Standing Strong in Tribal Communities: Assessing Elder Falls Disparity

Launched by UNIVERSITY OF NEW MEXICO · May 3, 2021

Keywords

ClinConnect Summary

The clinical trial titled "Standing Strong in Tribal Communities: Assessing Elder Falls Disparity" is focused on understanding and reducing the risks of falls among older American Indian elders, specifically those in the Zuni Pueblo community. Falls can lead to serious injuries, and the trial aims to help elders by providing fall risk screenings and a special exercise program called the Otago Exercise Program, which is designed to improve balance and strength. By partnering with local leaders and community members, the study hopes to make these resources accessible to those who need them most.

To be eligible for the trial, participants must be Zuni tribal members aged 65 and older who are at an increased risk of falling, based on specific tests or a history of falls. This includes individuals who take longer than 12 seconds to stand up and walk, have difficulty with balance tests, or have fallen multiple times in the past year. Participants can expect to receive personalized support and guidance to help them reduce their risk of falls and stay active and healthy in their community. This trial not only aims to improve individual well-being but also seeks to empower elders to maintain their independence and safety as they age.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Zuni tribal members aged 65 years and older who demonstrate elevated fall risk according to 2 or more of the following test outcomes: (1) Timed Up and Go \>12 seconds; (2) 30 Second Chair Stand Test below age and gender norms; (3) Inability to complete the Four Stage Balance Test; (4) Four or more positive responses on the CDC Stay Independent: Check Your Risk for Falling; or (5) history of 2 or more falls during past year or one injurious fall during past year
• Exclusion Criteria:
• • (1)Self-reported diagnosis of terminal cancer in the last 6 months; (2) Currently on dialysis; (3) Mini-Cog score of 0 to 1; (4) Unwillingness to consent to participate; (5) Unable to walk with or without an assistive device; or (6) Legally blind.