Evidence map›Paper›PMID 35945496›Full record

Trial reportBMC geriatrics2022

The Otago Exercise Program compared to falls prevention education in Zuni elders: a randomized controlled trial.

Debra L Waters, Janet Popp, Carla Herman, Donica Ghahate, Jeanette Bobelu, Vernon S Pankratz, Vallabh O Shah

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04876729 (Zuni Health Initiative- Sub Study - Standing Strong in Tribal Communities), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04876729 nacompletednot on this map

Zuni Health Initiative- Sub Study - Standing Strong in Tribal Communities: Assessing Elder Falls Disparity

TypeinterventionalSponsorUniversity of New MexicoRan2022 to 2025Enrolled113ConditionsFallArmsOtago Exercise Program
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 2 countries.

Debra L WatersDepartment of Internal Medicine, School of Medicine, University of New Mexico, Albuquerque, NM, 87131, USA.
Janet PoppDivision of Physical Therapy, School of Medicine, University of New Mexico, Albuquerque, NM, 87131, USA.
Carla HermanDepartment of Internal Medicine, School of Medicine, University of New Mexico, Albuquerque, NM, 87131, USA.
Donica GhahateDepartment of Internal Medicine, School of Medicine, University of New Mexico, Albuquerque, NM, 87131, USA.
Jeanette BobeluDepartment of Internal Medicine, School of Medicine, University of New Mexico, Albuquerque, NM, 87131, USA.
Vernon S PankratzDepartment of Internal Medicine, School of Medicine, University of New Mexico, Albuquerque, NM, 87131, USA.
Vallabh O ShahDepartment of Internal Medicine, School of Medicine, University of New Mexico, Albuquerque, NM, 87131, USA. VShah@salud.unm.edu.ORCID 0000-0002-3584-4057
University of New Mexico · US

Funding

NM-INBRE Sequencing and Bioinformatics CoreP20GM103451 · NIGMS · NEW MEXICO STATE UNIVERSITY LAS CRUCES · PI Charlotte C. Gard · 2012 to 2026
$61.2M
ZUNI HEALTH INITIATIVE-PILOT STUDYP20RR016480 · NCRR · NEW MEXICO STATE UNIVERSITY LAS CRUCES · PI GRIFFITH, JEFFREY K · 2001 to 2011
$33.7M
American Indian CRIC Study of Diabetic Kidney Disease and Alzheimer Disease.R01DK119199 · NIDDK · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI SHAH, VALLABH O, UNRUH, MARK LYNN · 2019 to 2023
$3.7M
Standing Strong in Tribal Communities: Assessing Elder Falls DisparityR01MD015003 · NIMHD · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI HERMAN, CARLA JEAN, SHAH, VALLABH O · 2021 to 2025
$2.7M
NCRR NIH HHS P20 RR016480NIGMS NIH HHS P20 GM103451NIMHD NIH HHS R01 MD015003
6 · The paper itself

Abstract

backgroundWhen a Zuni elder sustains a fall-related injury, the closest tribal skilled nursing facility is 100 miles from the Pueblo and no physical therapy services are available. Thus, fall prevention strategies as a primary intervention to avert injurious falls and preserve aging in place are needed. The objective of the study is to compare the effectiveness of a community health representative (CHR)-delivered, culturally-adapted Otago Exercise Program (OEP) fall prevention program compared to the standard of care education-based fall risk management.

methods"Standing Strong in Tribal Communities: Assessing Elder Falls Disparity" is mixed-methods research with a randomized controlled trial. The CHRs will be trained to deliver the culturally-adapted OEP trial and offer advantages of speaking "Shiwi" (Zuni tribal language) and understanding Zuni traditions, family structures, and elders' preferences for receiving health information. Focus groups will be conducted to assure all materials are culturally appropriate, and adapted. A physical therapist will train CHRs to screen elders for falls risk and to deliver the OEP to the intervention group and education to the control group. Up to 400 Zuni elders will be screened by the CHRs for falls risk and 200 elders will be enrolled into the study (1:1 random allocation by household). The intervention is 6 months with measurements at baseline, 3, 6 and 12 months. The primary outcome is improved strength and balance (timed up and go, sit to stand and 4 stage balance test), secondary outcomes include falls incidence, self-efficacy using Attitudes to Falls-Related Interventions Scale, Medical Outcomes Study Short Form 12 (SF-12v2) and Self-Efficacy for Managing Daily Activities. DISCUSSION: Fall prevention for Zuni elders was identified as a tribal priority and this trial is built upon longstanding collaborations between the investigative team, Zuni tribal leaders, and multiple tribal health programs. Delivery by the CHRs make this model more acceptable, and thus, more sustainable long term. This study has the potential to change best practice for elder care in tribal and rural areas with limited access to physical therapist-delivered fall prevention interventions and aligns with tribal goals to avert fall-related injury, reduce healthcare disparity, and preserve elder's independence.

trial registrationNCT04876729.

Indexed as

Exercise TherapyPostural BalanceAgedHumansIndependent LivingLanguageAmerican IndiansFall preventionOlder adultsStrength and balance

Identifiers

PMID35945496
PMCPMC9361667
OpenAlexW4291020712

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.