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Age Ageing. 2004 Nov;33(6):596-602. Epub 2004 Sep 20.

Falls prevention in residential care homes: a randomised controlled trial.

Author information

1
Royal United Hospital Bath NHS Trust, Combe Park, Bath BA1 5HP, UK. chris.dyer@ruh-bath.swest.nhs.uk

Abstract

OBJECTIVE:

to determine the effect of risk factor modification and balance exercise on falls rates in residential care homes.

DESIGN:

cluster randomised controlled trial.

PARTICIPANTS:

196 residents (aged 60 years or over) in 20 residential care homes were enrolled (38% response rate). Homes were randomly allocated to intervention and control arms. A total of 102 residents were consigned to the intervention arm and 94 to the control arm.

INTERVENTION:

a multifactorial falls prevention programme including 3 months gait and balance training, medication review, podiatry and optometry.

MAIN OUTCOME MEASURES:

number of falls/recurrent falls per person, number of medications per person, and change in Tinetti gait and balance measure.

RESULTS:

in the intervention group there was a mean of 2.2 falls per resident per year compared with 4.0 in the control group; this failed to reach statistical significance (P = 0.2) once the intra-cluster correlation (ICC, 0.10) had been accounted for. Several risk factors were reduced in the intervention arm.

CONCLUSIONS:

falls risk factor reduction is possible in residents of care homes. A modest reduction in falls rates was demonstrated but this failed to reach statistical significance.

PMID:
15381507
DOI:
10.1093/ageing/afh204
[Indexed for MEDLINE]

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