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Preventing further falls and functional decline among elderly persons presented to the accident and emergency (A&E) department with a fall: randomised controlled trial.

Completed
Conditions
(Injurious) falls
Registration Number
NL-OMON20280
Lead Sponsor
Marike RC HendriksMichel HC BleijlevensJolanda CM van HaastregtJoseph PM DiederiksHarry FJM CrebolderJacques ThM van Eijk
Brief Summary

Hendriks MR, van Haastregt JC, Diederiks JP, Evers SM, Crebolder HF, van Eijk JT: Effectiveness and cost-effectiveness of a multidisciplinary intervention programme to prevent new falls and functional decline among elderly persons at risk: design of a replicated randomised controlled trial [ISRCTN64716113]. BMC Public Health 2005, 5(1):6. http://www.biomedcentral.com/1471-2458/5/6

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
333
Inclusion Criteria

Age 65 years or older, community-dwelling, having visited the A&E department or GP cooperative at the University Hospital Maastricht for the consequences of a fall, and living in Maastricht or its surrounding area.

People were only allowed to enter the programme after completing and returning an informed consent form.

Exclusion Criteria

Not able to speak or understand Dutch,
Not able to complete questionnaires or interviews by telephone,
Cognitive impairment (a score of less than 4 on the Abbreviated Mental Test 4 (AMT 4),
Long-term admission to a hospital or other institution (more than four weeks from the date of inclusion),
Permanently bedridden, or fully dependent on a wheelchair.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1. Effect evaluation: Falls, functional decline;<br /><br>2. Economic evaluation: programme costs, healthcare costs and patient and family costs.<br /><br>2a. Cost Effectiveness Analysis: percentage of people sustaining a fall during one year of follow-up.<br /><br>2b.Cost Utility Analysis: generic health-related quality of life descriptions, measured according to the standard Dutch version of the EuroQol (EQ 5-D).
Secondary Outcome Measures
NameTimeMethod
1. Recuperation from the fall, health complaints, perceived health measured by means of the first two items of the RAND-36;<br /><br>2. ADL and IADL disability measured by means of the GARS (Groningen Activity Restriction Scale);<br /><br>3. Mental health measured by means of the HADS (Hospital Anxiety and Depression Scale); <br /><br>4. Quality of life measured by means of the European Quality of Life instrument (EuroQol).
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