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141 Coaching for Healthy AGEing trial – a cluster-randomised controlled trial
  1. Anne Tiedemann1,
  2. Juliana Souza Oliveira1,
  3. Margaret Allman-Farinelli2,
  4. Adrian Bauman2,
  5. Kirsten Howard3,
  6. Richard Lindley4,
  7. Stephen Lord5,
  8. Dafna Merom6,
  9. Chris Rissel3,
  10. Judy Simpson3,
  11. Allison Tong3,
  12. James Wickham7,
  13. Cathie Sherrington1
  1. 1Institute for Musculoskeletal Health, Faculty of Medicine and Health,The University of Sydney, Camperdown, Australia
  2. 2Prevention Research Collaboration, Faculty of Medicine and Health, University of Sydney, Camperdown, Australia
  3. 3School of Public Health, Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia
  4. 4The University of Sydney and the George Institute for Global Health, Camperdown, Australia
  5. 5Neuroscience Research Australia, University of New South Wales, Randwick, Australia
  6. 6School of Science and Health Sciences, Western Sydney University, Penrith, Australia
  7. 7School of Biomedical Sciences, Charles Sturt University, Orange, Australia

Abstract

Background Evidence shows that promoting physical activity among older people without providing fall prevention advice may increase fall rates. The Coaching for Healthy AGEing (CHAnGE) trial measured the effect of a physical activity and fall prevention program on physical activity and falls among community-dwelling people aged 60+.

Design Cluster-RCT involving 72 clusters (605 people).

Methods Participants were randomly assigned to control (35 groups; healthy eating intervention, involving education brochure and phone coaching) or intervention (37 groups; involving fall prevention/physical activity plan, one physiotherapist visit, phone coaching, pedometer, falls prevention advice, education brochure). Co-primary outcomes were: 1) Physical activity, objectively measured using ActiGraph GT3X, and 2) falls, recorded with monthly falls calendars over 12 months. Statistical analyses used linear regression (for physical activity) and negative binomial regression (for fall rates) to analyse between-group differences at 6 and 12 months.

Results Participants had a mean age of 74 years (SD 8.0). We found a significant between-group difference in physical activity at 6 months (mean difference=21.3 CPM/day, 95%CI 3.66 to 39.0) and a significant increase in steps/day in intervention versus control group at 6 months (649 steps/day, 95% CI 283 to 1015) and 12 months (460 steps/day, 95% CI 26 to 894). Intervention group reported a lower fall rate (193 falls, 0.71 falls/person/year, SD 1.09) than control group (229 falls, 0.87 falls/person/year, SD 1.80); difference was not statistically significant (IRR 0.86, 95% CI 0.6 to 1.1).

Conclusion A combined physical activity and fall prevention intervention significantly improved physical activity without increasing falls.

http://dx.doi.org/10.1136/injuryprev-2022-safety2022.66

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