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Steps to Avoid Falls in the Elderly - a TECHnology Enhanced Intervention (SAFE-TECH) study: randomized controlled

Wei Xuan Lai1, Vanessa Koh1,2, Jing Wen Goh3

  • 1Programme in Health Services and Systems Research (HSSR), Duke-NUS Medical School, 8 College Road, Singapore, 169857, Singapore.

BMC Public Health
|December 18, 2024
PubMed
Summary
This summary is machine-generated.

This study evaluates SAFE-TECH, a technology-enhanced falls prevention program for high-risk older adults. Findings will guide efforts to reduce falls and injuries in community-dwelling seniors.

Keywords:
Falls prevention interventionOlder adultsRandomised clinical trialStudy protocols

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Area of Science:

  • Gerontology
  • Public Health
  • Rehabilitation Science

Background:

  • Falls and fall-related injuries are a significant health concern for older adults in Singapore.
  • Existing multi-component falls prevention programs show mixed results for high-risk individuals due to heterogeneous risk factors.
  • Tailoring interventions for high-risk older adults is complex but crucial for effective falls prevention.

Purpose of the Study:

  • To evaluate the effectiveness of SAFE-TECH (Steps to Avoid Falls in the Elderly-a TECHnology enhanced intervention), an enhanced falls prevention program.
  • To address the heterogeneity of falls risk factors in older adults through personalized assessments and interventions.
  • To reduce falls and fall-related injuries among community-dwelling older adults at high risk.

Main Methods:

  • A 12-month randomized controlled trial involving 400 high-risk older adults (intervention vs. control).
  • Personalized intervention selection and tailoring based on gait variables from wearable sensors and questionnaire data.
  • A 12-week multi-domain, multi-component program including tailored exercises (strength, balance, coordination, flexibility, aerobic endurance) and educational sessions with personalized feedback.

Main Results:

  • Data collection includes functional status, physical performance, cognitive status, quality of life, medical history, fall status, healthcare utilization, physical activity, and exercise self-efficacy at baseline, 3, and 12 months.
  • Monthly phone calls to monitor fall status, healthcare utilization, physical activity, and exercise self-efficacy.
  • The study aims to determine the effectiveness of the tailored SAFE-TECH intervention compared to a control group.

Conclusions:

  • SAFE-TECH aims to improve falls prevention by personalizing interventions based on individual risk factors.
  • The program maintains the efficiency of group settings while addressing the heterogeneity of falls risk.
  • Findings will inform practical strategies to decrease falls and related injuries in community-dwelling older adults.