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A multicentre randomised controlled trial of day hospital-based falls prevention programme for a screened population of community-dwelling older people at high risk of falls

A multicentre randomised controlled trial of day hospital-based falls prevention programme for a screened population of community-dwelling older people at high risk of falls
A multicentre randomised controlled trial of day hospital-based falls prevention programme for a screened population of community-dwelling older people at high risk of falls
Objective: to determine the clinical effectiveness of a day hospital-delivered multifactorial falls prevention programme, for community-dwelling older people at high risk of future falls identified through a screening process.Design: multicentre randomised controlled trial.
Setting: eight general practices and three day hospitals based in the East Midlands, UK.Participants: three hundred and sixty-four participants, mean age 79 years, with a median of three falls risk factors per person at baseline.
Interventions: a day hospital-delivered multifactorial falls prevention programme, consisting of strength and balance training, a medical review and a home hazards assessment.
Main Outcome Measure: rate of falls over 12 months of follow-up, recorded using self-completed monthly diaries.
Results: one hundred and seventy-two participants in each arm contributed to the primary outcome analysis. The overall falls rate during follow-up was 1.7 falls per person-year in the intervention arm compared with 2.0 falls per person-year in the control arm. The stratum-adjusted incidence rate ratio was 0.86 (95% CI 0.73-1.01), P = 0.08, and 0.73 (95% CI 0.51-1.03), P = 0.07 when adjusted for baseline characteristics. There were no significant differences between the intervention and control arms in any secondary outcomes.
Conclusion: this trial did not conclusively demonstrate the benefit of a day hospital-delivered multifactorial falls prevention programme, in a population of older people identified as being at high risk of a future fall.
Accidental Falls/prevention & control, Aged, Aged, 80 and over, Day Care, Medical/organization & administration, Exercise Therapy/methods, Female, Follow-Up Studies, Geriatric Assessment/methods, Housing for the Elderly/statistics & numerical data, Humans, Male, Mass Screening, Muscle Strength, Postural Balance, Primary Health Care/organization & administration, Program Evaluation, Residence Characteristics/statistics & numerical data, Risk Factors, Treatment Outcome
0002-0729
704-10
Conroy, Simon
1a33aa87-25a8-4083-8418-b7d73eb99110
Kendrick, Denise
33ad9db9-6d98-4e87-a2ad-323b289e3a16
Harwood, Rowan
0e20cadd-5d43-48e0-9d3b-32c75d37073a
Gladman, John
89788999-01d4-4bd1-adb0-d96b68f2f270
Coupland, Carol
5d123e7a-f406-4d6b-a09d-2e019de3686f
Sach, Tracey
5c09256f-ebed-4d14-853a-181f6c92d6f2
Drummond, Avril
559a0644-290a-4fcf-9781-0174f2553a8d
Youde, Jane
99fb0eaa-f6dd-4652-83f6-6d2370a17985
Edmans, Judi
c4da5e8b-796e-4284-8f24-45e0807a01c2
Masud, Tahir
ef1fc17c-f133-4635-82bb-547b58521ceb
et al.
Conroy, Simon
1a33aa87-25a8-4083-8418-b7d73eb99110
Kendrick, Denise
33ad9db9-6d98-4e87-a2ad-323b289e3a16
Harwood, Rowan
0e20cadd-5d43-48e0-9d3b-32c75d37073a
Gladman, John
89788999-01d4-4bd1-adb0-d96b68f2f270
Coupland, Carol
5d123e7a-f406-4d6b-a09d-2e019de3686f
Sach, Tracey
5c09256f-ebed-4d14-853a-181f6c92d6f2
Drummond, Avril
559a0644-290a-4fcf-9781-0174f2553a8d
Youde, Jane
99fb0eaa-f6dd-4652-83f6-6d2370a17985
Edmans, Judi
c4da5e8b-796e-4284-8f24-45e0807a01c2
Masud, Tahir
ef1fc17c-f133-4635-82bb-547b58521ceb

Conroy, Simon, Kendrick, Denise, Harwood, Rowan and Sach, Tracey , et al. (2010) A multicentre randomised controlled trial of day hospital-based falls prevention programme for a screened population of community-dwelling older people at high risk of falls. Age and Ageing, 39 (6), 704-10. (doi:10.1093/ageing/afq096).

Record type: Article

Abstract

Objective: to determine the clinical effectiveness of a day hospital-delivered multifactorial falls prevention programme, for community-dwelling older people at high risk of future falls identified through a screening process.Design: multicentre randomised controlled trial.
Setting: eight general practices and three day hospitals based in the East Midlands, UK.Participants: three hundred and sixty-four participants, mean age 79 years, with a median of three falls risk factors per person at baseline.
Interventions: a day hospital-delivered multifactorial falls prevention programme, consisting of strength and balance training, a medical review and a home hazards assessment.
Main Outcome Measure: rate of falls over 12 months of follow-up, recorded using self-completed monthly diaries.
Results: one hundred and seventy-two participants in each arm contributed to the primary outcome analysis. The overall falls rate during follow-up was 1.7 falls per person-year in the intervention arm compared with 2.0 falls per person-year in the control arm. The stratum-adjusted incidence rate ratio was 0.86 (95% CI 0.73-1.01), P = 0.08, and 0.73 (95% CI 0.51-1.03), P = 0.07 when adjusted for baseline characteristics. There were no significant differences between the intervention and control arms in any secondary outcomes.
Conclusion: this trial did not conclusively demonstrate the benefit of a day hospital-delivered multifactorial falls prevention programme, in a population of older people identified as being at high risk of a future fall.

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More information

Published date: 1 November 2010
Keywords: Accidental Falls/prevention & control, Aged, Aged, 80 and over, Day Care, Medical/organization & administration, Exercise Therapy/methods, Female, Follow-Up Studies, Geriatric Assessment/methods, Housing for the Elderly/statistics & numerical data, Humans, Male, Mass Screening, Muscle Strength, Postural Balance, Primary Health Care/organization & administration, Program Evaluation, Residence Characteristics/statistics & numerical data, Risk Factors, Treatment Outcome

Identifiers

Local EPrints ID: 476961
URI: http://eprints.soton.ac.uk/id/eprint/476961
DOI: doi:10.1093/ageing/afq096
ISSN: 0002-0729
PURE UUID: 7f545b45-af10-4259-8069-256ef9993e43
ORCID for Tracey Sach: ORCID iD orcid.org/0000-0002-8098-9220

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Date deposited: 22 May 2023 16:51
Last modified: 17 Mar 2024 04:19

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Contributors

Author: Simon Conroy
Author: Denise Kendrick
Author: Rowan Harwood
Author: John Gladman
Author: Carol Coupland
Author: Tracey Sach ORCID iD
Author: Avril Drummond
Author: Jane Youde
Author: Judi Edmans
Author: Tahir Masud
Corporate Author: et al.

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