Exergames to reduce falls risk in older people in UK assisted living facilities: A multi-centre, cluster RCT

E. Stanmore, A. Mavroeidi, W. Meekes, D. Skelton, C. Sutton, V. Benedetto, C. Todd, L. de Jong

Research output: Contribution to journalMeeting AbstractOther research output

Abstract

Falls are the leading cause of fatal and non-fatal unintentional injuries in older people. The use of Exergames (active video-games) is a possible innovative, community-based approach to reduce falls risk. The objective of this study was to evaluate the effectiveness of a tailored physiotherapy-based Exergame programme for reducing falls risk in older residents of assisted living facilities in the UK. A multi-site, two-arm cluster randomised controlled trial with 3 month follow up of falls in eighteen assisted-living facilities in the UK was conducted. Tailored 12-week strength and balance Exergame programme, supported by physiotherapists or assistants plus standard care (physio advice and leaflet) against standard care only, in older adults dwelling in assisted living facilities. The primary outcome measure was balance as assessed by the Berg Balance scale (BBS). Secondary outcomes included fear of falling, mobility, pain, falls risk, fatigue, cognition and incidence of falls. Eighteen sites were recruited and randomised to each intervention (106 participants of which 56 Exergames; 50 control). Intention-to-treat analysis revealed that balance was significantly improved at 12 wks in the Exergame group with an adjusted mean increase in BBS of 6.18 (95% CI 2.38 to 9.97) and significant improvements in secondary outcomes of fear of falling and pain. Falls rate was significantly lower in the Exergames group (incidence rate ratio 0.40, (95%CI 0.22 to 0.74, p=0.001). Exergames, as delivered in this trial, improve balance, pain and fear of falling and may be considered as a fall prevention strategy in assistive living facilities for older people.
Original languageEnglish
Pages (from-to)362-363
JournalInnovation in Aging
Volume2
Issue numbersuppl. 1
DOIs
Publication statusPublished - 2018

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Accidental Falls
Assisted Living Facilities
Video Games
Intention to Treat Analysis
Physical Therapists
Incidence
Wounds and Injuries

Cite this

Stanmore, E. ; Mavroeidi, A. ; Meekes, W. ; Skelton, D. ; Sutton, C. ; Benedetto, V. ; Todd, C. ; de Jong, L. / Exergames to reduce falls risk in older people in UK assisted living facilities : A multi-centre, cluster RCT. In: Innovation in Aging. 2018 ; Vol. 2, No. suppl. 1. pp. 362-363.
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abstract = "Falls are the leading cause of fatal and non-fatal unintentional injuries in older people. The use of Exergames (active video-games) is a possible innovative, community-based approach to reduce falls risk. The objective of this study was to evaluate the effectiveness of a tailored physiotherapy-based Exergame programme for reducing falls risk in older residents of assisted living facilities in the UK. A multi-site, two-arm cluster randomised controlled trial with 3 month follow up of falls in eighteen assisted-living facilities in the UK was conducted. Tailored 12-week strength and balance Exergame programme, supported by physiotherapists or assistants plus standard care (physio advice and leaflet) against standard care only, in older adults dwelling in assisted living facilities. The primary outcome measure was balance as assessed by the Berg Balance scale (BBS). Secondary outcomes included fear of falling, mobility, pain, falls risk, fatigue, cognition and incidence of falls. Eighteen sites were recruited and randomised to each intervention (106 participants of which 56 Exergames; 50 control). Intention-to-treat analysis revealed that balance was significantly improved at 12 wks in the Exergame group with an adjusted mean increase in BBS of 6.18 (95{\%} CI 2.38 to 9.97) and significant improvements in secondary outcomes of fear of falling and pain. Falls rate was significantly lower in the Exergames group (incidence rate ratio 0.40, (95{\%}CI 0.22 to 0.74, p=0.001). Exergames, as delivered in this trial, improve balance, pain and fear of falling and may be considered as a fall prevention strategy in assistive living facilities for older people.",
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Stanmore, E, Mavroeidi, A, Meekes, W, Skelton, D, Sutton, C, Benedetto, V, Todd, C & de Jong, L 2018, 'Exergames to reduce falls risk in older people in UK assisted living facilities: A multi-centre, cluster RCT' Innovation in Aging, vol. 2, no. suppl. 1, pp. 362-363. https://doi.org/10.1093/geroni/igy023.1340

Exergames to reduce falls risk in older people in UK assisted living facilities : A multi-centre, cluster RCT. / Stanmore, E.; Mavroeidi, A.; Meekes, W.; Skelton, D.; Sutton, C.; Benedetto, V.; Todd, C.; de Jong, L.

