None listed
Conditions
Brief summary
This randomised controlled trial aimed to assess the effectiveness of a community-based falls-and-fracture nurse coordinator and multifactorial-intervention in reducing falls in older people. Three hundred and twelve community-living people aged 75 and older who had fallen in the previous year were enrolled in the trial. The intervention included a home-based nurse assessment of falls and fracture risk factors and home hazards, referral to appropriate community interventions, and a strength and balance exercise program. The control group received usual care and social visits. The primary outcome was rate of falls over 12 months. Secondary outcomes were muscle strength and balance, falls efficacy, activities of daily living, self-reported physical activity level, and quality of life. The final results showed no significant difference in the outcomes between intervention and control groups.
Interventions
12-month home-based intervention (includes):
-Falls risk factor health assessment and referral to appropriate health professional where required
-Home hazards assessment
- Bone health assessment
-Otago Exercise Programme
Sponsors
Accident Compensation Corporation of New Zealand
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
75 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Adults aged 75 years and older (over 55 years amongst Maori and Pacific people), who have had a fall in the last 12 months, identified within primary health care.
Exclusion criteria
Unable to comprehend study information and consent processes, unstable or progressive medical condition, severe physical disability, or dementia.
Outcome results
None listed