NCT00463658

Brief Summary

With an aging population, an associated increase in the number of falls and fall injuries, there is a need to examine how health care services, such as home care, can best prevent falls among older people. This project will directly address this area by evaluating the effects and expense of an innovative approach to home care service delivery for older people at-risk for falls.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
109

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started May 2006

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 1, 2006

Completed
12 months until next milestone

First Submitted

Initial submission to the registry

April 18, 2007

Completed
2 days until next milestone

First Posted

Study publicly available on registry

April 20, 2007

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2007

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2007

Completed
Last Updated

May 7, 2008

Status Verified

May 1, 2008

Enrollment Period

1.3 years

First QC Date

April 18, 2007

Last Update Submit

May 5, 2008

Conditions

Injuries

Keywords

FallsHome CareAging PopulationClinical EffectivenessHealth Economics

Outcome Measures

Primary Outcomes (1)

  • Number of self-reported falls: Falls surveillance report

    10 minutes

Secondary Outcomes (8)

  • Health-Related Quality of Life and Function: SF-36 Health Survey

    15-20 minutes

  • Gait and Balance: Performance-Oriented Mobility Assessment

    10 minutes

  • Depression: Centre for Epidemiological Studies in Depression Scale

    5-10 minutes

  • Standardized Mini Mental State Examination

    20-25 minutes

  • Confidence in Performing Activities of Daily Living: Modified Falls Efficacy Scale

    5-10 minutes

  • +3 more secondary outcomes

Study Arms (2)

1

EXPERIMENTAL

Subjects in the interdisciplinary group received home care services from a team of professional service providers (CCAC Case Manager, Registered Nurse, Occupational Therapist, Physiotherapist, Registered Dietician) with experience and training in falls prevention. The team provided a comprehensive, coordinated and evidence based approach to falls prevention through regular home visits, weekly case conferencing, a single accessible fall prevention plan,and joint client visits.

Other: Falls Prevention

2

NO INTERVENTION

Participants allocated to the control group received standard home care services arranged by the CCAC. These include routine follow-up by the CCAC case manager whose focus is on assessing client's eligibility for in-home health services, arrangement and coordination of professional (i.e. nursing, occupational therapy, physiotherapy, social work, speech-language pathology, nutrition) and non-professional HSS, information and referral to community agencies, and ongoing monitoring and evaluating the plan of care through in-home assessments with clients.

Interventions

Falls PreventionOTHER

Subjects in the interdisciplinary group will receive home care services from a team of professional service providers (CCAC Case Manager, Public Health Nurse (Registered Nurse), Occupational Therapist, Physiotherapist, Nutritionist) with experience and training in falls prevention. The team will provide a comprehensive, coordinated and evidence based approach to falls prevention through weekly case conferencing, a written interdisciplinary care plan, and joint client visits.

Also known as: Interdisciplinary Falls Prevention Team
1

Eligibility Criteria

Age75 Years+
Sexall
Healthy VolunteersNo
Age GroupsOlder Adult (65+)

You may qualify if:

  • Must be English speaking
  • years of age and over
  • Newly referred to and eligible for personal support services
  • Living at home in the community
  • Identified as being at risk for falls

You may not qualify if:

  • Refusal to give informed consent
  • Unable to read/write English and a translator is not available

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

McMaster University - Faculty of Health Sciences at Frid

Hamilton, Ontario, L8P 4M3, Canada

Location

Related Publications (3)

  • Isaranuwatchai W, Perdrizet J, Markle-Reid M, Hoch JS. Cost-effectiveness analysis of a multifactorial fall prevention intervention in older home care clients at risk for falling. BMC Geriatr. 2017 Sep 1;17(1):199. doi: 10.1186/s12877-017-0599-9.

    PMID: 28863774DERIVED

  • Markle-Reid M, Browne G, Gafni A, Roberts J, Weir R, Thabane L, Miles M, Vaitonis V, Hecimovich C, Baxter P, Henderson S. The effects and costs of a multifactorial and interdisciplinary team approach to falls prevention for older home care clients 'at risk' for falling: a randomized controlled trial. Can J Aging. 2010 Mar;29(1):139-61. doi: 10.1017/S0714980809990377.

    PMID: 20202271DERIVED

  • Markle-Reid M, Browne G, Gafni A, Roberts J, Weir R, Thabane L, Miles M, Vaitonis V, Hecimovich C, Baxter P, Henderson S. A cross-sectional study of the prevalence, correlates, and costs of falls in older home care clients 'at risk' for falling. Can J Aging. 2010 Mar;29(1):119-37. doi: 10.1017/S0714980809990365.

    PMID: 20202270DERIVED

MeSH Terms

Conditions

Wounds and Injuries

Study Officials

  • Maureen Markle-Reid, RN MScN PhD

    School of Nursing, McMaster University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER

Study Record Dates

First Submitted

April 18, 2007

First Posted

April 20, 2007

Study Start

May 1, 2006

Primary Completion

August 1, 2007

Study Completion

August 1, 2007

Last Updated

May 7, 2008

Record last verified: 2008-05

Locations

CA(1)