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CompletedNCT06063187Updated Oct 2, 2023

Technology-based Fall Risk Assessments for Older Adults in Low-income Settings

An observational study in Fall, Physical Inactivity and Sedentary Behavior, sponsored by University of Central Florida. Completed at 1 site in United States. Open to participants aged 60 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-10-02.

Sponsored by University of Central Florida · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
124
Ages
60 Years and older
Sex
All
01

Study summary

The goal of this observational study is to examine the associations among fall risk appraisal, body composition, and physical activity in older adults in low-income settings.

The main questions it aims to answer are:

  • What is the feasibility of recruitment (e.g., how many older adults need to be screened to recruit the sample?), especially during the COVID-19 pandemic, and acceptability of technologies and procedures for use among older adults in low-income settings?
  • What are the the dynamic relationships between fall risk appraisal, body composition, physical activity, and behavioral changes related to fear of falling?

Participants will:

  • complete questionnaires about their characteristics, socio-demographic, medical history, cognition, depressive symptoms, anxiety, and fear of falling.
  • participate in static and dynamic balance tests, body composition measurement and handgrip strength test.
  • wear an accelerometer for physical activity assessment for 7 consecutive days.
Read the detailed description

The investigators will use a cross-sectional design to address aims. The investigators will administer the study instruments which consist of objective and subjective measures. Participants will complete questionnaires about their characteristics, socio-demographic, medical history, cognition, depressive symptoms, anxiety, and fear of falling.

Balance performance will be assessed by the BTrackS Balance System (BBS). This test consists of four, 20 seconds trials. For each trial, the participants will stand as still as possible on the BBP with hands on their hips, and eye closed. This test consists of four trials. This test will take about 5-10 minutes.

Body composition will be assessed using a bioelectrical impedance analysis (BIA): InBody S10. The BIA InBody S10 measures fat mass, muscle mass and body water levels. There are no risks, no dunking, no pinching, no discomfort associated with the use of bioelectrical impedance analysis. Test duration is 1-2 minutes.

Physical Activity (PA) will be measured by activity monitoring devices. All participants will wear the ActiGraph GT9X Link wireless activity monitor (ActiGraph LLC.), a tri-axial accelerometer, on the non-dominant wrist for 7 consecutive days.

02

Conditions studied

  • Fall
  • Physical Inactivity
  • Sedentary Behavior

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Keywords

  • accidental falls
  • body composition
  • falls
  • fear
  • risk assessment
  • technology
  • wearable devices
03

In context

Sedentary Behavior

368 studies on the registry are indexed under Sedentary Behavior; 165 are open to participants now.

This study's enrollment of 124 is below the median of 150 across 51 observational studies indexed under Sedentary Behavior.

Browse Sedentary Behavior studies →

Lead sponsor

University of Central Florida is the lead sponsor of 104 studies on the registry; 43 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
60 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Community sample

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • ≥ 60 years of age
  • no marked cognitive impairment [Memory Impairment Screen (MIS) score ≥5]
  • speak English or Spanish
  • live in Kinneret Sr. Apartments or in Orlando FL.

Exclusion criteria

Exclusion Criteria:

  • a medical condition precluding balance test (e.g., unable to stand on the balance plate) and/or PA (e.g., shortness of breath; feeling pressure when performing PA)
  • currently receiving treatment from a rehabilitation facility
  • have a metal implant.
05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
124 participants (actual)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Feasibility of recruitment of low-income older adults

    The investigators will assess the ability to recruit the participants by tracking the number of days and time spent to recruit the sample.

    Time frame: Through study completion, an average of 2 years

  2. Acceptability of using technologies in low-income older adults

    The acceptability of the technologies and procedures will be examined based on an evaluation form (e.g., what the participants thought about the questionnaires and technology) and participants' recommendations.

