Effectiveness of a multifactorial falls prevention program in community-dwelling older people when compared to usual care: study protocol for a randomised controlled trial (Prevquedas Brazil)

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art_SOARES_Effectiveness_of_a_multifactorial_falls_prevention_program_in_2013.PDF (430.98 KB)
Citações na Scopus
12
Tipo de produção
article
Data de publicação
2013
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
BIOMED CENTRAL LTD
Autores
CABRAL, Kelem de Negreiros
PERRACINI, Monica Rodrigues
STEIN, Francine de Cristo
TIEDEMANN, Anne
SHERRINGTON, Cathie
PASCHOAL, Sergio Marcio Pacheco
Citação
BMC GERIATRICS, v.13, article ID 27, 9p, 2013
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background: Falling in older age is a major public health concern due to its costly and disabling consequences. However very few randomised controlled trials (RCTs) have been conducted in developing countries, in which population ageing is expected to be particularly substantial in coming years. This article describes the design of an RCT to evaluate the effectiveness of a multifactorial falls prevention program in reducing the rate of falls in community-dwelling older people. Methods/design: Multicentre parallel-group RCT involving 612 community-dwelling men and women aged 60 years and over, who have fallen at least once in the previous year. Participants will be recruited in multiple settings in Sao Paulo, Brazil and will be randomly allocated to a control group or an intervention group. The usual care control group will undergo a fall risk factor assessment and be referred to their clinicians with the risk assessment report so that individual modifiable risk factors can be managed without any specific guidance. The intervention group will receive a 12-week Multifactorial Falls Prevention Program consisting of: an individualised medical management of modifiable risk factors, a group-based, supervised balance training exercise program plus an unsupervised home-based exercise program, an educational/behavioral intervention. Both groups will receive a leaflet containing general information about fall prevention strategies. Primary outcome measures will be the rate of falls and the proportion of fallers recorded by monthly falls diaries and telephone calls over a 12 month period. Secondary outcomes measures will include risk of falling, fall-related self-efficacy score, measures of balance, mobility and strength, fall-related health services use and independence with daily tasks. Data will be analysed using the intention-to-treat principle. The incidence of falls in the intervention and control groups will be calculated and compared using negative binomial regression analysis. Discussion: This study is the first trial to be conducted in Brazil to evaluate the effectiveness of an intervention to prevent falls. If proven to reduce falls this study has the potential to benefit older adults and assist health care practitioners and policy makers to implement and promote effective falls prevention interventions.
Palavras-chave
Accidental falls, Clinical trial, Aged, Exercise, Education
URI
https://observatorio.fm.usp.br/handle/OPI/1930
Referências
  1. Assantachai Prasert, 2002, Journal of the Medical Association of Thailand, V85, P215
  2. Beaglehole R, 2011, LANCET, V378, P449, DOI 10.1016/S0140-6736(11)60879-9
  3. BERG KO, 1992, CAN J PUBLIC HEALTH, V83, pS7
  4. Brucki SMD, 2003, ARQ NEURO-PSIQUIAT, V61, P777, DOI 10.1590/S0004-282X2003000500014
  5. Bunout D, 2005, AGE AGEING, V34, P80, DOI 10.1093/ageing/afi005
  6. Camargos FFO, 2010, REV BRAS FISIOTER, V14, P237, DOI 10.1590/S1413-35552010000300010
  7. Clemson L, 2004, J AM GERIATR SOC, V52, P1487, DOI 10.1111/j.1532-5415.2004.52411.x
  8. Costello E, 2008, J REHABIL RES DEV, V45, P1135, DOI 10.1682/JRRD.2007.10.0169
  9. CROSBY CA, 1994, J HAND SURG-AM, V19A, P665, DOI 10.1016/0363-5023(94)90280-1
  10. Cruz Danielle Teles da, 2012, Rev Saude Publica, V46, P138
  11. Deandrea S, 2010, EPIDEMIOLOGY, V21, P658, DOI 10.1097/EDE.0b013e3181e89905
  12. Gates S, 2008, BRIT MED J, V336, P130, DOI 10.1136/bmj.39412.525243.BE
  13. Gawryszewski VPMR, 2010, ACIDENTES VIOLENCIAS, P137
  14. Gillespie LD, 2009, COCHRANE DB SYST REV, DOI 10.1002/14651858.CD007146.pub2
  15. GURALNIK JM, 1994, J GERONTOL, V49, pM85
  16. Jitapunkul Sutthichai, 1998, Journal of the Medical Association of Thailand, V81, P352
  17. Lamb SE, 2005, J AM GERIATR SOC, V53, P1618, DOI 10.1111/j.1532-5415.2005.53455.x
  18. LIPSCHITZ DA, 1994, PRIMARY CARE, V21, P55
  19. Logan PA, 2010, BRIT MED J, V340, DOI 10.1136/bmj.c2102
  20. Lord SR, 2002, J GERONTOL A-BIOL, V57, pM539
  21. Malta DC, 2012, REV SAUDE PUBL, V46, P128, DOI 10.1590/S0034-89102012000100016
  22. Marsh AP, 2011, J GERONTOL A-BIOL, V66, P1376, DOI 10.1093/gerona/glr158
  23. Miyamoto ST, 2004, BRAZ J MED BIOL RES, V37, P1411, DOI 10.1590/S0100-879X2004000900017
  24. Moreland J, 2003, GERONTOLOGY, V49, P93, DOI 10.1159/000067948
  25. NEVITT MC, 1991, J GERONTOL, V46, pM164
  26. Panel on Prevention of Falls in Older Persons American Geriatrics Society and British Geriatrics Society, 2011, J AM GERIATR SOC, V59, P148
  27. Paradela EMP, 2005, REV SAUDE PUBL, V39, P918, DOI 10.1590/S0034-89102005000600008
  28. Perracini MR, 2002, REV SAUDE PUBL, V36, P709, DOI 10.1590/S0034-89102002000700008
  29. Ramos LR, 1998, REV SAUDE PUBL, V32, P397, DOI 10.1590/S0034-89101998000500001
  30. Roudsari BS, 2005, INJURY, V36, P1316, DOI 10.1016/j.injury.2005.05.024
  31. Rubenstein LZ, 2002, CLIN GERIATR MED, V18, P141, DOI 10.1016/S0749-0690(02)00002-2
  32. Rubenstein LZ, 2001, ANN INTERN MED, V135, P686
  33. SATTIN RW, 1992, ANNU REV PUBL HEALTH, V13, P489, DOI 10.1146/annurev.publhealth.13.1.489
  34. Schmidt MI, 2011, LANCET, V377, P1949, DOI 10.1016/S0140-6736(11)60135-9
  35. Sherrington C, 2008, J AM GERIATR SOC, V56, P2234, DOI 10.1111/j.1532-5415.2008.02014.x
  36. Sherrington Catherine, 2009, BMC Geriatr, V9, P8, DOI 10.1186/1471-2318-9-8
  37. Spice CL, 2009, AGE AGEING, V38, P33, DOI 10.1093/ageing/afn192
  38. Stevens J. A., 2006, Morbidity and Mortality Weekly Report, V55, P1221
  39. Tiedemann A, 2010, J GERONTOL A-BIOL, V65, P893, DOI 10.1093/gerona/glq067
  40. Tinetti ME, 2010, JAMA-J AM MED ASSOC, V303, P258, DOI 10.1001/jama.2009.2024
  41. Woo J, 2007, AGE AGEING, V36, P262, DOI 10.1093/ageing/afm005
  42. Yardley L, 2005, AGE AGEING, V34, P614, DOI 10.1093/ageing/afi196
  43. YESAVAGE JA, 1983, J PSYCHIAT RES, V17, P37, DOI 10.1016/0022-3956(82)90033-4

Coleções
Artigos e Materiais de Revistas Científicas - FM/MFT
Artigos e Materiais de Revistas Científicas - FM/MCM
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/22