A Randomized Trial of a Multifaceted Intervention to Reduce Falls Among Community-Dwelling Adults

Health Education and Behavior

Volumn 37, Issue 6, 2010, Pages 831-848

  Fox, Patrick J ^a   Vazquez, Laurie ^b   Tonner, Chris ^c   Stevens, Judy A ^d   Fineman, Norman ^a   Ross, Leslie K ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c Rheumatology Associates   (United States)

^d NATIONAL CENTER FOR INJURY PREVENTION AND CONTROL   (United States)

Author keywords

fall prevention; older adults; randomized controlled trial

Indexed keywords

EID: 78650092825     PISSN: 10901981     EISSN: 15526127     Source Type: Journal    
DOI: 10.1177/1090198110366003     Document Type: Article

References (52)

1. Alexander, N.B. (1996). Gait disorders in older adults. Journal of the American Geriatrics Society, 44, 434-451.
2. Aschkenasy, M.T., & Rothenhaus, T.C. (2006). Trauma and falls in the elderly. Emergency Medicine Clinics of North America, 24, 413-432.
3. Campbell, A.J., Robertson, M.C., Gardner, M.M., Norton, R.N., Tilyard, M.W., & Buchner, D.M. (1997). Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women. British Medical Journal, 315, 1065-1069.
4. Casteel, C., Lacsamana, C., Vazquez, L., & Kraus, J. (2004). Evaluation of a falls prevention program for independent elderly. American Journal of Health Behavior, 28(Suppl. 1), S51-S60.
5. Centers for Disease Control and Prevention. (2004). Strength training among adults aged > xbd=1536 xhg=1516 ybd=1234 yhg=1211/> 65 years- United States, 2001. Morbidity and Mortality Weekly Report, 53(2), 25-28.
6. Centers for Disease Control and Prevention. (2005). Falls among older adults: Summary of research findings. Retrieved from http://www.cdc.gov/ncipc/pub-res/toolkit/SummaryOfFalls.htm.
7. Centers for Disease Control and Prevention. (2007). Web-based injury statistics query and reporting system (WISQARS) [Database online]. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention (producer).
8. Chang, J.T., Morton, S.C., Rubenstein, L.Z., Mojica, W.A., Maglione, M., Suttorp, M.J.,et al.(2004). Interventions for the prevention of falls in older adults: Systematic review and meta-analysis of randomized clinical trials. British Medical Journal, 328, 680-683.
9. Close, J., Ellis, M., Hooper, R., Glucksman, E., Jackson, S., & Swift, C. (1999). Prevention of falls in the elderly trial (PROFET): A randomised controlled trial. Lancet, 353, 93-97.
10. Cumming, R.G., Thomas, M., Szonyi, G., Salkeld, G., O'Neill, E., Westbury, C., & Frampton, G. (1999). Home visits by an occupational therapist for assessment and modification of environmental hazards: A randomized trial of falls prevention. Journal of the American Geriatrics Society, 47, 1397-1402.
11. Day, L., Fildes, B., Gordon, I., Fitzharris, M., Flamer, H., & Lord, S. (2002). Randomised factorial trial of falls prevention among older people living in their own homes. British Medical Journal, 325, 128.
12. Elashoff, J. (1999). NQuery Advisor® Version 3.0. User's Guide. Los Angeles, CA: Los Angeles Statistical Solution.
13. Fox, P.J., Breuer, W., & Wright, J.A. (1997). The effects of a health promotion program on sustaining health behaviors in older adults. American Journal of Preventive Medicine, 14, 257-264.
14. Fuller, G. (2000). Falls in the elderly. American Family Physician, 61, 2159-2168, 2173-2174.
15. Gillespie, L.D., Gillespie, W.J., Robertson, M.C., Lamb, S.E., Cumming, R.G., & Rowe B.H. (2003). Interventions for preventing falls in elderly people. Cochrane Database of Systematic Reviews, 4, CD000340.
16. Guralnik, J.M., Branch, L.G., Cummings, S.R., & Curb, J.D. (1989). Physical performance measures in aging research. Journals of Gerontology, 44, M141-M146.
