Community-based Falls Prevention Program for the Elderly
Background: Falls are the leading cause of injury among older adults in Singapore. However, far from being inevitable, falls among elderly are preventable and risk is predictable. Translating this understanding of falls etiology into an integrated clinical and public health program that is accessible to all elderly persons is a critical health services delivery challenge.
Hypothesis: An evidence-based program of screening, risk modification and physical therapy delivered in a community setting will reduce falls incidence among a high-risk group of elderly who have been recently transitioned from the hospital to the community.
Methodology: Randomized controlled trial. Patients transitioning from the hospital to the community will be identified at the Emergency Department. Eligible patients are those who are: 1) more than 65 years old, 2) discharged from the Emergency Department or hospital for a fall or injury related to a fall. The intervention is a multifactorial program of screening, risk modification and physical therapy focused on progressive strength, balance and gait training. It is provided as an individualized program or in a group setting in the community. The primary outcome measure is number of fallers assessed from a falls prevention diary maintained by (or for) each participant.
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Prevention
|Official Title:||Multifactorial, Evidence-based Program of Screening, Risk Modification and Physical Therapy to Prevent Falls Among Vulnerable Elderly Recently Discharged From Hospital to the Community.|
- The number of fallers who have fallen at least once during the 9-month intervention phase [ Time Frame: 9 months ] [ Designated as safety issue: No ]
- The number of injurious falls and healthcare utilization [ Time Frame: 9 months ] [ Designated as safety issue: No ]
|Study Start Date:||December 2012|
|Estimated Study Completion Date:||April 2015|
|Estimated Primary Completion Date:||April 2015 (Final data collection date for primary outcome measure)|
Experimental: Intervention Group
The intervention consists of a tailored physical therapy focused on progressive strength, balance and gait training for a period of 3 months.
Other: physical therapy
Tailored physical therapy sessions to modify impairments and transition participants to an evidence-based group exercise program.
Other Name: Falls Prevention
No Intervention: Control Group
Usual care by physician.
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Please refer to this study by its ClinicalTrials.gov identifier: NCT01713543
|Changi General Hospital|
|Singapore, Singapore, 529889|
|Singapore General Hospital|
|Singapore, Singapore, 169608|
|Principal Investigator:||David B Matchar, MD||Duke-NUS Graduate Medical School|