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Effectiveness of a community-based multifaceted fall-prevention intervention in active and independent older Chinese adults [with consumer summary] |
Xia QH, Jiang Y, Niu CJ, Tang CX, Xia ZL |
Injury Prevention 2009 Jul;15(4):248-251 |
clinical trial |
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
OBJECTIVE: To evaluate the effectiveness of an 18-month multifaceted intervention designed to reduce the incidence of falls in community-living older adults in China. METHODS: A population-based community trial evaluated by before-and-after cross-sectional surveys. Four residential communities were randomised to either a multifaceted intervention or a control condition. Baseline information was collected from a sample of older adults in each community. A 1-year annual fall rate was calculated after an 18-month comprehensive intervention. RESULTS: After intervention, 7.19% of the intervention community sample reported falls, compared with 17.86% of the control community sample (p < 0.000). The annual fall rate decreased by 10.52% in the intervention communities, whereas the difference in control communities was not statistically significant. CONCLUSIONS: Multifaceted interventions in community settings may be useful in preventing falls among older people, and can be applied in similar settings in China.
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