TY - JOUR
T1 - RESPOND - a patient-centred programme to prevent secondary falls in older people presenting to the emergency department with a fall: protocol for a multicentre randomised controlled trial
AU - Barker, Anna
AU - Cameron, Peter
AU - Hill, Keith David
AU - Flicker, Leon
AU - Haines, Terrence Peter
AU - Lowthian, Judy
AU - Waldron, Nicholas G
AU - Arendts, Glenn
AU - Redfern, Julie
AU - Forbes, Andrew Benjamin
AU - Brand, Caroline Anne
AU - Etherton-Beer, Christoper
AU - Hill, Ann-Marie
AU - Hunter, Peter
AU - Nyman, Simon Robert
AU - Smit, Devilliers
PY - 2015
Y1 - 2015
N2 - INTRODUCTION:
Participation in falls prevention activities by older people following presentation to the emergency department (ED) with a fall is suboptimal. This randomised controlled trial (RCT) will test the RESPOND programme, an intervention designed to improve older persons participation in falls prevention activities through delivery of patient-centred education and behaviour change strategies.
DESIGN AND SETTING:
A RCT at two tertiary referral EDs in Melbourne and Perth, Australia.
PARTICIPANTS:
528 community-dwelling people aged 60-90 years presenting to the ED with a fall and discharged home will be recruited. People who require an interpreter or hands-on assistance to walk; live in residential aged care or >50 km from the trial hospital; have terminal illness, cognitive impairment, documented aggressive behaviour or a history of psychosis; are receiving palliative care or are unable to use a telephone will be excluded.
METHODS:
Participants will be randomly allocated to the RESPOND intervention or standard care control group. RESPOND incorporates (1) a home-based risk factor assessment; (2) education, coaching, goal setting and follow-up telephone support for management of one or more of four risk factors with evidence of effective interventions and (3) healthcare provider communication and community linkage delivered over 6 months. Primary outcomes are falls and fall injuries per person-year.
DISCUSSION:
RESPOND builds on prior falls prevention learnings and aims to help individuals make guided decisions about how they will manage their falls risk. Patient-centred models have been successfully trialled in chronic and cardiovascular disease; however, evidence to support this approach in falls prevention is limited.
TRIAL REGISTRATION NUMBER:
The protocol for this study is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12614000336684).
AB - INTRODUCTION:
Participation in falls prevention activities by older people following presentation to the emergency department (ED) with a fall is suboptimal. This randomised controlled trial (RCT) will test the RESPOND programme, an intervention designed to improve older persons participation in falls prevention activities through delivery of patient-centred education and behaviour change strategies.
DESIGN AND SETTING:
A RCT at two tertiary referral EDs in Melbourne and Perth, Australia.
PARTICIPANTS:
528 community-dwelling people aged 60-90 years presenting to the ED with a fall and discharged home will be recruited. People who require an interpreter or hands-on assistance to walk; live in residential aged care or >50 km from the trial hospital; have terminal illness, cognitive impairment, documented aggressive behaviour or a history of psychosis; are receiving palliative care or are unable to use a telephone will be excluded.
METHODS:
Participants will be randomly allocated to the RESPOND intervention or standard care control group. RESPOND incorporates (1) a home-based risk factor assessment; (2) education, coaching, goal setting and follow-up telephone support for management of one or more of four risk factors with evidence of effective interventions and (3) healthcare provider communication and community linkage delivered over 6 months. Primary outcomes are falls and fall injuries per person-year.
DISCUSSION:
RESPOND builds on prior falls prevention learnings and aims to help individuals make guided decisions about how they will manage their falls risk. Patient-centred models have been successfully trialled in chronic and cardiovascular disease; however, evidence to support this approach in falls prevention is limited.
TRIAL REGISTRATION NUMBER:
The protocol for this study is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12614000336684).
UR - http://injuryprevention.bmj.com/content/21/1/e1.full.pdf+html
U2 - 10.1136/injuryprev-2014-041271
DO - 10.1136/injuryprev-2014-041271
M3 - Article
SN - 1475-5785
VL - 21
SP - 1
EP - 7
JO - Injury Prevention
JF - Injury Prevention
IS - 1
ER -
