Fall prevention implemented in primary healthcare

Fall prevention implemented in primary healthcare - Fall prevention in primary healthcare

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON48555

Enrollment

200

Registered

2019-06-18

Start date

2018-02-01

Completion date

Unknown

Last updated

2024-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

gevolgen van vallen (zeer divers

Interventions

A suitable and validated fall risk screening tool will be offered to GPs, practice nurses and home care providers. They will identify frail older people at risk of falling. Based on the patient*s ri

Fall prevention

fall risk

implementation in healthcare

Eligibility

Age

18 Years to 64 Years

Inclusion criteria

Inclusion criteria: Patients from GPs, practice nurses or home care providers who are frail and have an increased fall risk.

Exclusion criteria

Exclusion criteria: 1. Not classified as frail according to the TFI, TRAZAG Startdocument, own expertise or another frailty screening instrument, 2. Currently undertaking fall prevention interventions from a physio- or exercise therapist, 3. Moderate to severe communication restrictions or impairments, 4. According to their GP not healthy enough to participate in this study (e.g. life expectancy 2

Design outcomes

Primary

Measure	Time frame
The objective of this study is to evaluate if the implementation of a systematic and targeted screening of fall risk among independently living frail older people in primary care will result in more referrals to existing evidence-based fall preventive care. This will be evaluated with help of the RE-AIM model of Glasgow et al (1999): Reach, Effectiveness, Adoption, Implementation and Maintenance. Evaluation will take place at the level of the primary care provider (implementation index) in Part 1 and the level of the patient (patient-related outcome measures) in Part 2 of this study; In Part 1 of this research, the reach of the implementation strategy at the level of the primary care provider will be evaluated with the following outcome measures: 1. The percentage of vulnerable elderly screened for fall prevention care; 2. The percentage of screened vulnerable elderly eligible for a fall prevention program; 3. The percentage of eligible elderly for a fall prevention program that agreed with a referral to a fall prevention program 4. The percentage of vulnerable elderly that actually start the program 5. The percentage of vulnerable elderly that complete the program In Part 2 of this research, the effectiveness of the fall prevention implementation strategy on patient level will be assessed. In this part, based on the patient*s risk profile, patients are offered fall preventive treatment by their GP, practice nurse or home care provider like referral to an exercise program, treatment of urine incontinence, or perhaps an adjustment of medication. The group of patients who receive an exercise program are called group 1. The group of patients who are treated by their GP in example for urine incontinence or adjustment of medication, are called group 2. Patients from both groups can receive several fall preventive treatments, yet group 1 patients always receive an exercise program and group 2 patients do not. (see Figure 1. Overview procedures	—

Measure

Time frame

The objective of this study is to evaluate if the implementation of a systematic and targeted screening of fall risk among independently living frail older people in primary care will result in more referrals to existing evidence-based fall preventive care. This will be evaluated with help of the RE-AIM model of Glasgow et al (1999): Reach, Effectiveness, Adoption, Implementation and Maintenance. Evaluation will take place at the level of the primary care provider (implementation index) in Part 1 and the level of the patient (patient-related outcome measures) in Part 2 of this study; In Part 1 of this research, the reach of the implementation strategy at the level of the primary care provider will be evaluated with the following outcome measures: 1. The percentage of vulnerable elderly screened for fall prevention care; 2. The percentage of screened vulnerable elderly eligible for a fall prevention program; 3. The percentage of eligible elderly for a fall prevention program that agreed with a referral to a fall prevention program 4. The percentage of vulnerable elderly that actually start the program 5. The percentage of vulnerable elderly that complete the program In Part 2 of this research, the effectiveness of the fall prevention implementation strategy on patient level will be assessed. In this part, based on the patient*s risk profile, patients are offered fall preventive treatment by their GP, practice nurse or home care provider like referral to an exercise program, treatment of urine incontinence, or perhaps an adjustment of medication. The group of patients who receive an exercise program are called group 1. The group of patients who are treated by their GP in example for urine incontinence or adjustment of medication, are called group 2. Patients from both groups can receive several fall preventive treatments, yet group 1 patients always receive an exercise program and group 2 patients do not. (see Figure 1. Overview procedures

—

Secondary

Measure	Time frame
n.a.	—

Countries

The Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)