Dissemination of Injury Interventions

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Peter Layde, Medical College of Wisconsin
ClinicalTrials.gov Identifier:
NCT00729521
First received: July 31, 2008
Last updated: February 3, 2015
Last verified: February 2015

July 31, 2008
February 3, 2015
July 2007
July 2012   (final data collection date for primary outcome measure)
Emergency Department and In-patient Hospitalization for Fall Injury [ Time Frame: 2007-2008; 2010-2011 ] [ Designated as safety issue: No ]
Rates of fall injury diagnoses per 100 person-years (P-Y) were computed for the communities in each of the study groups for a 2 year baseline period, 2007-2008, and for a 2 year follow-up period corresponding to years 2010-2011. Change in fall injury rates and their 95% confidence intervals (CI) are reported. A mixed-effects Poisson regression model was used to test the presence of an interaction effect on the fall rate between study group and time period (baseline or follow-up). The test is intended to detect a differential time effect by study group. This model, with main effects for study group and time period and an interaction term, will be referred to as the primary model. Model coefficients and incidence rate ratios (IRR) with 95% confidence intervals (CI) are reported.
Emergency department and in-patient hospitalization for fall injury
Complete list of historical versions of study NCT00729521 on ClinicalTrials.gov Archive Site
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Dissemination of Injury Interventions
Facilitating Dissemination of Injury Interventions: A Randomized Controlled Trial

An important challenge for the field of injury prevention and control is the translation of research findings into effective community-based prevention programs and practices. The National Center for Injury Prevention and Control believes that dissemination research can overcome this challenge by providing insight into the structures and methods needed to translate injury control research into everyday practice. The proposed dissemination research study will rigorously assess whether the use of a "facilitative system" can successfully bridge the gap between injury prevention and control research and the implementation of evidence-driven, community-based programs, policies, and practices. The facilitative system links communities with academic partners to provide communities with the skills and resources needed to help facilitate the community health improvement process. The system identifies what assets are available within communities, as well as the skills and resources needed to work through the community health improvement process. The facilitative system will then provide technical assistance, best practices guides, and direct consultation in carrying out all phases of the community health improvement process. This information is designed to increase community capacity in community assessment, coalition development, accessing and interpreting local injury prevention data, searching and selecting evidence-based research, and program planning and evaluation. The study will use a randomized community trial design to evaluate fall injury occurrence and process measures of program implementation in three groups of communities:

  • a control group receiving no special resources or guidance related to fall injury prevention or the community health improvement process;
  • a "Standard Program" group receiving modest funding to implement an "evidence-based" fall prevention program in their local community;
  • a "Facilitative System" group receiving facilitative system support in addition to the resources provided the Standard Program group.

We hypothesize that the Facilitative System program will be more effective at:

  • reducing fall-related injuries in the elderly;
  • building community coalitions that are goal-oriented and sustainable;
  • implementing community-based, evidence-driven fall prevention programs that are both tailored to the community needs and yet faithful to empirically-tested fall prevention research studies
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Interventional
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Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Primary Purpose: Prevention
Fall Injury
  • Other: facilitative system
    The facilitative system links communities with academic partners to provide communities with the skills and resources needed to help facilitate the community health improvement process. The system identifies what assets are available within communities, as well as the skills and resources needed to work through the community health improvement process. The facilitative system will then provide technical assistance, best practices guides, and direct consultation in carrying out all phases of the community health improvement process. This information is designed to increase community capacity in community assessment, coalition development, accessing and interpreting local injury prevention data, searching and selecting evidence-based research, and program planning and evaluation.
  • Other: Standard Program
    a "Standard Program" group receiving modest funding to implement an "evidence-based" fall prevention program in their local community;
  • No Intervention: Control
    a control group receiving no special resources or guidance related to fall injury prevention or the community health improvement process;
  • Active Comparator: Standard Program
    a "Standard Program" group receiving modest funding to implement an "evidence-based" fall prevention program in their local community;
    Intervention: Other: Standard Program
  • Experimental: Facilitative System
    a "Facilitative System" group receiving facilitative system support in addition to the resources provided the Standard Program group
    Intervention: Other: facilitative system
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
35037
July 2012
July 2012   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Communities interested in participating

Exclusion Criteria:

  • Existing facilitative system in community
Both
65 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00729521
PRO00007160
No
Peter Layde, Medical College of Wisconsin
Medical College of Wisconsin
Not Provided
Principal Investigator: Peter M Layde, MD Medical College of Wisconsin
Medical College of Wisconsin
February 2015

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP