Routine Use of Patient Reported Outcomes Among Older Adults at High Risk of Falls: A 12-Month Cohort Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Falls
- Sponsor
- University of British Columbia
- Locations
- 1
- Status
- Withdrawn
- Last Updated
- 8 years ago
Overview
Brief Summary
Patient reported outcome measures (PROMs) are assessments of health status or health-related quality of life. The EuroQol-5D (EQ5D) is an example of a generic instrument to assess health-related quality of life. The investigators will use the EQ5D in the Falls Prevention Clinic as part of routine clinical assessment at baseline, 6 months and 12 months to track patient care in a cohort of 300 older adults who are at high-risk of falls.
Detailed Description
1. Purpose: We will use the EQ5D in the Falls Prevention Clinic as part of routine clinical assessment at baseline, 6-months and 12-months to track patient care in a cohort of 300 older adults who are at high-risk of falls. 2. Objectives: O1: Our primary objective is to use a routinely administered patient reported outcomes measure, the EuroQol-5D (EQ-5D), in older adults at high risk of falls to determine patients self-reported health status over a 12-month followup period. O2: Our secondary objective is to develop an explanatory model and a predictive model of covariates that explain significant gains or losses in health related quality of life.
Investigators
Teresa Liu-Ambrose
Principal Investigator
University of British Columbia
Eligibility Criteria
Inclusion Criteria
- •Referred to falls clinic for assessment by general practitioner or emergency department physician.
- •Index fall presentation not due to overwhelming force resulting in presentation to Emergency Department or general practitioner (including syncopal presentation, see below).
- •At least 70 years of age.
- •No progressive neurological disorder (e.g. Dementia, Parkinson's, Alzheimer's).
- •Community dwelling (within Vancouver and Burnaby only).
- •Mini Mental State Examination Score of at least
- •Walk at least 3 meters.
- •Has at least one of the following 'high-risk' criteria:
- •At least one other non-syncopal fall in the past 12 months
- •PPA of at least 1.0 (using dominant score for strength test)
Exclusion Criteria
- •Any patients who do not meet the inclusion criteria specified above will be excluded from assessment at the Falls Prevention Clinic.
Outcomes
Primary Outcomes
Not specified