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Effects of a one-year home-based case management intervention on falls in older people: a randomized controlled trial
Moller UO, Kristensson J, Midlov P, Ekdahl C, Jakobsson U
Journal of Aging and Physical Activity 2014 Oct;22(4):457-464
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVES: To investigate the effects of a home-based one-year case management intervention in older people with functional dependency and repeated contact with the health care services on self-reported falls and self-reported injurious falls. METHODS: The study was a randomized controlled trial with repeated follow-ups. The sample (n = 153) was consecutively and randomly assigned to the intervention group (n = 80, mean age 81.4 (SD 5.9)) or control group (n = 73, mean age 81.6 (SD 6.8)). The intervention group received a case management intervention which comprised monthly home visits during 12 months by nurses and physiotherapists employing a multifactorial preventive approach. RESULTS: In the intervention group, 96 falls occurred during the intervention period compared with 85 falls in the control group (p = 0.900). There were 40 and 38 injurious falls (p = 0.669) in the intervention and control groups, respectively. CONCLUSIONS: This home-based case management intervention was not able to prevent falls or injurious falls.

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