17. Hausdorff, J.M., Rios, D.A., & Edeber, H.K. (2001). Gait variability and fall risk in community-living older adults: A 1-year prospective study. Archives of Physical Medicine and Rehabilitation, 82(8), 1050-1056.
18. Hornbrook, M.C., Stevens, V.J., Wingfield, D.J., Hollis, J.F., Greenlick, M.R., & Ory, M.G. (1994). Preventing falls among community-dwelling older persons: Results from a randomized trial. The Gerontologist, 34, 16-23.
19. King, M.B., & Tinetti, M.E. (1995). Falls in community-dwelling older persons. Journal of the American Geriatrics Society, 43, 1146-1154.
20. Komara, F.A. (2005). The slippery slope: Reducing fall risk in older adults. Primary Care: Clinics in Office Practice, 32, 683-697.
21. Koval, K.J., Meek, R., Schemitsch, E., Liporace, F., Strauss, E., & Zuckerman, J.D. (2003). An AOA critical issue. Geriatric trauma: Young ideas. Journal of Bone & Joint Surgery (American), 85-A, 1380-1388.
22. Kramarow, E., Lentzner, H., Rooks, R., Weeks, J., & Saydah, S. (1999). Health and aging chartbook. Hyattsville, MD: National Center for Health Statistics.
23. Leipzig, R.M., Cumming, R.G., & Tinetti, M.E. (1999a). Drugs and falls in older people: A systematic review and meta-analysis: I. Psychotropic drugs. Journal of the American Geriatrics Society, 47, 30-39.
24. Leipzig, R.M., Cumming, R.G., & Tinetti, M.E. (1999b). Drugs and falls in older people: A systematic review and meta-analysis: II. Cardiac and analgesic drugs. Journal of the American Geriatrics Society, 47, 40-50.
25. Lord, S.R., Castell, S., Corcoran, J., Dayhew, J., Matters, B., Shan, A., & Williams, P. (2003). The effect of group exercise on physical functioning and falls in frail older people living in retirement villages: A randomized, controlled trial. Journal of the American Geriatrics Society, 51, 1685-1692.
26. Magaziner, J., Simonsick, E.M., Kashner, T.M., Hebel, J.R., & Kenzora, J.E. (1990). Predictors of functional recovery one year following hospital discharge for hip fracture: A prospective study. Journal of Gerontology, 45, M101-M107.
27. Morgan, R.O., Virnig, B.A., Duque, M., Abdel-Moty, E., & Devito, C.A. (2004). Low-intensity exercise and reduction of the risk for falls among at-risk elders. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 59, 1062-1067.
28. Nevitt, M.C., Cummings, S.R., & Hudes, E.S. (1991). Risk factors for injurious falls: A prospective study. Journals of Gerontology, 46, M164-M170.
29. Pawlson, L.F., Goodwin, M., & Keith, K. (1986). Wheelchair use by ambulatory nursing home residents. Journal of the American Geriatrics Society, 34, 860-864.
30. Province, M.A., Hadley, E.C., Hornbrook, M.C., Lipsitz, L.A., Miller, J.P., Mulrow, C.D.,et al.(1995). The effects of exercise on falls in elderly patients: A preplanned meta-analysis of the FICSIT trials. Journal of the American Medical Association, 273, 1341-1347.
31. RAND Corporation. (2003). Evidence report and evidence-based recommendations: Fall prevention interventions in the Medicare population (Contract number 500-98-0281). Santa Monica, CA: Southern California Evidence-Based Practice Center.
32. Rao, S.S. (2005). Prevention of falls in older patients. American Family Physician, 72(1), 81-88.
33. Robbins, A.S., Rubenstein, L.Z., Josephson, K.R., Schulman, B.L., Osterweil, D., & Fine, G. (1989). Predictors of falls among elderly people. Results of two population-based studies. Archives of Internal Medicine, 149, 1628-1633.
34. Rubenstein, L.Z., & Josephson, K.R. (2002). The epidemiology of falls and syncope. Clinics in Geriatric Medicine, 18, 141-158.
