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Visually Impaired OLder people's Exercise programme for falls prevenTion (VIOLET): a feasibility study protocol.

Dawn A Skelton1, Cathy Bailey2, Denise Howel3

  • 1Institute of Allied Health Research, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.

BMJ Open
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PubMed
Summary

This study adapted and piloted an exercise program for visually impaired older people (VIOP) to reduce falls. The feasibility trial will inform a larger study on improving safety and quality of life for VIOP.

Keywords:
Accidential FallsExercise therapiesFeasibility studiesSecondary (or tertiary) prevention or accident preventionVisually impaired older person

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Area of Science:

  • Gerontology
  • Ophthalmology
  • Public Health

Background:

  • 1 in 5 UK individuals aged 75+ experience sight loss.
  • Visually impaired older people (VIOP) face higher risks of falls and hip fractures.
  • Fear of falling leads to activity limitation in older adults with eye diseases.

Purpose of the Study:

  • To adapt the Falls Management Exercise (FaME) program for VIOP.
  • To conduct a pilot trial assessing feasibility and informing future research.
  • To improve exercise adherence and uptake among VIOP.

Main Methods:

  • A 28-month, 2-centre mixed-methods feasibility study.
  • Stakeholder panels, including VIOP, informed program adaptations.
  • 80 VIOP recruited and randomized to adapted FaME or usual care.

Main Results:

  • Feasibility outcomes include recruitment rates and adherence.
  • Validated measures assess fear of falling and quality of life.
  • Qualitative interviews explore participant and instructor experiences.

Conclusions:

  • The adapted FaME program aims to meet VIOP needs.
  • Pilot trial data will guide a definitive randomized controlled trial.
  • Findings will be disseminated via journals and conferences.