Dane County Safety Assessment for Elders (SAFE) Research Study
| Status: | Completed |
|---|---|
| Conditions: | Orthopedic |
| Therapuetic Areas: | Orthopedics / Podiatry |
| Healthy: | No |
| Age Range: | 65 - Any |
| Updated: | 4/21/2016 |
| Start Date: | December 2003 |
| End Date: | September 2006 |
This 3-year collaborative project will develop, implement, and test a comprehensive approach
to the prevention of falls among high-risk older adults in Dane County, Wisconsin through
two complementary strategies:
1. a targeted strategy of an individualized multifactorial intervention for
community-living high-risk older adults. Older adults are defined as aged 65 and older.
High risk is defined as two or more falls in the year prior, one fall with injury, or
one fall with gait and balance problems, as per recent guidelines from the American
Geriatric Society (AGS). The multifactorial intervention consists of an in-home
assessment followed by recommendations to the participant and his/her physician, a
prescription for physical therapy, other referrals (optometry, podiatry, occupational
therapy, etc.) based on the assessment, monthly phone follow-up for 11 months, and a
prescription for long-term exercise after physical therapy.
2. a program to educate primary care physicians, physician assistants, nurse
practitioners, and physical therapists in Dane County in the current diagnosis and
treatment recommendations for fall prevention.
to the prevention of falls among high-risk older adults in Dane County, Wisconsin through
two complementary strategies:
1. a targeted strategy of an individualized multifactorial intervention for
community-living high-risk older adults. Older adults are defined as aged 65 and older.
High risk is defined as two or more falls in the year prior, one fall with injury, or
one fall with gait and balance problems, as per recent guidelines from the American
Geriatric Society (AGS). The multifactorial intervention consists of an in-home
assessment followed by recommendations to the participant and his/her physician, a
prescription for physical therapy, other referrals (optometry, podiatry, occupational
therapy, etc.) based on the assessment, monthly phone follow-up for 11 months, and a
prescription for long-term exercise after physical therapy.
2. a program to educate primary care physicians, physician assistants, nurse
practitioners, and physical therapists in Dane County in the current diagnosis and
treatment recommendations for fall prevention.
The purposes of the project are:
1. To test, in a randomized, controlled, single-blind study design, whether a
multifactorial intervention for high-risk older adults will decrease the rate of falls
compared to a control group receiving a home safety and nutrition booklet by mail;
2. To enhance existing health professional knowledge base to support fall prevention;
3. To test, in a quasi-experimental study design, the ability of a community-wide health
professional educational program to decrease the rate of fall-related hospitalizations
among older adults (both high and low-risk) in Dane County compared to control counties
in Wisconsin.
We hypothesize that:
The rate of falls will be 40% lower over one year among high-risk older adults randomized to
the individualized multifactorial intervention (combined with health professional
education), compared to those randomized to home safety and nutrition booklets (combined
with health professional education) in Dane County.
A health professional education program about fall prevention will decrease the rate of
fall-related hospitalizations among older adults (both high and low-risk) in the
intervention county by 10%, compared to an anticipated no change from baseline in control
counties.
1. To test, in a randomized, controlled, single-blind study design, whether a
multifactorial intervention for high-risk older adults will decrease the rate of falls
compared to a control group receiving a home safety and nutrition booklet by mail;
2. To enhance existing health professional knowledge base to support fall prevention;
3. To test, in a quasi-experimental study design, the ability of a community-wide health
professional educational program to decrease the rate of fall-related hospitalizations
among older adults (both high and low-risk) in Dane County compared to control counties
in Wisconsin.
We hypothesize that:
The rate of falls will be 40% lower over one year among high-risk older adults randomized to
the individualized multifactorial intervention (combined with health professional
education), compared to those randomized to home safety and nutrition booklets (combined
with health professional education) in Dane County.
A health professional education program about fall prevention will decrease the rate of
fall-related hospitalizations among older adults (both high and low-risk) in the
intervention county by 10%, compared to an anticipated no change from baseline in control
counties.
Inclusion Criteria:
- Community-residing in Dane County or surrounding communities.
- Seniors living in assisted-living senior apartments
- Aged 65 and older
- At high risk for falls as defined by AGS criteria (two or more falls in the past
year, or one fall with injury, or one fall with abnormal gait or balance)
Exclusion Criteria:
- Reside in a community-based residential facility (i.e. group home)
- Are unable to give informed consent and have no related, in-home caregiver
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