr	Implementing an Online Virtual Falls Prevention Intervention During a Public Health Pandemic for Older Adults with Mild Cognitive Impairment: A Feasibility Trial
title_full_unstemmed	Implementing an Online Virtual Falls Prevention Intervention During a Public Health Pandemic for Older Adults with Mild Cognitive Impairment: A Feasibility Trial
title_sort	implementing an online virtual falls prevention intervention during a public health pandemic for older adults with mild cognitive impairment: a feasibility trial
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/372dec39ecd74586bd5905c50b5a393c
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Implementing an Online Virtual Falls Prevention Intervention During a Public Health Pandemic for Older Adults with Mild Cognitive Impairment: A Feasibility Trial

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