Falls prevention in residential care homes: a randomised controlled trial

C A E Dyer, G J Taylor, M Reed, C A Dyer, D R Robertson, R Harrington

Research output: Contribution to journalArticle

70 Citations (Scopus)

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.
Original languageEnglish
Pages (from-to)596-602
Number of pages7
JournalAge and Ageing
Volume33
Issue number6
DOIs
Publication statusPublished - 2004

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Home Care Services
Randomized Controlled Trials
Gait
Podiatry
Optometry
Risk Reduction Behavior
Outcome Assessment (Health Care)
Control Groups

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Dyer, C. A. E., Taylor, G. J., Reed, M., Dyer, C. A., Robertson, D. R., & Harrington, R. (2004). Falls prevention in residential care homes: a randomised controlled trial. Age and Ageing, 33(6), 596-602. https://doi.org/10.1093/ageing/afh204

Falls prevention in residential care homes: a randomised controlled trial. / Dyer, C A E; Taylor, G J; Reed, M; Dyer, C A; Robertson, D R; Harrington, R.

In: Age and Ageing, Vol. 33, No. 6, 2004, p. 596-602.

Research output: Contribution to journalArticle

Dyer, CAE, Taylor, GJ, Reed, M, Dyer, CA, Robertson, DR & Harrington, R 2004, 'Falls prevention in residential care homes: a randomised controlled trial', Age and Ageing, vol. 33, no. 6, pp. 596-602. https://doi.org/10.1093/ageing/afh204
Dyer CAE, Taylor GJ, Reed M, Dyer CA, Robertson DR, Harrington R. Falls prevention in residential care homes: a randomised controlled trial. Age and Ageing. 2004;33(6):596-602. https://doi.org/10.1093/ageing/afh204
Dyer, C A E ; Taylor, G J ; Reed, M ; Dyer, C A ; Robertson, D R ; Harrington, R. / Falls prevention in residential care homes: a randomised controlled trial. In: Age and Ageing. 2004 ; Vol. 33, No. 6. pp. 596-602.
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