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

Simple item page
dc.contributor.authorLiu-Ambrose, Teresa
dc.contributor.authorDavis, Jennifer C
dc.contributor.authorHsu, Chun Liang
dc.contributor.authorGomez, Caitlin
dc.contributor.authorVertes, Kelly
dc.contributor.authorMarra, Carlo
dc.contributor.authorBrasher, Penelope M
dc.contributor.authorDao, Elizabeth
dc.contributor.authorKhan, Karim M
dc.contributor.authorCook, Wendy
dc.contributor.authorDonaldson, Meghan G
dc.contributor.authorRhodes, Ryan E.
dc.contributor.authorDian, Larry
dc.date.accessioned2015-06-25T18:44:16Z
dc.date.available2015-06-25T18:44:16Z
dc.date.copyright2015en_US
dc.date.issued2015-04-10
dc.descriptionBioMed Centralen_US
dc.description.abstractBackground: 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.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThis 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.identifier.citationLiu-Ambrose et al.: Action Seniors! - secondary falls prevention in community-dwelling senior fallers: study protocol for a randomized controlled trial. Trials (2015) 16:144en_US
dc.identifier.urihttp://dx.doi.org/10.1186/s13063-015-0648-7
dc.identifier.urihttp://www.trialsjournal.com/content/16/1/144
dc.identifier.urihttp://hdl.handle.net/1828/6276
dc.language.isoenen_US
dc.publisherTrialsen_US
dc.rightsAttribution-NonCommercial-NoDerivs 2.5 Canada*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/ca/*
dc.subjectOtago Exercise Program
dc.subjectFalls
dc.subjectResistance Training
dc.subjectExecutive Functions
dc.subjectOlder Adults
dc.subjectBehavioural Medicine Lab
dc.subject.departmentSchool of Exercise Science, Physical and Health Education
dc.titleAction Seniors! - secondary falls prevention in community-dwelling senior fallers: study protocol for a randomized controlled trialen_US
dc.typeArticleen_US

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
LiuAmbrose_Teresa_Trials_2015.pdf
Size:
1 MB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.74 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Faculty and Staff Publications
 
University of Victoria Libraries

We acknowledge and respect the Lək̓ʷəŋən (Songhees and Esquimalt) Peoples on whose territory the university stands, and the Lək̓ʷəŋən and W̱SÁNEĆ Peoples whose historical relationships with the land continue to this day.