35. Rubenstein, L.Z., & Josephson, K.R. (2006). Falls and their prevention in elderly people: What does the evidence show? Medical Clinics of North America, 90, 807-824.
36. Rubenstein, L.Z., Robbins, A.S., Josephson, K.R., Schulman, B.L., & Osterweil, D. (1990). The value of assessing falls in an elderly population: A randomized clinical trial. Annals of Internal Medicine, 113, 308-316.
37. Shaw, F.E., Bond, J., Richardson, D.A., Dawson, P., Steen, I.N., McKeith, I.G., & Kenny, R.A. (2003). Multifactorial intervention after a fall in older people with cognitive impairment and dementia presenting to the accident and emergency department: Randomized controlled trial. British Medical Journal, 326, 73-78.
38. Sterling, D.A., O'Conner, J.A., & Bonadies, J. (2001). Geriatric falls: Injury severity is high and disproportionate to mechanism. Journal of Trauma, 50, 116-119.
39. Sudarsky, L. (1990). Geriatrics: Gait disorders in the elderly. New England Journal of Medicine, 322, 1441-1446.
40. Tinetti, M.E. (1986). Performance-oriented assessment of mobility problems in elderly patients. Journal of the American Geriatrics Society, 34, 119-126.
41. Tinetti, M.E. (2003). Clinical practice: Preventing falls in elderly persons. New England Journal of Medicine, 348, 42-49.
42. Tinetti, M.E., Baker, D.I., McAvay, G., Claus, E.B., Garrett, P., Gottschalk, M.,et al.(1994). A multifactorial intervention to reduce the risk of falling among elderly people living in the community. New England Journal of Medicine, 331, 821-827.
43. Tinetti, M.E., Doucette, J., Claus, E., & Marottoli, R. (1995). Risk factors for serious injury during falls by older persons in the community. Journal of the American Geriatrics Society, 43, 1214-1221.
44. Tinetti, M.E., Mendes de Leon, C.F., Doucette, J.T., & Baker, D.I. (1994). Fear of falling and fall-related efficacy in relationship to functioning among community-living elders. Journals of Gerontology, 49, M140-M147.
45. Tinetti, M.E., Speechley, M., & Ginter, S.F. (1988). Risk factors for falls among elderly persons living in the community. New England Journal of Medicine, 319, 1701-1707.
46. Todd, C., & Skelton, D. (2004). What are the main risk factors for falls among older people and what are the most effective interventions to prevent these falls? (Health Evidence Network report). Copenhagen, Denmark: WHO Regional Office for Europe. Retrieved from http://www.euro.who.int/document/E82552.pdf).
47. Vellas, B.J., Wayne, S.H., Romero, L.J., Baumgartner, R.N., & Garry, P.J. (1997). Fear of falling and restriction of mobility in elderly fallers. Age and Ageing, 26, 189-193.
48. Vyrostek, S.B., Annest, J.L., & Ryan, G.W. (2004). Surveillance for fatal and nonfatal injuries- United States, 2001. Morbidity and Mortality Weekly Report: Surveillance Summaries, 53(7), 1-57.
49. Wagner, E.H., LaCroix, A.Z., Grothaus, L., Leveille, S.G., Hecht, J.A., Artz, K.,et al.(1994). Preventing disability and falls in older adults: A population-based randomized trial. American Journal of Public Health, 84, 1800-1806.
50. Walker, J.E., & Howland, J. (1991). Falls and fear of falling among elderly persons living in the community: Occupational therapy interventions. American Journal of Occupational Therapy, 45, 119-122.
51. Wolf, S.L., Sattin, R.W., Kutner, M., O'Grady, M., Greenspan, A.I., & Gregor, R.J. (2003). Intense Tai Chi exercise training and fall occurrences in older, transitionally frail adults: A randomized, controlled trial. Journal of the American Geriatrics Society, 51, 1693-1701.
52. Zeger, S.L., & Liang, K. (1986). Longitudinal data analysis for discrete and continuous outcomes. Biometrics, 42, 121-130.