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    RESPOND - A patient-centred programme to prevent secondary falls in older people presenting to the emergency department with a fall: Protocol for a multicentre randomised controlled trial

    Access Status
    Open access via publisher
    Authors
    Barker, A.
    Cameron, P.
    Hill, Keith
    Flicker, L.
    Haines, T.
    Lowthian, J.
    Waldron, N.
    Arendts, G.
    Redfern, J.
    Forbes, A.
    Brand, C.
    Etherton-Beer, C.
    Hill, A.
    Hunter, P.
    Nyman, S.
    Smit, D.
    Date
    2015
    Type
    Journal Article
    
    Metadata
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    Citation
    Barker, A. and Cameron, P. and Hill, K. and Flicker, L. and Haines, T. and Lowthian, J. and Waldron, N. et al. 2015. RESPOND - A patient-centred programme to prevent secondary falls in older people presenting to the emergency department with a fall: Protocol for a multicentre randomised controlled trial. Injury Prevention. 21 (1): 041271.
    Source Title
    Injury Prevention
    DOI
    10.1136/injuryprev-2014-041271
    ISSN
    1353-8047
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/15330
    Collection
    • Curtin Research Publications
    Abstract

    INTRODUCTION: Participation in falls prevention activities by older people following presentation to the emergency department (ED) with a fall is suboptimal. This randomised controlled trial (RCT) will test the RESPOND programme, an intervention designed to improve older persons' participation in falls prevention activities through delivery of patient-centred education and behaviour change strategies. DESIGN AND SETTING: A RCT at two tertiary referral EDs in Melbourne and Perth, Australia. PARTICIPANTS: 528 community-dwelling people aged 60-90 years presenting to the ED with a fall and discharged home will be recruited. People who require an interpreter or hands-on assistance to walk; live in residential aged care or >50 km from the trial hospital; have terminal illness, cognitive impairment, documented aggressive behaviour or a history of psychosis; are receiving palliative care or are unable to use a telephone will be excluded. METHODS: Participants will be randomly allocated to the RESPOND intervention or standard care control group. RESPOND incorporates (1) a home-based risk factor assessment; (2) education, coaching, goal setting and follow-up telephone support for management of one or more of four risk factors with evidence of effective interventions and (3) healthcare provider communication and community linkage delivered over 6 months. Primary outcomes are falls and fall injuries per person-year. DISCUSSION: RESPOND builds on prior falls prevention learnings and aims to help individuals make guided decisions about how they will manage their falls risk. Patient-centred models have been successfully trialled in chronic and cardiovascular disease; however, evidence to support this approach in falls prevention is limited. TRIAL REGISTRATION NUMBER: The protocol for this study is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12614000336684).

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