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Can a tailored exercise and home hazard reduction program reduce the rate of falls in community dwelling older people with cognitive impairment: protocol paper for the i-FOCIS randomised controlled trial

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Open access
Authors
Close, J.
Wesson, J.
Sherrington, C.
Hill, Keith
Kurrle, S.
Lord, S.
Brodaty, H.
Howard, K.
Gitlin, L.
O'Rourke, S.
Clemson, L.
Date
2014
Type
Journal Article

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Close, J. and Wesson, J. and Sherrington, C. and Hill, K. and Kurrle, S. and Lord, S. and Brodaty, H. et al. 2014. Can a tailored exercise and home hazard reduction program reduce the rate of falls in community dwelling older people with cognitive impairment: protocol paper for the i-FOCIS randomised controlled trial. BMC Geriatrics. 14 (89): pp. 1-14.
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BMC Geriatrics
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School of Physiotherapy
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This article is published under the Open Access publishing model and distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/. Please refer to the licence to obtain terms for any further reuse or distribution of this work.

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Abstract

The rate of falls in community dwelling older people with cognitive impairment (CI) is twice that of a cognitively intact population, with almost two thirds of people with CI falling annually. Studies indicate that exercise involving balance and/or a home hazard reduction program are effective in preventing falls in cognitively intact older people. However the potential benefit of these interventions in reducing falls in people with CI has not been established. This randomised controlled trial will determine whether a tailored exercise and home hazard reduction program can reduce the rate of falls in community dwelling older people with CI. We will determine whether the intervention has beneficial effects on a range of physical and psychological outcome measures as well as quality of life of participants and their carers. A health economic analysis examining the cost and potential benefits of the program will also be undertaken.