Action Seniors! - secondary falls prevention in community-dwelling senior fallers: study protocol for a randomized controlled trial

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dc.contributor.author Liu-Ambrose, Teresa
dc.contributor.author Davis, Jennifer C
dc.contributor.author Hsu, Chun Liang
dc.contributor.author Gomez, Caitlin
dc.contributor.author Vertes, Kelly
dc.contributor.author Marra, Carlo
dc.contributor.author Brasher, Penelope M
dc.contributor.author Dao, Elizabeth
dc.contributor.author Khan, Karim M
dc.contributor.author Cook, Wendy
dc.contributor.author Donaldson, Meghan G
dc.contributor.author Rhodes, Ryan
dc.contributor.author Dian, Larry
dc.date.accessioned 2015-06-25T18:44:16Z
dc.date.available 2015-06-25T18:44:16Z
dc.date.copyright 2015 en_US
dc.date.issued 2015-04-10
dc.identifier.citation Liu-Ambrose et al.: Action Seniors! - secondary falls prevention in community-dwelling senior fallers: study protocol for a randomized controlled trial. Trials (2015) 16:144 en_US
dc.identifier.uri http://dx.doi.org/10.1186/s13063-015-0648-7
dc.identifier.uri http://www.trialsjournal.com/content/16/1/144
dc.identifier.uri http://hdl.handle.net/1828/6276
dc.description BioMed Central en_US
dc.description.abstract Background: Falls are a ‘geriatric giant’ and are the third leading cause of chronic disability worldwide. About 30% of community-dwellers over the age of 65 experience one or more falls every year leading to significant risk for hospitalization, institutionalization, and even death. As the proportion of older adults increases, falls will place an increasing demand and cost on the health care system. Exercise can effectively and efficiently reduce falls. Specifically, the Otago Exercise Program has demonstrated benefit and cost-effectiveness for the primary prevention of falls in four randomized trials of community-dwelling seniors. Although evidence is mounting, few studies have evaluated exercise for secondary falls prevention (that is, preventing falls among those with a significant history of falls). Hence, we propose a randomized controlled trial powered for falls that will, for the first time, assess the efficacy and efficiency of the Otago Exercise Program for secondary falls prevention. Methods/Design: A randomized controlled trial among 344 community-dwelling seniors aged 70 years and older who attend a falls prevention clinic to assess the efficacy and the cost-effectiveness of a 12-month Otago Exercise Program intervention as a secondary falls prevention strategy. Participants randomized to the control group will continue to behave as they did prior to study enrolment. The economic evaluation will examine the incremental costs and benefits generated by using the Otago Exercise Program intervention versus the control. Discussion: The burden of falls is significant. The challenge is to make a difference – to discover effective, ideally cost-effective, interventions that prevent injurious falls that can be readily translated to the population. Our proposal is very practical – the exercise program requires minimal equipment, the physical therapist expertise is widely available, and seniors in Canada and elsewhere have adopted the program and complied with it. Our innovation includes applying the intervention to a targeted high-risk population, aiming to provide the best value for money. Given society’s limited financial resources and the known and increasing burden of falls, there is an urgent need to test this feasible intervention which would be eminently ready for roll out. Trial registration: ClinicalTrials.gov Protocol Registration System: NCT01029171; registered 7 December 2009. en_US
dc.description.sponsorship This study is funded by the Canadian Institute for Health Research. TLA is a Canada Research Chair in Physical Activity, Mobility, and Cognitive Neuroscience, a Michael Smith Foundation for Health Research (MSFHR) Scholar, a Canadian Institutes of Health Research (CIHR) New Investigator, and a Heart and Stroke Foundation of Canada’s Henry JM Barnett’s Scholarship recipient. JCD was funded by a CIHR and MSFHR Postdoctoral Fellowship. ED is funded by a CIHR Doctoral Award - Frederick Banting and Charles Best Canada Graduate Scholarship. CLH is funded by a PhD Alzheimer Society Research Program Award. en_US
dc.language.iso en en_US
dc.publisher Trials en_US
dc.rights Attribution-NonCommercial-NoDerivs 2.5 Canada *
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/2.5/ca/ *
dc.subject Otago Exercise Program en_US
dc.subject Falls en_US
dc.subject Resistance Training en_US
dc.subject Executive Functions en_US
dc.subject Older Adults en_US
dc.title Action Seniors! - secondary falls prevention in community-dwelling senior fallers: study protocol for a randomized controlled trial en_US
dc.type Article en_US
dc.description.scholarlevel Faculty en_US
dc.description.reviewstatus Reviewed en_US

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