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dc.contributor.authorTan, P.
dc.contributor.authorKhoo, E.
dc.contributor.authorChinna, K.
dc.contributor.authorSaedon, N.
dc.contributor.authorZakaria, M.
dc.contributor.authorZahedi, A.
dc.contributor.authorRamli, N.
dc.contributor.authorKhalidin, N.
dc.contributor.authorMazlan, M.
dc.contributor.authorChee, K.
dc.contributor.authorAbidin, I.
dc.contributor.authorNalathamby, N.
dc.contributor.authorMat, S.
dc.contributor.authorJaafar, M.
dc.contributor.authorKhor, H.
dc.contributor.authorKhannas, N.
dc.contributor.authorMajid, L.
dc.contributor.authorTan, K.
dc.contributor.authorChin, A.
dc.contributor.authorKamaruzzaman, S.
dc.contributor.authorPoi, P.
dc.contributor.authorMorgan, K.
dc.contributor.authorHill, Keith
dc.contributor.authorMacKenzie, L.
dc.contributor.authorTan, M.
dc.date.accessioned2018-12-13T09:10:43Z
dc.date.available2018-12-13T09:10:43Z
dc.date.created2018-12-12T02:46:27Z
dc.date.issued2018
dc.identifier.citationTan, P. and Khoo, E. and Chinna, K. and Saedon, N. and Zakaria, M. and Zahedi, A. and Ramli, N. et al. 2018. Individually-tailored multifactorial intervention to reduce falls in the Malaysian Falls Assessment and Intervention Trial (MyFAIT): A randomized controlled trial. PLoS ONE. 13 (8): Article ID e0199219.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/71605
dc.identifier.doi10.1371/journal.pone.0199219
dc.description.abstract

Objective: To determine the effectiveness of an individually-tailored multifactorial intervention in reducing falls among at risk older adult fallers in a multi-ethnic, middle-income nation in South-East Asia. Design: Pragmatic, randomized-controlled trial. Setting: Emergency room, medical outpatient and primary care clinic in a teaching hospital in Kuala Lumpur, Malaysia. Participants: Individuals aged 65 years and above with two or more falls or one injurious fall in the past 12 months. Intervention: Individually-tailored interventions, included a modified Otago exercise programme, HOMEFAST home hazards modification, visual intervention, cardiovascular intervention, medication review and falls education, was compared against a control group involving conventional treatment. Primary and secondary outcome measures: The primary outcome was any fall recurrence at 12-month follow-up. Secondary outcomes were rate of fall and time to first fall. Results: Two hundred and sixty-eight participants (mean age 75.3 ±7.2 SD years, 67% women) were randomized to multifactorial intervention (n = 134) or convention treatment (n = 134). All participants in the intervention group received medication review and falls education, 92 (68%) were prescribed Otago exercises, 86 (64%) visual intervention, 64 (47%) home hazards modification and 51 (38%) cardiovascular intervention. Fall recurrence did not differ between intervention and control groups at 12-months [Risk Ratio, RR = 1.037 (95% CI 0.613–1.753)]. Rate of fall [RR = 1.155 (95% CI 0.846–1.576], time to first fall [Hazard Ratio, HR = 0.948 (95% CI 0.782–1.522)] and mortality rate [RR = 0.896 (95% CI 0.335–2.400)] did not differ between groups. Conclusion: Individually-tailored multifactorial intervention was ineffective as a strategy to reduce falls. Future research efforts are now required to develop culturally-appropriate and affordable methods of addressing this increasingly prominent public health issue in middle-income nations.

dc.publisherPublic Library of Science
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.titleIndividually-tailored multifactorial intervention to reduce falls in the Malaysian Falls Assessment and Intervention Trial (MyFAIT): A randomized controlled trial
dc.typeJournal Article
dcterms.source.volume13
dcterms.source.number8
dcterms.source.issn1932-6203
dcterms.source.titlePLoS ONE
curtin.accessStatusOpen access
curtin.facultyFaculty of Health Sciences


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