title: 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.
abstract: 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.
authors.affiliation: McMaster University, School of Nursing, Hamilton, Ontario. mreid@mcmaster.ca
authors.forename: Maureen
authors.initials: M
authors.lastname: Markle-Reid
authors.forename: Gina
authors.initials: G
authors.lastname: Browne
authors.forename: Amiram
authors.initials: A
authors.lastname: Gafni
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Roberts
authors.forename: Robin
authors.initials: R
authors.lastname: Weir
authors.forename: Lehana
authors.initials: L
authors.lastname: Thabane
authors.forename: Melody
authors.initials: M
authors.lastname: Miles
authors.forename: Vida
authors.initials: V
authors.lastname: Vaitonis
authors.forename: Catherine
authors.initials: C
authors.lastname: Hecimovich
authors.forename: Pamela
authors.initials: P
authors.lastname: Baxter
authors.forename: Sandra
authors.initials: S
authors.lastname: Henderson
mesh_terms: 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