ACTRN12610000838011.
Study name | CONFABS study (Concord Falls and Bone Service) |
Methods | RCT |
Participants | N = 400 Sample: men and women Inclusion criteria: aged ≥ 65; ≥ 1 fall in preceding 12 months; community‐dwelling (house, flat, retirement village, hostel); independently mobile with or without walking aids; resident in the study area for the following 12 months Exclusion criteria: cognitive impairment MMSE < 20/30; terminal illness with life expectancy less than 12 months; Parkinson's disease or other neurodegenerative conditions; unable to understand English; had comprehensive Geriatric Assessment in the preceding 12 m; has not attended a General Practitioner in the preceding 12 months; no usual General Practitioner |
Interventions | Testing a service model for delivery of a fall prevention programme 1. Specialist Falls and Bone service ‐ co‐ordinated targeted multifactorial falls prevention interventions and adequate assessment and treatment of osteoporosis. Initial nurse assessment, geriatrician assessment at wk 2, wk 6, 4 months, 12 months. Treatment of osteoporosis (calcium and vitamin D), fall prevention co‐ordinated and arranged by the geriatrician (community‐based physiotherapists, occupational therapists, and podiatrists) etc. 2. General Practice (GP) co‐ordinated use of targeted multifactorial falls prevention interventions. Enhanced GP service model with falls risk assessment and generic advice provided by the research team for co‐ordination by the GP. The GP is the usual practitioner caring for the participant. There will be no specific GP education, but there exists ongoing education sessions given by the Principal Investigator to the local GP network as part of continuing medical education. |
Outcomes | 1. Rate of falls
2. Number of fallers 3. Number of injurious falls |
Starting date | 13 September 2010 |
Contact information | Dr Nichola Boyle Centre for Education and Research on Ageing Building 18, Concord Hospital Hospital Road Concord, NSW 2139, Australia Telephone: +61 2 9767 8356 Email: nichola.boyle@sydney.edu.au |
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