Can the Otago falls prevention program be delivered by video? A feasibility study

• Published in: BMJ Open Sport & Exercise Medicine Vol. 2; no. 1; p. e000059
• Main Authors: Davis, Jennifer C, Hsu, Chun Liang, Cheung, Winnie, Brasher, Penny M A, Li, Linda C, Khan, Karim M, Sykes, Jonathan, Skelton, Dawn A, Liu-Ambrose, Teresa
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group LTD 2016; BMJ Publishing Group
• Subjects: Aging; Fall; Exercise
• ISSN: 2055-7647; 2055-7647
• DOI: 10.1136/bmjsem-2015-000059

ObjectivesWe assessed the feasibility of delivering the Otago Exercise Programme (OEP) via an interactive DVD (ie, OEP-DVD) in combination with monthly physical therapist phone calls to older adults.DesignThis pre-post (baseline and 6-month follow-up) study included an intervention group (n=61) based in a rural location and a control group (n=21) based in a city.SettingSechelt and Vancouver, British Columbia.Participants82 community-dwelling adults ≥75 years.InterventionIndividuals in the intervention group received the OEP-DVD and were instructed to do the exercises 3 times a week after their initial home physical therapist visit for 6 months.Primary and secondary outcomesFeasibility was ascertained by withdrawal rate and compliance to the OEP-DVD. The number of participants and the frequency (ie, number of times weekly) they performed the OEP exercises and walking were used to estimate compliance. The potential benefit of the OEP-DVD on falls risk profile (Physiological Profile Assessment (PPA)) and mobility were examined by comparing the change in the intervention group compared with the control group. Self-reported compliance to the exercise programme was assessed by monthly returned diary.ResultsOf the 82 participants, 2 withdrew from the OEP-DVD group and none withdrew from the control group. We obtained compliance data on 72% of participants in the intervention group. The mean OEP-DVD compliance was 87% and the mean walking compliance was 166%. After adjusting for baseline PPA, baseline age, sex, baseline comorbidities, baseline cognitive status and baseline falls-related self-efficacy, there was a significant between-group improvement in the overall PPA score (OEP group pre-PPA to post-PPA score: 0.79±1.2 to 0.7±0.9; p<0.05) at study completion.ConclusionsAlthough the OEP-DVD resulted in significant reductions in falls risk among community-dwelling older adults, there was a notable loss to follow-up limiting the feasibility of this approach.