Dissemination of Injury Interventions

NCT00729521 | Completed Results

• 1 other identifier: PRO00007160
• Study Type: interventional
• Target: 35,037
• Locations: 1 country
• Sites: 1

Brief Summary

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

Conditions

Fall Injury

Keywords

Fall injury hospitalization; Fall injury emergency department visit; Fall injury death

Outcome Measures

Primary Outcomes (1)

• Emergency Department and In-patient Hospitalization for Fall Injury

  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.

  2007-2008; 2010-2011

Study Arms (3)

Control

NO INTERVENTION

a control group receiving no special resources or guidance related to fall injury prevention or the community health improvement process;

Standard Program

ACTIVE COMPARATOR

a "Standard Program" group receiving modest funding to implement an "evidence-based" fall prevention program in their local community;

Other: Standard Program

Facilitative System

EXPERIMENTAL

a "Facilitative System" group receiving facilitative system support in addition to the resources provided the Standard Program group

Other: facilitative system

Interventions

facilitative system OTHER

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.

Facilitative System

Standard Program OTHER

a "Standard Program" group receiving modest funding to implement an "evidence-based" fall prevention program in their local community;

Standard Program

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Communities interested in participating

You may not qualify if:

• Existing facilitative system in community

Sponsors & Collaborators

• Medical College of Wisconsin: lead

Study Sites (1)

Medical College of Wisconsin

Milwaukee, Wisconsin, 53226, United States

Location

Limitations and Caveats

E coding of injuries can be incomplete, but 99.7% of records with a diagnostic code in the range 800-995.89 had an E code. We may have included more than one admission for the same fall, but we excluded admissions from an acute care facility.

Results Point of Contact

• Title: Peter Layde, MD, MSc
• Organization: Medical College of Wisconsin

playde@mcw.edu

414-955-8113

Study Officials

• Peter M Layde, MD

  Medical College of Wisconsin

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: July 31, 2008
• First Posted: August 7, 2008
• Study Start: July 1, 2007
• Primary Completion: July 1, 2012
• Study Completion: July 1, 2012
• Last Updated: February 5, 2015
• Results First Posted: February 5, 2015

Record last verified: 2015-02

Locations

US (1)