falls
Conditions
Interventions
Intervention Group:The intervention group implements a fall risk stratification intervention strategy. Village doctors use a fall risk assessment tool developed by the project team to assess rural old
Control Group:Geriatric health management in routine basic public health services.
Sponsors
China Center for Health Development Studies, Peking University
Eligibility
Sex/Gender
All
Age
65 Years to 95 Years
Inclusion criteria
Inclusion criteria: 1. The qualitative study on risk factors for falls among rural older adults and the barriers and facilitators to implementing fall prevention initiatives includes village cadres, village doctors, and rural older adults as participants. Inclusion criteria for village cadres: 1) Holding a party or administrative position in the village for one year or more; 2) Providing informed consent and willing to participate voluntarily. Inclusion criteria for village doctors: 1) Providing medical and health services in the village for one year or more; 2) Providing informed consent and willing to participate voluntarily. Inclusion criteria for rural older adults: 1) Aged 65 years or older; 2) Residing in the rural area for 12 months or more; 3) Having experienced a fall in the past year; 4) Providing informed consent and willing to participate voluntarily. 2. The study on the development and refinement of the rural older adult fall risk assessment scale and the fall health literacy assessment scale involves experts for scale development and rural older adults for validity and reliability testing. Inclusion criteria for experts: 1) Holding a senior professional title. 2) Having 10 years or more of research or work experience related to falls; 3) Having published academic papers or led research projects related to falls; 4) Providing informed consent and willing to participate voluntarily in consultations. Inclusion criteria for rural older adults: 1) Aged 65 years or older; 2) Residing in the rural area for 12 months or more; 3) Providing informed consent and willing to participate voluntarily. 3. The intervention study on fall prevention among rural older adults employs a randomized controlled trial, involving clusters of rural areas and rural older adults as participants. Inclusion criteria for rural areas: 1) Having a village health clinic; 2) Village doctors actively cooperating and willing to participate voluntarily in the study. Inclusion criteria for rural older adults: 1) Aged 65 years or older; 2) Residing in the local area for six months or more; 3) Providing informed consent and willing to participate voluntarily.
Exclusion criteria
Exclusion criteria: The exclusion criteria for interviews and questionnaire surveys with rural older adults include those with severe hearing, vision, or speech impairments; those suffering from severe illnesses such as dementia or schizophrenia; and those who are disabled and unable to participate in the survey. For the intervention study, the exclusion criteria for intervention sites include administrative villages where the township government is located, as the joint office operations of village doctors and township health centers could introduce bias. Additionally, administrative villages with more than 200 or fewer than 100 older adults are excluded to ensure the efficiency and effectiveness of the fall intervention, considering that an insufficient or excessive sample size may affect outcomes. Villages that have previously conducted any form of fall-related education or intervention trials are also excluded. For rural older adults participating in the intervention study, the exclusion criteria include those with major illnesses such as cancer or stroke, those who are disabled, those with cognitive impairments, those with severe visual or perceptual impairments, and any other conditions that prevent participation in the intervention.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of falls within 12 months; | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of fall-related injuries in 12 months (including hospitalisation for falls, fractures);Fall health literacy;Quality of life;Activities of daily living; | — |
Countries
China
Contacts
Public ContactYao Yao
China Center for Health Development Studies, Peking University
Outcome results
None listed