Effectiveness of PDSAFE to prevent falls among people with Parkinson’s disease

Conditions

Topic: Dementias and neurodegeneration

Xin Y, Ashburn A, Pickering RM, Seymour KC, Hulbert S, Fitton C, Kunkel D, Marian I, Roberts HC, Lamb SE, Goodwin VA, Rochester L, McIntosh E, PDSAFE Collaborative group.

2020-08-117 citations

10.1186/s12883-020-01852-8

Exercise- and strategy-based physiotherapy-delivered intervention for preventing repeat falls in people with Parkinson’s: the PDSAFE RCT

Ann Ashburn, Ruth Pickering, Emma McIntosh, Sophia Hulbert, Lynn Rochester et al. (12 authors)

Health Technology Assessment2019-07-0184 citations

10.3310/hta23360

Multicentre, randomised controlled trial of PDSAFE, a physiotherapist-delivered fall prevention programme for people with Parkinson’s

Kim Chivers Seymour, Ruth Pickering, Lynn Rochester, Helen C. Roberts, Claire Ballinger et al. (14 authors)

Journal of Neurology Neurosurgery & Psychiatry2019-04-0390 citations

10.1136/jnnp-2018-319448

A multi-centre, randomised controlled trial of the effectiveness of PDSAFE to prevent falls among people with Parkinson's: study protocol.

Goodwin VA, Pickering R, Ballinger C, Roberts H, McIntosh E, Lamb S, Nieuwboer A, Rochester L, Ashburn A, PDSAFE Protocol Development Group.

2015-05-158 citations

10.1186/s12883-015-0332-2

Interventions

We will recruit 600 to the pre-randomisation falls collection period, we estimate with drop outs approximately 540 will be randomly allocated to one of two groups

intervention or control. Allocation will be stratified by centre and allocated in blocks with random size of 2, 4,6 or 8. The treating therapist will access allocation on the CTU website.

DVD will be developed with the PwPD. The frequency of the intervention sessions will be faded over time, one hour twice a week for 2 month, once a week for 2 months followed by once a month for 3 mont

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1.They have a confirmed diagnosis of Parkinson's disease 2. Live at home 3. Have experienced at least one fall in the previous 12 months 4. Able to give informed consent 5. Able to understand and follow commands 6. Able to complete a programme of exercises 7. Be willing to participate Target Gender: Male & Female; Lower Age Limit 18 years

Exclusion criteria

Exclusion criteria: People who live in nursing homes and those who are not independently mobile, i.e. in need of assistance to walk inside or rated the highest (worst) on the Hoehn & Yahr disease severity scale, will be excluded.

Design outcomes

Primary

Measure	Time frame
Risk of repeat falling between 0-6 months. Fall data will be collected through self-completed monthly diary sheets from baseline to 12 months post-randomisation.	—

Secondary

Measure	Time frame
Secondary outcomes will include: 1. Risk of repeat falling 6-12 months 2. Rate of falling 0-6 and 6-12 months 3. Injurious falls and near falls (from the fall diary) 4. A measure of balance, turning, mobility and quality of life 5. Individual levels of activity will be recorded using the Phone-FITT questionnaire	—

Countries

United Kingdom

Outcome results

None listed