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
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...
| Main Authors: | , , , , , , , , , , , , , , , |
|---|---|
| Format: | Journal Article |
| Published: |
BMJ Publishing Group
2015
|
| Online Access: | http://hdl.handle.net/20.500.11937/15330 |
| _version_ | 1848748864213876736 |
|---|---|
| author | 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. |
| author_facet | 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. |
| author_sort | Barker, A. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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). |
| first_indexed | 2025-11-14T07:11:49Z |
| format | Journal Article |
| id | curtin-20.500.11937-15330 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T07:11:49Z |
| publishDate | 2015 |
| publisher | BMJ Publishing Group |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-153302017-09-13T13:41:02Z 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 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. 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). 2015 Journal Article http://hdl.handle.net/20.500.11937/15330 10.1136/injuryprev-2014-041271 BMJ Publishing Group unknown |
| spellingShingle | 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. 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 |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| url | http://hdl.handle.net/20.500.11937/15330 |