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

Anna Barker, Peter Cameron, Keith David Hill, Leon Flicker, Terrence Peter Haines, Judy Lowthian, Nicholas G Waldron, Glenn Arendts, Julie Redfern, Andrew Benjamin Forbes, Caroline Anne Brand, Christoper Etherton-Beer, Ann-Marie Hill, Peter Hunter, Simon Robert Nyman, Devilliers Smit

Research output: Contribution to journalArticleOther

15 Citations (Scopus)

Abstract

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).
Original languageEnglish
Pages (from-to)1 - 7
Number of pages7
JournalInjury Prevention
Volume21
Issue number1
DOIs
Publication statusPublished - 2015

Cite this

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title = "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",
abstract = "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).",
author = "Anna Barker and Peter Cameron and Hill, {Keith David} and Leon Flicker and Haines, {Terrence Peter} and Judy Lowthian and Waldron, {Nicholas G} and Glenn Arendts and Julie Redfern and Forbes, {Andrew Benjamin} and Brand, {Caroline Anne} and Christoper Etherton-Beer and Ann-Marie Hill and Peter Hunter and Nyman, {Simon Robert} and Devilliers Smit",
year = "2015",
doi = "10.1136/injuryprev-2014-041271",
language = "English",
volume = "21",
pages = "1 -- 7",
journal = "Injury Prevention",
issn = "1353-8047",
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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. / Barker, Anna; Cameron, Peter; Hill, Keith David; Flicker, Leon; Haines, Terrence Peter; Lowthian, Judy; Waldron, Nicholas G; Arendts, Glenn; Redfern, Julie; Forbes, Andrew Benjamin; Brand, Caroline Anne; Etherton-Beer, Christoper; Hill, Ann-Marie; Hunter, Peter; Nyman, Simon Robert; Smit, Devilliers.

In: Injury Prevention, Vol. 21, No. 1, 2015, p. 1 - 7.

Research output: Contribution to journalArticleOther

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).

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U2 - 10.1136/injuryprev-2014-041271

DO - 10.1136/injuryprev-2014-041271

M3 - Article

VL - 21

SP - 1

EP - 7

JO - Injury Prevention

JF - Injury Prevention

SN - 1353-8047

IS - 1

ER -