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.
This study determined the effects and costs of a multifactorial, interdisciplinary team approach to falls prevention. Randomized controlled trial of 109 older adults who are at risk for falls. This was a six-month multifactorial and evidence-based prevention strategy involving an interdisciplinary team. The primary outcome was number of falls during the six-month follow-up. At six months, no difference in the mean number of falls between groups. Subgroup analyses showed that the intervention effectively reduced falls in men (75-84 years old) with a fear of falling or negative fall history. Number of slips and trips was greatly reduced; and emotional health had a greater improvement in role functioning related to emotional health in the intervention group. Quality of life was improved, slips and trips were reduced, as were falls among males (75-84 years old) with a fear of falling or negative fall history.
Markle-Reid
Maureen
M
McMaster University, School of Nursing, Hamilton, Ontario. mreid@mcmaster.ca
Browne
Gina
G
Gafni
Amiram
A
Roberts
Jacqueline
J
Weir
Robin
R
Thabane
Lehana
L
Miles
Melody
M
Vaitonis
Vida
V
Hecimovich
Catherine
C
Baxter
Pamela
P
Henderson
Sandra
S
D000058:Accidental Falls / Q000517:prevention & control*; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D004644:Emotions; D019317:Evidence-Based Medicine; D005239:Fear; D005260:Female; D006299:Health Services for the Aged / Q000458:organization & administration / Q000592:standards*; D006304:Health Status; D006699:Home Care Services / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D008297:Male; D010146:Pain; D010348:Patient Care Team; D010465:Perception; D012307:Risk Factors; D012727:Sex Characteristics