Abstract
Background
Falls and fall-related injuries in older adults are a leading cause of disability and death. Evidence has shown the benefits of exercises in improving functional outcomes and reducing fall rates among community-dwelling older adults. However, there is lack of effective community-based single exercise intervention for a broad population of older adults who are at high risk for falls. We aim to evaluate the effectiveness of Steady Feet (SF), a 6-month tailored community fall prevention exercise programme for improving functional outcomes. SF classes are facilitated by community fitness instructors and an exercise video. The main outcome is between-group changes in short physical performance battery (SPPB) scores. Secondary outcomes include balance confidence, fear of falling, quality of life, fall rates, and cost effectiveness.
Methods
We present the design of a 6-month randomised controlled trial of 260 older adults (≥ 60 years old). Individuals will be randomised in a 1:1 allocation ratio to the SF group or usual care group. Participants will be assessed at baseline, 3-month, and 6-month. Data on socio-demographics, co-morbidities, balance confidence, fear of falling, quality of life, physical activity level, rate of perceived exertion, fall(s) history, healthcare utilisation and cost, and satisfaction levels will be collected. Participants will also undergo functional assessments such as SPPB. Moreover, providers’ satisfaction and feedback will be obtained at 3-month.
Discussion
An effective community fall prevention programme may lead to improved functional outcomes and reduced fall rates. Findings will also help inform the implementation and scaling of SF nation-wide.
Trial registration
Clinicaltrials.gov registration: NCT04801316. Registered on 15th March 2021.
Funder
Ministry of Health Singapore
Publisher
Public Library of Science (PLoS)
Reference57 articles.
1. Where is the vision for fall prevention?;ME Tinetti;Journal of the American Geriatrics Society,2001
2. The patient who falls: "It’s always a trade-off".;ME Tinetti;Jama,2010
3. P.M L. Fall-risk screening test: A prospective study on predictors for falls in community-dwelling elderly;A Tromp;Journal of clinical epidemiology,2001
4. Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations;C Sherrington;New South Wales public health bulletin,2011
5. Circumstances and consequences of falls in independent community-dwelling older adults;WP Berg;Age and Ageing,1997
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