Reducing home hazards to prevent falls in older people
| ISRCTN | ISRCTN07575807 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN07575807 |
| Secondary identifying numbers | N&AHP/04/023 |
- Submission date
- 10/05/2009
- Registration date
- 29/06/2009
- Last edited
- 23/02/2011
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English Summary
Not provided at time of registration
Contact information
Dr Alison Pighills
Scientific
Scientific
Hillside Bridge Health Centre
4 Butler Street West
Bradford
BD3 0BS
United Kingdom
| Phone | +44 (0)1274 777559 |
|---|---|
| alison.pighills@bradford.nhs.uk |
Study information
| Study design | Randomised controlled single centre trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Other |
| Study type | Prevention |
| Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet |
| Scientific title | Environmental assessment and modification to prevent falls in older people: a randomised controlled single centre trial |
| Study hypothesis | The null hypothesis was that there is no difference in outcome in people who receive occupational therapist-led environmental assessment aiming to reduce falls as compared to those who receive the same intervention from a trained assessor. The aim of this study was to pilot a randomised controlled trial to develop and test the methods to be used in a large multi-centre randomised controlled trial (RCT), which would investigate the clinical effectiveness of environmental assessment and modification in the prevention of falls in older people. The research questions were: 1. What is the best RCT design to investigate the clinical effectiveness of environmental assessment and modification? 2. Does environmental assessment and modification reduce fear of falling, a surrogate outcome, and subsequent falls? 3. Is environmental assessment and modification more effective if professionally prescribed by an occupational therapist than if provided by a trained assessor? |
| Ethics approval(s) | Airedale Research Ethics Committee gave approval on the 23rd September 2005 (ref: 05/Q1201/38) |
| Condition | Falls |
| Intervention | Participants were randomised to one of three groups: 1. OT-led environmental assessment 2. Trained assessor-led environmental assessment 3. Usual care control The Westmead Home Safety Assessment (WeHSA) was the primary focus of the intervention. A staff training programme was developed comprising of a workshop based on the content of the WeHSA manual. Thirteen occupational therapists and 13 non-professionally qualified staff who volunteered to deliver the trial intervention were trained. The environmental intervention was a one-off assessment of the participant's home environment. Following the assessment, potential falls hazards were discussed with the participant and recommendations made. The staff member carried out any action agreed. Assessment visits took between one and a half to two hours to conduct. A written summary of agreed recommendations was sent to the participant and a follow-up telephone contact was made after four weeks to check that the recommendations had been carried out. The control group received usual care; receipt of falls prevention interventions during the 12 month follow up period was monitored and controlled for in the analysis. Duration of intervention: Intervention arms: One-off assessment with 12 months follow up for falls Controls: Usual care with 12 months follow up for falls |
| Intervention type | Other |
| Primary outcome measure | Falls Efficacy Scale - International version, measured at baseline, 3, 6 and 12 months |
| Secondary outcome measures | 1. Falls, measured on a monthly basis for 12 months 2. Quality of life: 12-item short form health survey (SF-12) and EuroQol, measured at baseline, 3, 6 and 12 months 3. Activities of daily living - Barthel Index, measured at baseline, 3, 6 and 12 months |
| Overall study start date | 01/02/2006 |
| Overall study end date | 30/09/2007 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Senior |
| Sex | Both |
| Target number of participants | 227 participants |
| Participant inclusion criteria | Community dwelling people aged 70 or over (either sex) with a history of falls in the previous year living in the catchment area of Airedale NHS Trust |
| Participant exclusion criteria | 1. Have received an environmental assessment from an occupational therapist in the previous year 2. Currently receiving occupational therapy (OT) 3. Living in nursing or residential homes |
| Recruitment start date | 01/02/2006 |
| Recruitment end date | 30/09/2007 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
Hillside Bridge Health Centre
Bradford
BD3 0BS
United Kingdom
BD3 0BS
United Kingdom
Sponsor information
University of York (UK) - York Trials Unit
Not defined
Not defined
Heslington
York
YO10 5DD
United Kingdom
| Phone | +44 (0)1904 434401 |
|---|---|
| smf3@york.ac.uk | |
| Website | http://www.york.ac.uk/healthsciences/centres/trials/abouttheunit.htm |
"ROR" |
https://ror.org/04m01e293 |
Funders
Funder type
Government
National Institutes of Health Research (NIHR) (UK) - Research Capacity Development Programme: Nursing and Allied Health Professions fellowship awards (ref: 05/Q1201/38)
No information available
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | Not provided at time of registration |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | results | 01/01/2011 | Yes | No |
