A cluster randomised controlled trial of advice, exercise or multifactorial assessment to prevent falls and fractures in community-dwelling older adults: protocol for the prevention of falls injury trial (PreFIT)

BMJ Open
Julie BrucePreFIT Study Group

Abstract

Falls are the leading cause of accident-related mortality in older adults. Injurious falls are associated with functional decline, disability, healthcare utilisation and significant National Health Service (NHS)-related costs. The evidence base for multifactorial or exercise interventions reducing fractures in the general population is weak. This protocol describes a large-scale UK trial investigating the clinical and cost-effectiveness of alternative falls prevention interventions targeted at community dwelling older adults. A three-arm, pragmatic, cluster randomised controlled trial, conducted within primary care in England, UK. Sixty-three general practices will be randomised to deliver one of three falls prevention interventions: (1) advice only; (2) advice with exercise; or (3) advice with multifactorial falls prevention (MFFP). We aim to recruit over 9000 community-dwelling adults aged 70 and above. Practices randomised to deliver advice will mail out advice booklets. Practices randomised to deliver 'active' interventions, either exercise or MFFP, send all trial participants the advice booklet and a screening survey to identify participants with a history of falling or balance problems. Onward referral to 'active' interve...Continue Reading

References

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Citations

Oct 26, 2016·EBioMedicine·Nicholas D Clement
Jul 24, 2018·The Cochrane Database of Systematic Reviews·Sally HopewellSarah E Lamb
Jun 22, 2017·Praxis·Robert TheilerHeike Annette Bischoff-Ferrari
Feb 20, 2020·The New England Journal of Medicine·David A Ganz, Nancy K Latham
Jun 3, 2020·JAMA Network Open·Thomas M GillTerrence E Murphy
Jan 17, 2020·BMC Geriatrics·Solveig A ArnadottirUNKNOWN Pre-FIT Study Group
Nov 20, 2020·The New England Journal of Medicine·Sarah E LambUNKNOWN Prevention of Fall Injury Trial Study Group
Apr 20, 2021·Geriatrics & Gerontology International·Satoru EbiharaMidori Miyagi

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Methods Mentioned

BETA
X-ray
ICE

Clinical Trials Mentioned

ISRCTN71002650

Software Mentioned

PreFIT
FORMIC

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