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Sponsors and Collaborators: |
University of Colorado at Denver and Health Sciences Center Centers for Disease Control and Prevention Colorado State University Colorado Department of Public Health and Environment University of Utah |
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Information provided by: | University of Colorado at Denver and Health Sciences Center |
ClinicalTrials.gov Identifier: | NCT00542360 |
This study will test whether a social marketing program implemented in churches and other faith-based congregations can motivate older adults to join exercise classes, in order to improve their strength and balance and thus prevent falls.
Condition | Intervention |
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Accidental Falls |
Behavioral: Marketing program to motivate exercise class participation |
Study Type: | Interventional |
Study Design: | Prevention, Randomized, Single Blind (Outcomes Assessor), Active Control, Parallel Assignment, Efficacy Study |
Official Title: | Marketing Fall Prevention Classes to Older Adults in Faith-Based Congregations: Cluster Randomized Controlled Trial |
Estimated Enrollment: | 470 |
Study Start Date: | October 2007 |
Estimated Study Completion Date: | February 2012 |
Arms | Assigned Interventions |
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1: Experimental
Intervention
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Behavioral: Marketing program to motivate exercise class participation
Using qualitative research methods, a targeted social marketing program, including a 'marketing toolkit,' will be developed to motivate participation in exercise classes by older adult members of faith-based congregations. The Health Belief and Transtheoretical Models form the theoretical basis for the social marketing planning process and will guide program design. The marketing program aims to increase exercise class attractiveness, usability, and uptake by reducing barriers or costs, and using incentives or other benefits to reinforce participation. The intervention will be implemented through churches and other faith-based congregations.
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2: No Intervention |
Injuries from falls are a leading cause of emergency visits, hospitalizations, and deaths in older US adults, resulting in total lifetime costs of more than $19 billion in 2000. Fall injuries reduce independence and mobility, and increase disability and institutionalization. There is good evidence that community-based group exercise classes focusing on strength and balance prevent older adult falls, but uptake is limited. This study will test a new approach to promote participation in group balance-retraining exercise classes, targeting older adults in faith-based congregations (FBCs). The proposal addresses national research priorities to evaluate strategies for dissemination and implementation of effective interventions to prevent falls among community-dwelling older adults. Focus groups and key informant interviews will provide research-based understanding of FBC members aged 60+ and those who influence them, and explore facilitators and barriers to class participation. With this formative research, a targeted social marketing program will be developed to motivate participation. Behavioral change and social marketing theories form the intervention's theoretical basis and will guide program design. The marketing program aims to increase class attractiveness, usability, and uptake by reducing barriers or costs and using incentives or other benefits to reinforce participation. FBCs, representing varied denominations and communities, will be randomly allocated to intervention (marketing program implementation) or control (no program) groups. Outreach to diverse FBCs will ensure that materials and strategies target potentially hard-to-reach (e.g., Hispanic, rural) populations. The trial will test whether seniors from intervention FBCs are more likely to join balance retraining classes. Factors that may mediate intervention effects will be examined. Secondary outcomes include baseline fall risk among class participants, assessed by physical function tests; and intensity, diffusion, message penetration and acceptability of the marketing program, and persistent facilitators and barriers to class participation, evaluated with process measures, focus groups, and structured interviews.
Ages Eligible for Study: | 60 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
Exclusion Criteria:
United States, Colorado | |
University of Colorado Health Sciences Center | |
Denver, Colorado, United States, 80262 | |
Colorado Department of Public Health and Environment | |
Grand Junction, Colorado, United States, 81501 |
Principal Investigator: | Carolyn G DiGuiseppi, MD, MPH, PhD | University of Colorado at Denver and Health Sciences Center |
Study ID Numbers: | R49/CCR811509 |
Study First Received: | October 9, 2007 |
Last Updated: | October 9, 2007 |
ClinicalTrials.gov Identifier: | NCT00542360 |
Health Authority: | United States: Federal Government |
Accidental Falls Aged Social Marketing Exercise |
Accident Prevention Religion Randomized Controlled Trial |