Marketing Fall Prevention Classes to Older Adults in Faith-Based Congregations

This study has been completed.
Sponsor:
Collaborators:
Colorado State University
Colorado Department of Public Health and Environment
University of Utah
Information provided by (Responsible Party):
University of Colorado, Denver
ClinicalTrials.gov Identifier:
NCT00542360
First received: October 9, 2007
Last updated: May 8, 2013
Last verified: May 2013
  Purpose

This cluster randomized trial will test whether a social marketing program implemented in churches can motivate older adults to join exercise classes, in order to improve their strength and balance and thus prevent falls.


Condition Intervention
Accidental Falls
Behavioral: Marketing program to motivate exercise class participation

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Marketing Fall Prevention Classes to Older Adults in Faith-Based Congregations: Cluster Randomized Controlled Trial

Resource links provided by NLM:


Further study details as provided by University of Colorado, Denver:

Primary Outcome Measures:
  • The primary endpoint is defined as attending at least one balance-retraining exercise class designed to reduce older adult falls [ Time Frame: During the two-year intervention period ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Baseline fall-risk status of participants who attend at least one balance-retraining exercise class for fall prevention [ Time Frame: During the two-year intervention period ] [ Designated as safety issue: No ]

Enrollment: 51
Study Start Date: October 2007
Study Completion Date: January 2012
Primary Completion Date: September 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Social marketing program
Behavioral: Social marketing program to motivate exercise class participation
Behavioral: Marketing program to motivate exercise class participation
Using qualitative research methods, a targeted social marketing program, including a 'marketing toolkit,' was developed to motivate participation in exercise classes by older adult members of churches. The Health Belief and Transtheoretical Models formed the theoretical basis for the social marketing planning process and guided program design. The marketing program aimed to increase exercise class attractiveness, usability, and uptake by reducing barriers and costs, and using messaging about benefits and enhanced convenience to motivate participation. The intervention was implemented through churches.
No Intervention: Control
Control: No intervention

Detailed Description:

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. 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 church 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. Churches, representing varied denominations and communities, will be randomly allocated to intervention (marketing program implementation) or control (no program) groups. Outreach to diverse churches will ensure that materials and strategies target potentially hard-to-reach (e.g., Hispanic, rural) populations. The trial will test whether older adult members of intervention churches 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.

  Eligibility

Ages Eligible for Study:   60 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Churches located in Mesa County, Colorado, that have adult members who are aged 60 and older
  • Exercise class participants will include community-dwelling members of enrolled churches who are aged 60 and older, English- or Spanish-speaking, ambulatory with or without assistive devices, and cognitively able to consent and be tested.

Exclusion Criteria:

  • Older adults with any medical condition that precludes participation in an exercise program, as determined by the participant or their physician, or who are not physically able to pass the Modified-Clinical Test of Sensory Interaction in Balance (M-CTSIB) at baseline
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00542360

Locations
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
Sponsors and Collaborators
University of Colorado, Denver
Colorado State University
Colorado Department of Public Health and Environment
University of Utah
Investigators
Principal Investigator: Carolyn G DiGuiseppi, MD, MPH, PhD University of Colorado, Denver
  More Information

Publications:
Clark L, Thoreson C, Goss C, Marquez Zimmer L, Marosits M, DiGuiseppi C. Understanding fall meaning and context in marketing balance classes to older adults. Journal of Applied Gerontology 32(1):96-119, 2013.

Responsible Party: University of Colorado, Denver
ClinicalTrials.gov Identifier: NCT00542360     History of Changes
Other Study ID Numbers: 06-0636
Study First Received: October 9, 2007
Last Updated: May 8, 2013
Health Authority: United States: Federal Government

Keywords provided by University of Colorado, Denver:
Accidental Falls
Aged
Social Marketing
Exercise
Accident Prevention
Religion
Randomized Controlled Trial

ClinicalTrials.gov processed this record on October 01, 2014