192 Participants NeededMy employer runs this trial

Walk On! Program for Falls Prevention

(Walk On! NCOA Trial)

JM
LW
Overseen ByLaura W Jakiela, MS
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Wake Forest University Health Sciences
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether the Walk On! Program, a group walking initiative, can help older adults, particularly those with mobility issues or feelings of loneliness, prevent falls. The researchers aim to assess how effectively organizations can implement this program and whether it truly benefits participants by enhancing their balance and confidence. Participants will join group walks twice a week for 12 weeks and complete simple tests to track any improvements. Those over 60, able to attend sessions independently, and who haven't participated in a similar program in the past year may be ideal candidates. As an unphased trial, this study offers a unique opportunity to contribute to research that could enhance quality of life for many.

Do I have to stop taking my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. It seems focused on walking sessions, so it's unlikely that medication changes are required, but you should check with the trial organizers to be sure.

What prior data suggests that the Walk On! program is safe for older adults?

Research has shown that falls prevention programs like Walk On! are generally safe and well-received by older adults. Similar programs, such as "Stepping On," have been studied and found to reduce falls without major safety concerns. Participants in these programs often engage in activities that enhance balance, strength, and confidence in walking. These activities are designed to be safe for older adults, even those with mobility challenges.

While specific data on side effects for the Walk On! program is not available, similar programs suggest it is expected to be safe. Participants should always discuss any concerns with the facilitators during the sessions.12345

Why are researchers excited about this trial?

Researchers are excited about the Walk On! Program because it offers a community-based approach to fall prevention for older adults, especially those with mobility limitations. Unlike traditional treatments that might focus solely on physical therapy or medication, this program emphasizes improving walking endurance, strength, and balance through in-person sessions led by trained facilitators. The unique aspect of this program is its delivery method, which is integrated into community settings, making it more accessible and potentially more engaging for participants. By providing comprehensive support and training for facilitators, the program aims to ensure effective implementation and meaningful results for participants.

What evidence suggests that the Walk On! Program is effective for preventing falls in older adults?

Research has shown that exercise programs can help prevent falls in older adults. A 12-week program focusing on balance, strength, and coordination improved walking and reduced the risk of falls. Another study found that a walking-centered program enhanced participants' balance and leg strength, both crucial for fall prevention. While specific results for the Walk On! program are still being gathered, similar programs have successfully lowered fall rates among older adults. This suggests that joining the Walk On! program, which all participants in this trial will receive, could help older adults reduce their risk of falling.16789

Who Is on the Research Team?

JM

Jaime M Hughes, MSW, MPH, PhD

Principal Investigator

Wake Forest University Health Sciences

Are You a Good Fit for This Trial?

This trial is for adults aged 60 or older who have trouble moving around, can walk on their own (with or without a cane or walker), speak English, can get to the program site each week, and do not have any current fractures. Participants should be able to attend all sessions during the 12-week period.

Inclusion Criteria

* No planned extended travel or time away during the 12 week program period
I am 60 years old or older.
I can speak and write in English clearly.
See 4 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants join group walking sessions led by a trained facilitator, meeting twice a week for 12 weeks to improve walking endurance, strength, and balance

12 weeks
24 sessions (in-person)

Follow-up

Participants are monitored for changes in physical function, falls efficacy, and loneliness after the program

12 weeks
2 visits (in-person)

Sustainment

Community-based organizations deliver additional rounds of the Walk On! program to assess long-term sustainment

24 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Walk On! Program

Trial Overview

The Walk On! Program involves group walking sessions led by a trained facilitator twice a week for 12 weeks. The study aims to see if this program helps prevent falls and reduces loneliness in older adults with limited mobility.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: Walk On! ProgramExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Wake Forest University Health Sciences

Lead Sponsor

Trials
1,432
Recruited
2,506,000+

National Council on Aging (NCOA)

Collaborator

Trials
1
Recruited
300+

Citations

Study protocol: process and outcome evaluation of the Walk ...

The primary hypothesis is that the enhanced program will decrease the number of falls, decrease the average fall risk and increase average ...

Effects of an Exercise Program to Reduce Falls in Older ...

Over the 12-month trial period, 74% fell, with 63% of intervention and 61% of the control group falling more than once. Risk of falls (P = .56, hazard ratio ...

The Effectiveness of the Stepping-On Fall Prevention ...

The results of the present study indicated that the Stepping-On preventive program resulted in the improvement of fall preventive behavior in elderly people.

Outcomes associated with scale-up of the Stepping On falls ...

Our results showed a significant reduction in rate of falls with the second, but not the first, phase of implementation of Stepping On in Wisconsin. The lack of ...

Effectiveness of a walking-focused physical exercise ...

Participants completed a 12-week structured physical exercise program targeting balance, lower-limb strength, gait pattern, and coordination. The primary ...

The Stroll Safe outdoor falls prevention program

Stroll Safe is a 7-week group-based outdoor fall prevention program that focuses on behavioral change through safe community mobility strategy use. The program ...

An observational pilot evaluation of the Walk with Ease ... - PMC

This pilot study evaluates outcomes of a community delivered WWE program for potential suitability as a fall risk reduction program.

8.

steppingon.com

steppingon.com/

Stepping On – The original and fully researched package ...

It covers a range of issues, including falls and risk, strength and balance exercises, home hazards, safe footwear, vision and falls, safety in public places, ...

Welcome! Stepping On Leader Training

The Stepping On Falls Prevention program is ideal for older adults who: Are at risk of falling for a number of reasons. Have had a fall in the past year, or ...