Kenosha County Falls Prevention Study

Study Overview
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Brief Summary
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Intensive falls prevention programs have been shown to be effective in reducing falls; however, a number of practical programs, based in community setting have not been successful at reducing rate of falls. The purpose of this study was to test, in a randomized, controlled trial, the efficacy of this intermediate-intensity, individual, multifactorial model to reduce falls. It was hypothesized that more contacts would lead to greater adherence and efficacy in reducing falls.

Official Title
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Kenosha County Falls Prevention Study: An Intermediate-intensity, Community-based, Multifactorial Intervention

Conditions
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Accidental Falls

Intervention / Treatment
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* Behavioral: UW Falls Prevention Program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: aged 65 and older a history of two falls in the previous year or one fall in the previous two years with injury or gait and balance problems independently living in Kenosha County Exclusion Criteria: unable to give informed consent with no related caregiver in the home enrolled in hospice living in an assisted-living facility expecting to move away permanently from the area

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 1<br>Intermediate-intensity, community-based, multifactorial falls intervention | Behavioral: UW Falls Prevention Program<br>* The intervention model is of a community-based multifactorial intervention that links participants to existing medical care and service networks. The intervention used an algorithm based on the University of Wisconsin Falls Prevention Clinic, designed to identify predisposing factors for falls; induce risk reduction changes in medical conditions, medications, behavior, physical status, and home environment through recommendations to participants and their physicians; and make sure these changes are long-lasting through follow-up and linkages to other care networks.<br>|
| Active Comparator: 2<br>Occupational therapist home safety evaluation | Behavioral: UW Falls Prevention Program<br>* The intervention model is of a community-based multifactorial intervention that links participants to existing medical care and service networks. The intervention used an algorithm based on the University of Wisconsin Falls Prevention Clinic, designed to identify predisposing factors for falls; induce risk reduction changes in medical conditions, medications, behavior, physical status, and home environment through recommendations to participants and their physicians; and make sure these changes are long-lasting through follow-up and linkages to other care networks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| rate of falls |  | one year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| all-cause hospitalizations |  | one year | 
| nursing home utilizations: number of days and number of admissions |  | one year | 
| change in ADL function from baseline to one year |  | one year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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RCT, Accidental Falls, Age 65 and older, noninstitualized populations