A Cluster, Randomized, Controlled Trial
- Ngaire Kerse MBChB, PhD,
- Meg Butler MPH,
- Elizabeth Robinson MSc,
- Maree Todd FRACP, MBChB
Article first published online: 30 MAR 2004
DOI: 10.1111/j.1532-5415.2004.52157.x
ABSTRACT:
Keywords:
- fall prevention;
- residential care;
- cluster randomized controlled trial
Objectives:
To establish the effectiveness of a fall-prevention program in reducing
falls and injurious falls in older residential care residents.
Design: Cluster, randomized, controlled trial.
Setting: Fourteen randomly selected residential care homes in Auckland, New Zealand.
Participants: All older residents (n=628, 95% participation rate).
Intervention:
Residential care staff, using existing resources, implemented
systematic individualized fall-risk management for all residents using a
fall-risk assessment tool, high-risk logo, and strategies to address
identified risks.
Measurements: Number of residents sustaining a fall, falls, and injurious-falls incidence rates.
Results:
During 12 months of follow-up, 103 (43%) residents in the control group
and 173 (56%) residents in the intervention group fell (P<.018).
There was a significantly higher incidence rate of falls in
intervention homes than in control homes (incident rate ratio=1.34, 95%
confidence interval=1.06–1.72) during the intervention period after
adjusting for dependency level (type of home), baseline fall rate, and
clustering. There was no difference in the injurious fall incidence rate
or incidence of serious injuries.
Full Text / pdf:
Kerse, N., Butler, M., Robinson, E. and Todd, M. (2004), Fall Prevention
in Residential Care: A Cluster, Randomized, Controlled Trial. Journal
of the American Geriatrics Society, 52: 524–531.
doi: 10.1111/j.1532-5415.2004.52157.x
http://ot.creighton.edu/community/EBLP/Question3/Kerse%202004%20Fall%20Prevention%20in%20Residential%20Care.pdf
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