None listed
Conditions
Brief summary
This is an implementation study that involves adapting the Canadian Fracture Risk Scale (FRS) into an electronic webtool, and amending the fracture risk Clinical Assessment Protocol (CAP), for use in Australian Residential Aged Care Facilities (RACF) with the aim of increasing awareness and guiding practice on fracture risk identification and fracture prevention. It is expected that incorporation of the BreakFree application into the RACF admission process will reduce the risk of hip fracture, increase life expectancy, preserve or improve residents’ quality of life, and reduce health care costs by helping RACF health care workers to better understand fracture risk and guide them in using treatment strategies that have been demonstrated to prevent fractures in the RACF setting.
Interventions
The study will evaluate a web-tool called 'Break Free' that has been developed to increase the identification of osteoporosis risk and to recommend treatment(s) based on risk level, for residents of Australian Residential Aged Care Facilities (RACFs). Embedded in the web-tool are a set of fracture risk Clinical Assessment Protocols (CAPs) which are based on the latest Australian guidelines and position statements from industry bodies including Healthy Bones Australia (formerly Osteoporosis Australia) and the Royal Australian College of General Practitioners (RACGP) for fracture prevention in RACF. Staff at participating RACFs will be provided with access to the tool for a period of 12 months. The tool is intended to be used by RACF staff and will involve completion of a short questionnaire which captures information about the residents age, gender, BMI and a series of questions related to history of falls and fractures, activities of daily living, cognition and current fracture prevention medication and non-pharmacological interventions. The assessment takes approx. 6 minutes to complete. The ‘Break Free’ webtool has been developed by researchers at the Australian Institute for Musculoskeletal Science (AIMSS), adapted from the Canadian Fracture Risk Scale (FRS) developed and validated by our collaborators at the GERAS (Geriatric Education and Research in Aging Sciences) Centre for Aging Research.
Sponsors
Study design
Eligibility
Inclusion criteria
Residential Aged Care Facilities (RACF) located within Victoria. Access to the web application will be provided to health care professionals employed within participating RACFS.
Exclusion criteria
None.