    Time frame: Through study completion, an average of 2 years

  3. Maladaptive fall risk appraisal

    A condition in which there is a discrepancy between perceived fall risk (levels of fear of falling) and physiological fall risk (balance performance). Fear of falling will be assessed using the Short Fall Efficacy Scale International (short FES-I) with 7 items and balance performance will be assessed using the BTrackS Balance test. Maladaptive fall risk will be plotted on a electronic graph as the interaction between balance performance on the X-axis and fear of falling on the Y-axis.

    Time frame: Once at baseline, an average of 5 minutes

  4. Time spent in each physical activity intensity domain

    Participants will wear the ActiGraph GT9X Link wireless activity monitor (ActiGraph LLC.), a tri-axial accelerometer, on the non-dominant wrist for 7 consecutive days.This device will assess the time (minutes) spent in light, moderate, and vigorous physical activity domains throughout the 7-day assessment period.

    Time frame: 7 days

  5. Body Composition

    Body composition will be assessed using a direct segmental multi-frequency bioelectrical impedance analysis (BIA): InBody s10 device.

    Time frame: Once at baseline, an average of 2 minutes

  6. Balance Performance

    Balance performance will be assessed using the BTrackS Balance test.

    Time frame: Once at baseline, an average of 4 minutes

  7. Fear of Falling

    Fear of falling will be assessed using the Short Fall Efficacy Scale International (short FES-I) with 7 items.The minimum score possible is 7 and the maximum possible score is 28. Scores of 7-8 indicate "low concern," scores of 9-13 indicate "moderate concern," and scores of 14-28 indicate "high concern."

    Time frame: Once at baseline, an average of 10 minutes

Secondary outcomes

  1. Depression

    Depression will be assessed using the Patient Health Questionnaire-9 (PHQ-9). The minimum possible score is 0 and the maximum possible score is 27. Scores of 0-4 indicate "minimal depression," scores of 5-9 indicate "mild depression," scores of 10-14 indicate "moderate depression," scores of 15-19 indicate "moderately severe depression," and scores of 20-27 indicate "severe depression."

    Time frame: Once at baseline, an average of 10 minutes

07

Study locations

1 site
  • University of Central Florida
    Orlando, Florida 32816, United States
08

References and documents

Publications

  • Thiamwong L, Stout JR, Park JH, Yan X. Technology-Based Fall Risk Assessments for Older Adults in Low-Income Settings: Protocol for a Cross-sectional Study. JMIR Res Protoc. 2021 Apr 7;10(4):e27381. doi: 10.2196/27381. PubMed 33825688 ↗
  • Choudhury R, Park JH, Thiamwong L, Xie R, Stout JR. Objectively Measured Physical Activity Levels and Associated Factors in Older US Women During the COVID-19 Pandemic: Cross-sectional Study. JMIR Aging. 2022 Aug 22;5(3):e38172. doi: 10.2196/38172. PubMed 35994346 ↗
  • Sterner DA, Stout JR, Lafontant K, Park JH, Fukuda DH, Thiamwong L. Phase Angle and Impedance Ratio as Indicators of Physical Function and Fear of Falling in Older Adult Women: Cross-Sectional Analysis. JMIR Aging. 2024 Mar 5;7:e53975. doi: 10.2196/53975. PubMed 38488531 ↗

Study documents

  • Protocol and statistical analysis plan · Nov 3, 2021
  • Informed consent form · Nov 3, 2021

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No — The data will be made available at the end of the funding period (anticipated Fall 2023). We plan to share the de-identified datasets in both proprietary (SPSS files containing variables descriptions) and non-proprietary (.csv with accompanying .txt file containing variable descriptions) formats.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 2, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06063187
Responsible party
Ladda Thiamwong (Associate Professor, University of Central Florida) — Principal investigator
First posted
Oct 2, 2023
Start date
Sep 30, 2020
Primary completion
Jun 30, 2022
Completion
Jul 1, 2023
Last update
Oct 2, 2023

Study contacts

Ladda Thiamwong, PhD, RN
principal investigator · University of Central Florida

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2023. You cannot join it, but the record below documents what was studied.

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