Walking Speed Measurements for Aging Veterans

JE
JA
Overseen ByJoyce A Middleton
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: VA Office of Research and Development
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 focuses on assessing how fast older veterans can walk and using that data to enhance their healthcare. Walking speed can indicate overall health and the potential need for additional support. The aim is to integrate walking speed assessments into routine doctor visits for older veterans, enabling early detection of issues and appropriate care. Veterans aged 60 and older who visit specific VA clinics may qualify for this trial. Participants will either continue with their usual care or have their walking speed regularly measured as part of their care. As an unphased trial, this study allows veterans to contribute to research that could improve healthcare practices for older adults.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that this method is safe for measuring walking speed in aging veterans?

Previous studies have found walking speed to be a safe and simple measure. Primary care clinics can easily use it without causing harm. Research has shown that checking walking speed in older adults can predict health outcomes without any reported risks. No negative effects are linked to measuring walking speed, making it a well-tolerated and safe way to assess physical function in older adults.12345

Why are researchers excited about this trial?

FASTER is unique because it focuses on measuring and using walking speed to guide care for older veterans. Unlike usual care, which might not emphasize walking speed as a key indicator, FASTER integrates this specific measurement into the treatment plan to potentially enhance patient outcomes. Researchers are excited about this approach because it could provide a more precise and proactive way to manage aging-related health issues, potentially leading to improved mobility and quality of life for older veterans.

What evidence suggests that the FASTER intervention is effective for monitoring physical function in aging veterans?

Research has shown that the walking speed of older adults can reveal much about their health. Studies have found that faster walking correlates with better health and a reduced risk of falls or hospital visits. In this trial, the FASTER intervention arm will measure and record participants' walking speeds to guide care. One study showed that participants walked 0.08 meters per second faster after eight weeks of a special program, marking a significant improvement. Another study found that even small increases in walking speed, such as 0.10 meters per second, can positively impact health. These findings suggest that monitoring and improving walking speed can help older adults maintain better health.16789

Who Is on the Research Team?

JE

Jennifer E. Stevens-Lapsley, PhD

Principal Investigator

Rocky Mountain Regional VA Medical Center, Aurora, CO

Are You a Good Fit for This Trial?

This trial is for veterans aged 60 and older who receive care at VA primary care clinics where the FASTER program is being used. It also includes healthcare providers and nursing staff working in these clinics. There are no specific exclusion criteria.

Inclusion Criteria

I am a veteran aged 60 or older getting care at a VHA clinic with FASTER.
Site Inclusion Criteria: VHA primary care clinics
VHA Personnel Inclusion Criteria: Providers working in a VHA primary care clinic where FASTER is implemented, Nursing staff working in a VHA primary care clinic where FASTER is implemented

Exclusion Criteria

No specific eligibility requirement for this criterion.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Usual Care

Usual care will continue in clinical practice before the FASTER implementation

Up to 12 months

FASTER Implementation

The FASTER intervention includes measurement, recording, and use of walking speed to guide care in older Veterans

Up to 12 months

Follow-up

Participants are monitored for safety and effectiveness after the FASTER intervention

6 months

What Are the Treatments Tested in This Trial?

Interventions

  • FASTER

Trial Overview

The study compares usual care to a new approach called FASTER, which involves regularly measuring walking speed during clinic visits to monitor physical function and guide referrals if needed.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: FASTERExperimental Treatment1 Intervention
Group II: Usual CareActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

VA Office of Research and Development

Lead Sponsor

Trials
1,691
Recruited
3,759,000+

Citations

1.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/41397627/

Can an innovative physical therapy program enhance ...

We observed significantly faster (p<.05) walking speed (mean 0.08 +/- .02 m/s) after 8 weeks among LLWS participants. Similarly, there were ...

Walking Speed Measurements for Aging Veterans

Walking speed is a powerful predictor of mortality and adverse health consequences (e.g. fall or hospitalization) in older adults.

Can An Innovative Physical Therapy Program Enhance ...

We observed significantly faster (P<.05) walking speed (mean 0.08±0.02 m/s) after 8 weeks among LLWS participants. Similarly, there were ...

HSR Citation Abstract - VA Health Systems Research

This study evaluated the use of walking speed as an indicator of function and health status in acutely ill, hospitalized, older male veterans. Hospital ...

Efficacy of an innovative PT program to enhance mobility in ...

Walking speed was the primary outcome and secondary outcomes included measures of mobility. We randomized 150 participants and experienced a 25% dropout rate, ...

Improving Gait Speed Measurement in a Geriatric Medicine ...

This initiative details how to effectively incorporate a brief, validated assessment of mobility using gait speed measurement into every geriatric medicine ...

High‐intensity home health physical therapy among older ...

The primary outcome was gait speed at 60 days. ... Walking speed predicts health status and hospital costs for frail elderly male veterans.

Improving Function in Older Veterans With Hospital ...

The SPPB is a well-accepted global measure of lower extremity function which consists of a composite measure including walking speed, chair stands, and balance.

The Veterans LIFE Study: A Randomized Trial of Primary Care ...

The primary outcomes, usual and rapid gait speed were measured from an 8-foot walk test using a Speedtrap wireless timing device that records walking time ...