title: Effects of a one-year home-based case management intervention on falls in older people: a randomized controlled trial.
abstract: OBJECTIVE
  To investigate the effects of a home-based one-year case management intervention in older people with functional dependency and repeated contact with the health care services on self-reported falls and self-reported injurious falls.
  
  
  METHODS
  The study was a randomized controlled trial with repeated follow-ups. The sample (n = 153) was consecutively and randomly assigned to the intervention group (n = 80, mean age = 81.4 [SD 5.9]) or control group (n = 73, mean age = 81.6 [SD 6.8]). The intervention group received a case management intervention which comprised monthly home visits during 12 months by nurses and physiotherapists employing a multifactorial preventive approach.
  
  
  RESULTS
  In the intervention group, 96 falls occurred during the intervention period compared with 85 falls in the control group (p = .900). There were 40 and 38 injurious falls (p = .669) in the intervention and control groups, respectively.
  
  
  CONCLUSIONS
  This home-based case management intervention was not able to prevent falls or injurious falls.
authors.affiliation: Center for Primary Health Care Research, Faculty of Medicine, Lund University, Malmö, Sweden.
authors.forename: Ulrika Olsson
authors.initials: UO
authors.lastname: Möller
authors.forename: Jimmie
authors.initials: J
authors.lastname: Kristensson
authors.forename: Patrik
authors.initials: P
authors.lastname: Midlöv
authors.forename: Charlotte
authors.initials: C
authors.lastname: Ekdahl
authors.forename: Ulf
authors.initials: U
authors.lastname: Jakobsson
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D019090:Case Management / Q000458:organization & administration*; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006293:Health Promotion / Q000379:methods; D006699:Home Care Services / Q000458:organization & administration*; D006792:House Calls; D006801:Humans; D057187:Independent Living; D008297:Male; D011314:Preventive Health Services / Q000379:methods*; D018570:Risk Assessment; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000209:etiology / Q000517:prevention & control