RCT to Reduce Further Falls and Injuries for Older Fallers Presenting to an Emergency Department
RCT to Evaluate the Effectiveness of a Targeted and Personalised Multifactorial Program to Reduce Further Falls and Injuries for Community-Dwelling Older Fallers Presenting to and Being Discharged Directly From an Emergency Department.
1 other identifier
interventional
700
1 country
1
Brief Summary
This project is called "Falls Aren't Us" and aimed at evaluating the effectiveness of a customised falls prevention program for people aged 60 and over who were presented to the hospital Emergency Department following a fall and being discharged home. Recruitment for this randomized controlled trial has commenced in late December 2002 from several major public hospitals in the western, southern, and northern parts of Melbourne Metropolitan Region. Consented participants will receive a comprehensive falls risk assessment within one week of being discharged home from the Emergency Department and at twelve month following this initial assessment. Their falls risks will be monitored for twelve months through a falls diary. Following randomization, participants in the intervention group will receive a customised falls prevention program in addition to the usual care being put in place from the hospital Emergency Department.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Dec 2002
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2002
CompletedFirst Submitted
Initial submission to the registry
September 16, 2005
CompletedFirst Posted
Study publicly available on registry
September 22, 2005
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2006
CompletedOctober 4, 2006
September 1, 2005
September 16, 2005
October 3, 2006
Conditions
Outcome Measures
Primary Outcomes (1)
To evaluate the effectiveness of a customised multifactorial intervention in reducing falls and falls related injury rates, compared to "usual care".
Secondary Outcomes (4)
To accurately identify the circumstances, contributory factors and consequences of falls for older people presenting to Emergency Departments following a fall.
To evaluate the effectiveness of the intervention program in improving secondary health and well-being measures, including physical, psychological (fear of falling, depression), and quality of life indices.
To identify the physical, functional, and cognitive (executive function) parameters most strongly associated with good outcomeTo conduct an economic evaluation of the interventions and outcomes.
To provide guidelines for future management of high risk older people presenting to Emergency departments.
Interventions
Eligibility Criteria
You may qualify if:
- presenting to the Emergency Department with the primary cause of presentation being a fall; aged 60 years or older;
- discharged directly home following emergency care; living in the community or a retirement village; willing to take part in the study;
- able to provide informed consent or has consent provided by a third party; able to comply with simple instructions;
- able to walk independently indoors with or without a gait aid.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
National Ageing Research Institute
Melbourne, Victoria, 3052, Australia
Study Officials
- PRINCIPAL INVESTIGATOR
Keith D Hill, PhD
National Ageing Research Institute
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
September 16, 2005
First Posted
September 22, 2005
Study Start
December 1, 2002
Study Completion
December 1, 2006
Last Updated
October 4, 2006
Record last verified: 2005-09