In: Innovation in Aging, Vol. 2, No. suppl. 1, 2018, p. 362-363.

Research output: Contribution to journalMeeting AbstractOther research output

TY - JOUR

T1 - Exergames to reduce falls risk in older people in UK assisted living facilities

T2 - A multi-centre, cluster RCT

AU - Stanmore, E.

AU - Mavroeidi, A.

AU - Meekes, W.

AU - Skelton, D.

AU - Sutton, C.

AU - Benedetto, V.

AU - Todd, C.

AU - de Jong, L.

PY - 2018

Y1 - 2018

N2 - Falls are the leading cause of fatal and non-fatal unintentional injuries in older people. The use of Exergames (active video-games) is a possible innovative, community-based approach to reduce falls risk. The objective of this study was to evaluate the effectiveness of a tailored physiotherapy-based Exergame programme for reducing falls risk in older residents of assisted living facilities in the UK. A multi-site, two-arm cluster randomised controlled trial with 3 month follow up of falls in eighteen assisted-living facilities in the UK was conducted. Tailored 12-week strength and balance Exergame programme, supported by physiotherapists or assistants plus standard care (physio advice and leaflet) against standard care only, in older adults dwelling in assisted living facilities. The primary outcome measure was balance as assessed by the Berg Balance scale (BBS). Secondary outcomes included fear of falling, mobility, pain, falls risk, fatigue, cognition and incidence of falls. Eighteen sites were recruited and randomised to each intervention (106 participants of which 56 Exergames; 50 control). Intention-to-treat analysis revealed that balance was significantly improved at 12 wks in the Exergame group with an adjusted mean increase in BBS of 6.18 (95% CI 2.38 to 9.97) and significant improvements in secondary outcomes of fear of falling and pain. Falls rate was significantly lower in the Exergames group (incidence rate ratio 0.40, (95%CI 0.22 to 0.74, p=0.001). Exergames, as delivered in this trial, improve balance, pain and fear of falling and may be considered as a fall prevention strategy in assistive living facilities for older people.

AB - Falls are the leading cause of fatal and non-fatal unintentional injuries in older people. The use of Exergames (active video-games) is a possible innovative, community-based approach to reduce falls risk. The objective of this study was to evaluate the effectiveness of a tailored physiotherapy-based Exergame programme for reducing falls risk in older residents of assisted living facilities in the UK. A multi-site, two-arm cluster randomised controlled trial with 3 month follow up of falls in eighteen assisted-living facilities in the UK was conducted. Tailored 12-week strength and balance Exergame programme, supported by physiotherapists or assistants plus standard care (physio advice and leaflet) against standard care only, in older adults dwelling in assisted living facilities. The primary outcome measure was balance as assessed by the Berg Balance scale (BBS). Secondary outcomes included fear of falling, mobility, pain, falls risk, fatigue, cognition and incidence of falls. Eighteen sites were recruited and randomised to each intervention (106 participants of which 56 Exergames; 50 control). Intention-to-treat analysis revealed that balance was significantly improved at 12 wks in the Exergame group with an adjusted mean increase in BBS of 6.18 (95% CI 2.38 to 9.97) and significant improvements in secondary outcomes of fear of falling and pain. Falls rate was significantly lower in the Exergames group (incidence rate ratio 0.40, (95%CI 0.22 to 0.74, p=0.001). Exergames, as delivered in this trial, improve balance, pain and fear of falling and may be considered as a fall prevention strategy in assistive living facilities for older people.

U2 - 10.1093/geroni/igy023.1340

DO - 10.1093/geroni/igy023.1340

M3 - Meeting Abstract

VL - 2

SP - 362

EP - 363

JO - Innovation in Aging

JF - Innovation in Aging

SN - 2399-5300

IS - suppl. 1

ER -