Health Condition 1: Z918- Other specified personal risk factors, not elsewhere classified
Conditions
Interventions
Intervention1: SAFE- module (Screening and Behavioral Adaptation for Fall-prevention in the Elderly: A risk stratified, colour coded, structured, multifactorial behavioral adaptation and education pro
Sponsors
Anurag Lahiri
Eligibility
Inclusion criteria
Inclusion criteria: 1. Community-dwelling individuals aged 60 years and 6 months or above. 2. Non-bedridden or functional community-dwelling individuals, encompassing a broad spectrum of health statuses, including those with nutritional deficiencies, cognitive impairments, environmental risk factors, or pre-existing chronic conditions. 3. Residing in the study area for the past 7 months with plans to remain for the next 12 months, atleast. 4. Willing to provide written informed consent.
Exclusion criteria
Exclusion criteria: 1. Individuals who are completely bedridden or severely paralyzed. 2. Individuals with acute life-threatening medical or surgical emergencies at the time of recruitment. 3. Inability to provide minimal relevant details: Individuals (or their primary caregivers) who are unable or unwilling to complete the baseline screening questionnaire. 4. Severe cognitive impairment: individuals unable to understand the study requirements or follow the behaviour intervention instructions. 5. Multiple participants from the same household: To maximize the geographic capture area and minimize inter-group contamination, only one eligible individual per household (selected via lottery if multiple are eligible) will be included.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Difference in the mean change of Fall Risk scores between the intervention and control arms.Timepoint: From baseline to 6 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of falls (Number of fall events) - comparison of retrospective (past 6 months) vs prospective (future 6 months) fall incidenceTimepoint: 6 months post intervention;Estimation of factors influencing fall risk - Identification and comparison of socio-economic, physical, environmental, behavioural and other risk factors between two study armsTimepoint: Post 6 months follow up;Feasibility of complex task delivery by ASHAsTimepoint: Throughout the 1-month intervention and 6-month follow-up;Validity and reliability of developed questionnaireTimepoint: At baseline and after 6 months follow up;Effectiveness of ASHA-led, community-based behavioral adaptation in mitigating falls andmfall-related morbidity- Evaluation of a low-cost, scalable grassroots model delivered by community health workers (ASHAs) to reduce fall events and improve safety practices without clinical procedures.Timepoint: End of 6 month follow up | — |
Countries
India
Contacts
Public ContactAnurag Lahiri
Medical College, Kolkata
Outcome results
None listed