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A multifactorial fall prevention programme in home-dwelling elderly people: a randomized-controlled trial.

N M Sjösten1, M Salonoja, M Piirtola

  • 1The Institute of Clinical Medicine, Family Medicine, University of Turku, Lemminkäisenkatu 1, 20014 Turku, Finland. nookau@utu.fi

Public Health
|February 27, 2007
PubMed
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This study successfully randomized participants into a multifactorial fall prevention trial, demonstrating effective implementation for future research on reducing fall risk factors.

Area of Science:

  • Gerontology
  • Public Health
  • Preventive Medicine

Background:

  • Falls are a significant health concern for older adults, leading to injuries and reduced quality of life.
  • Effective fall prevention strategies are crucial for maintaining independence and well-being in the elderly population.

Purpose of the Study:

  • To evaluate the implementation and impact of a multifactorial fall prevention program.
  • To assess the program's effects on fall risk factors, fall incidence, and injurious falls.
  • To describe the study design and confirm successful randomization.

Main Methods:

  • A randomized-controlled trial involving 591 participants aged 65 and over.
  • Participants were stratified by age and randomized into either an intensive prevention program or a one-time counseling control group.

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  • The intervention included comprehensive geriatric assessment, tailored guidance, exercise, and home hazard evaluation.

    • Main Results:

    • The study successfully randomized 293 participants to the prevention program and 298 to the control group.
    • Baseline characteristics were well-balanced, with a statistically significant difference only in the number of regularly taken medications.
    • The mean age was 73.5 years, and 84% of participants were women.

    Conclusions:

    • Successful randomization into the multifactorial fall prevention trial was achieved.
    • The study design and implementation provide a foundation for further investigation into fall prevention efficacy.