[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100578785":3},{"organization":4,"armGroups":7,"interventions":14,"overallOfficials":20,"centralContacts":21,"locations":27,"responsibleParty":47,"collaborators":20,"id":50,"slug":51,"hasResults":52,"nctId":53,"briefTitle":54,"officialTitle":54,"acronym":55,"eligibilityCriteria":56,"healthyVolunteers":57,"sex":58,"minAge":59,"maxAge":60,"enrollmentInfo":61,"targetDuration":20,"studyType":64,"phases":65,"briefSummary":67,"conditions":68,"keywords":72,"overallStatus":30,"whyStopped":20,"lastUpdateSubmitDate":76,"lastUpdatePostDateStruct":77,"startDateStruct":80,"completionDateStruct":81,"leadSponsor":83,"locationsCount":84},{"fullName":5,"class":6},"Karlstad University","OTHER",[8],{"label":9,"type":10,"description":11,"interventionNames":12},"Floor-HI intervention","EXPERIMENTAL","In the Floor-HI intervention arm the participants will undergo a 3-week training, where training is performed thrice a week during a 1-hour session. The training is conducted in three systematic steps mentioned as following:\n\n1. Positioning on the floor: Participants assume a position on the floor, using the backward chaining method.\n2. Floor hugging: Participants will assume a position on the floor, which may include supine, prone, side-lying, or semi-prone\u002Fsupine poses. They will be encouraged to simulate a fall scenario by observing their surroundings while engaging in deep breathing exercises.\n3. Getting back up from the floor: Participants will learn strategies to recover from a fall, tailored to their individual balance capabilities i.e., getting back up using supported furniture or without any support.\n\nThe interventions are performed on printed surfaces that are attached to sports mat. These printed surfaces mimic high fall risk surfaces such as wet, icy, or snowy surfaces.",[13],"Behavioral: Floor-HI (intervention combines floor exposure with floor rise strategies)",[15],{"type":16,"name":17,"description":18,"armGroupLabels":19,"otherNames":20},"BEHAVIORAL","Floor-HI (intervention combines floor exposure with floor rise strategies)","Floor HI training consists of the following three systematic steps\n\n1. Positioning on the floor: Participants are first taught the backward chaining method. This technique involves using nearby furniture as support to move from an upright position to a kneeling position, through prone and side lying positions, and finally to a supine position.\n2. Ground hugging: In this phase, participants will assume a position on the floor. They are encouraged to simulate a fall scenario by observing their surroundings while using relaxation techniques. This includes deep breathing exercises.\n3. Getting up from the floor: The final phase focuses on teaching participants techniques to recover from a fall, tailored to their individual balance abilities.\n\nThe intervention is carried out on printed surfaces that mimic high fall risk surfaces such as icy, cluttered, wet surfaces.",[9],null,[22],{"name":23,"role":24,"phone":25,"phoneExt":20,"email":26},"Shashank Ghai, Doctorate in Philosophy","CONTACT","46 070 290 4119","shashank.ghai@kau.se",[28],{"facility":29,"status":30,"city":31,"state":32,"zip":20,"country":33,"countryCode":34,"cosmosGeoPoint":35,"geoPoint":40,"contacts":41},"RiskLab, Karlstad University","RECRUITING","Karlstad","Värmland County","Sweden","SE",{"type":36,"coordinates":37},"Point",[38,39],13.50357,59.3793,{"lat":39,"lon":38},[42,45],{"name":43,"role":24,"phone":44,"phoneExt":20,"email":26},"Shashank Ghai, D.Phil","+46 070 290 4119",{"name":43,"role":46,"phone":20,"phoneExt":20,"email":20},"PRINCIPAL_INVESTIGATOR",{"type":46,"investigatorFullName":48,"investigatorTitle":49,"investigatorAffiliation":5,"oldNameTitle":20,"oldOrganization":20},"Shashank Ghai","Associate Senior Lecturer","100578785","floor-hugging-intervention-managing-fear-of-falling-through-floor-exposure-and-developing-after-fall-contingency-100578785",false,"NCT06815809","Floor-hugging Intervention: Managing Fear of Falling Through Floor Exposure and Developing After-fall Contingency","Floor-HI","Inclusion Criteria:\n\n* Participants must be healthy adults between the ages of 18 and 64.\n* Participants must be fluent in either Swedish or English.\n* Participants must have a Montreal Cognitive Assessment (MoCA) score of 23 or higher.