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Community-based intervention to optimise falls risk management: a randomised controlled trial.

P M Ciaschini¹, S E Straus, L R Dolovich

¹Algoma District Medical Group, Sault Ste. Marie, Canada.

|September 22, 2009

Summary

This study found that a community-based falls prevention program increased referrals to therapy but did not reduce falls in older adults. Therefore, similar interventions cannot be recommended for falls reduction.

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Area of Science:

Gerontology
Public Health
Preventive Medicine

Background:

Falls are a leading cause of accidental death and fractures in older adults.
Interventions to assess and reduce falls risk are underutilized in this population.

Purpose of the Study:

To evaluate a multifaceted community-based program designed to optimize the management of patients at risk for fall-related fractures.
Assessed the impact of evidence-based interventions on falls and fractures in older adults.

Main Methods:

A randomized trial conducted in Ontario, Canada, from 2003 to 2006.
Included 201 community-dwelling adults aged 55+ at risk for fall-related fractures.
Intervention components: falls risk assessment, functional status, home environment evaluation, and patient education.

Main Results:

The intervention significantly increased referrals to physiotherapy and occupational therapy compared to usual care.
No significant reduction in falls or fractures was observed at 6 or 12 months.
The intervention group experienced more falls at 12 months compared to the usual care group.

Conclusions:

A multifaceted community-based intervention increased access to allied health services but did not reduce falls in older adults.
The study suggests that similar falls reduction interventions may not be effective and cannot be recommended based on these findings.