Prevention of Falls in General Practitioner for Community-dwelling Older Adults [PreFalls]
The primary aim of this two-year project for falls prevention is to reduce number of falls and fall incidence in community-dwelling people of 65 years and older in the setting of general practitioners. In addition a reduction of fall-related injuries, reduction of fall-related risk factors and preservation of Quality of Life is to be achieved.
A second goal of this study is the implementation of standardized assessment for fall risk factors as well as building up a network between instructors for fall prevention exercise and general practitioners.
|Accidental Falls/Prevention & Control Risk Assessment General Practitioner Education Humans Multicenter Study Randomized Controlled Trial||Other: Exercise intervention||Phase 4|
|Study Design:||Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Prevention
|Official Title:||Prevention of Falls in Community-dwelling Older Adults by a Standardized Assessment of Fall Risks in the General Practitioner Setting and Through Implementation of a Network for Effective Individual Reduction on Fall Risks.|
- Primary outcomes are number of falls and falls rates as well as number and incidence of injurious falls measured by monthly fall calendars [ Time Frame: 24 months ]
- Secondary endpoints are a reduction in fear of falling, a reduction in risk of falling in the physical dimensions e.g. strength, balance and function, the preservation of quality of life and the preservation or increase in physical activity. [ Time Frame: 24 months ]
|Study Start Date:||April 2009|
|Study Completion Date:||March 2012|
|Primary Completion Date:||September 2011 (Final data collection date for primary outcome measure)|
No Intervention: observational
Control group: followed by monthly falls calenders and four testing periods
Experimental: Exercise group
16 week intervention, and followed by monthly fall calenders as well as 4 testing periods
Other: Exercise intervention
16 week exercise once a week of 60 minutes intervention by trained fall prevention instructors and a home program.
Intervention includes strength/power training, balance/gait training, behavioral aspects and perceptual and functional training.
Health related consequences of falls are underestimated. In comparison to different health related risk factors like hypertension etc. falls and their risks are being underestimated by many physicians. Regardless of the high relevance of falls for the elderly as well as the Health Care System, risk of falling is only rarely being assessed. The reasons for this are manifold. Insufficient assessment of risk of falling are one of the reasons. Many registered doctors with their own practice do not use a standardized assessment of risk of falling that is quick and effective. Additionally, patients rarely report occurred falls to their physicians because they don't know the implications or are afraid of subsequently losing their independence.
Physicians already assessing their senior patients' risk of falling lack the possibility to assign them to according ambulatory interventions since these scarcely exist in Bavaria. Chances for improvement are: standardized assessment of risk of falling needed to uncover senior patients' risk of falling quickly, reliably and efficiently at their family physician's. At the same time area-wide programs to effectively reduce falls by targeting individual behavior as well as general conditions must be provided to maintain the independence of individual senior citizens.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01032252
|Department of Medicine, Division of Prevention and Sports Medicine TU Munich|
|Munich, Germany, 80809|
|Principal Investigator:||Monika Siegrist, PhD||Department of Medicine, Division of Prevention and Sports Medicine TU Munich|
|Principal Investigator:||Ellen Freiberger, PhD||Department of Sport Science, University of Erlangen-Nürnberg|