\n* Participants must be able to perform activities of daily living independently.\n\nExclusion Criteria:\n\n* Participants with neurological diseases (e.g., stroke, Parkinson's disease, multiple sclerosis, traumatic brain injury, etc.).\n* Participants with musculoskeletal disorders (e.g., rheumatoid arthritis, sprains, strains, etc.).\n* Participants with severe cognitive impairments (Montreal Cognitive Assessment score \\\u003C 23).\n* Participants with psychiatric disorders (e.g., bipolar disorder, schizophrenia).\n* Participants currently involved in any other exercise-based interventions that involves prolonged floor contact (e.g., yoga, martial arts, dance).",true,"ALL","18 Years","64 Years",{"count":62,"type":63},48,"ESTIMATED","INTERVENTIONAL",[66],"NA","Fear of falling is a major public health problem and is characterized by a lack of confidence in one's ability to maintain balance and prevent falls. The fear can range from reasonable precautions to avoid slippery surfaces to an overwhelming fear that prevents people from performing everyday activities. Several factors contribute to this fear, including physical, psychological, social and environmental factors. These factors can not only lead to an increased tendency to fall, but also to increased anxiety, depression and social isolation, which can ultimately impair the individual's physical and mental health. Current approaches to help have only limited or moderate success, often because they do not take into account how the environment affects people's relationship with the floor.\n\nFor example, in urbanized societies, people spend less time in contact with the floor, which may have led to an individual's perception of the floor changing. This connection is not only physical, but can also involve a lack of mental and sensory familiarity. Without regular interaction with the floor in different positions, the individual may feel insecure or unfamiliar with the floor. This unfamiliarity can increase anxiety and encourage hypervigilant behavior that can lead to a fear of falling. Similarly, unfamiliarity with the floor can also contribute to a person's ability to respond effectively to a fall, often leaving the person unsure of what steps to take next.\n\nThe Floor-Hugging Intervention (Floor-HI) is a new intervention that can address these issues. The intervention consists of three main parts: learning how to get down on the floor, familiarizing oneself with the floor, and learning how to get back up. In the first part, participants learn how to lie down on the floor using evidence-based methods. The participant then practices lying on the floor to become more comfortable and less anxious. By repeatedly practicing lying on the floor in a safe environment, the intervention aims to break the connection between the floor and the fear associated with it, while promoting a more positive and confident mindset.\n\nThe third part of Floor-HI is to teach strategies for getting up from the floor. This is important to help participants gain the confidence and physical strength to recover from falls. Participants are given practice in different ways to get up, first with the help of furniture and then without assistance. The training aims not only to improve participants' physical abilities but also their confidence in dealing with falls.\n\nEach session of the Floor HI programme is designed to last 1 hour and to be performed three times a week for three weeks. The training would be divided equally between getting used to the floor and learning to stand up. The results of the programme would be evaluated by assessing its impact on participants' fear of falling, static and dynamic balance, fall frequency, ability to get up from the floor and general quality of life. In addition, the acceptability of the intervention and any adverse events occurring as a result of participation in the intervention will also be collected. In conclusion, Floor-HI can be a good way to manage the fear of falling by focusing on both mental and physical aspects, which can ultimately help people to live more active and fulfilling lives.",[69,70,71],"Fear of Falling","Balance Changes","Healthy",[73,74,75],"Fear of falling","Balance assessment","After fall contingency","2025-02-11",{"date":78,"type":79},"2025-02-14","ACTUAL",{"date":76,"type":79},{"date":82,"type":63},"2027-10",{"name":5,"class":6},1]