The population approach to falls injury prevention in older people: findings of a two community trial

McClure, Rod J.; Hughes, Karen; Ren, Cizao; McKenzie, Kirsten; Dietrich, Uta; Vardon, Paul; Davis, Elizabeth; Newman, Beth
January 2010
BMC Public Health;2010, Vol. 10 Issue 1, p79
Academic Journal
Background: There is a sound rationale for the population-based approach to falls injury prevention but there is currently insufficient evidence to advise governments and communities on how they can use population-based strategies to achieve desired reductions in the burden of falls-related injury. The aim of the study was to quantify the effectiveness of a streamlined (and thus potentially sustainable and cost-effective), population-based, multifactorial falls injury prevention program for people over 60 years of age. Methods: Population-based falls-prevention interventions were conducted at two geographically-defined and separate Australian sites: Wide Bay, Queensland, and Northern Rivers, NSW. Changes in the prevalence of key risk factors and changes in rates of injury outcomes within each community were compared before and after program implementation and changes in rates of injury outcomes in each community were also compared with the rates in their respective States. Results: The interventions in neither community substantially decreased the rate of falls-related injury among people aged 60 years or older, although there was some evidence of reductions in occurrence of multiple falls reported by women. In addition, there was some indication of improvements in fall-related risk factors, but the magnitudes were generally modest. Conclusions: The evidence suggests that low intensity population-based falls prevention programs may not be as effective as those that are intensively implemented.


Related Articles

  • Attitudes to falls and injury prevention: what are the barriers to implementing falls prevention strategies? Whitehead, Craig H.; Wundke, Rachel; Crotty, Maria // Clinical Rehabilitation;Jun2006, Vol. 20 Issue 6, p536 

    Objectives: To ascertain the reasons for not taking up a fall or injury prevention strategy among older people who have sustained a fall and attended an emergency department. Subjects: As part of another trial, we identified 60 people who attended the emergency department of a public hospital...

  • Reducing hazard related falls in people 75 years and older with significant visual impairment: how did a successful program work? La Grow, S. J.; Robertson, M. C.; Campbell, A. J.; Clarke, G. A.; Kerse, N. M. // Injury Prevention (1353-8047);Oct2006, Vol. 12 Issue 5, p296 

    Background: In a randomized controlled trial testing a home safety program designed to prevent falls in older people with severe visual impairment, it was shown that the program, delivered by an experienced occupational therapist, significantly reduced the numbers of falls both at home and away...

  • The Whitehorse NoFalls trial: effects on fall rates and injurious fall rates. Fitzharris, Michael P.; Day, Lesley; Lord, Stephen R.; Gordon, Ian; Fildes, Brian // Age & Ageing;Nov2010, Vol. 39 Issue 6, p728 

    Background: the burden of falls and fall-related injuries among older adults is well established. Contention surrounds the effectiveness, and hence value, of multi-component fall prevention interventions delivered in the community.Objective: using consensus-based analytic guidelines rather than...

  • Glue Might Work Better.  // Bulverde Standard (Canyon Lake, TX);1/27/2010, Vol. 27 Issue 4, p10 

    The article reports about the man trying to scale Grand Canyon and getting injured after falling.

  • Cost Benefit Considerations of Preventing Elderly Falls through Environmental Modifications to Homes in Hana, Maui. Ling, Christian; Henderson, Stephen; Henderson, Ray; Henderson, Malia; Pedro, Tina; Pang, Lorrin // Hawaii Medical Journal;Mar2008, Vol. 67 Issue 3, p65 

    The community of Hana Hawai'i began a program of home modifications to help their elderly prevent falls. We estimated the cost benefit of these modifications from construction costs and published reports of effectiveness and cost of treating falls. We interviewed clients to determine risk of...

  • Safety in the Balance! De Pasquale, Louis // Physical Therapy Products;Nov2011, Vol. 22 Issue 8, p24 

    The article discusses Repeated Incremental Predictable Perturbations in Standing (RIPPS), a method to assess fall risk in ageing adults. Various aspects of RIPPS such as procedure, criteria and end points are also discussed. It is added that the RIPPS method is designed as a simple to...

  • [Cost]effectiveness of withdrawal of fall-risk increasing drugs versus conservative treatment in older fallers: design of a multicenter randomized controlled trial (IMPROveFALL-study).  // BMC Geriatrics;2011 Supplement 1, Vol. 11 Issue Suppl 1, p48 

    The article presents a randomized controlled study focusing on cost effectiveness of withdrawal of fall-risk increasing drugs versus conservative treatment in older fallers. The study shows that a major risk factor for falls is the use of fall-risk increasing drugs. It states that withdrawal of...

  • The effect of bedrails on falls and injury: a systematic review of clinical studies. Healey, Frances; Oliver, David; Milne, Alisoun; B.^Connelly, James // Age & Ageing;Jul2008, Vol. 37 Issue 4, p368 

    Background: around one-fourth of all falls in healthcare settings are falls from bed. The role of bedrails in falls prevention is controversial, with a prevailing orthodoxy that bedrails are harmful and ineffective. Objective: to summarise and critically evaluate evidence on the effect of...

  • "D" creasing Elders' Slips and Falls. Bliss, Rosalie Marion // Agricultural Research;Oct2004, Vol. 52 Issue 10, p19 

    Discusses a study by Bess Dawson-Hughes and colleagues of the Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University in Boston, Massachusetts, that vitamin D supplements can decrease muscle weakness and risk of falling among adults. Details of the vitamin D clinical trials...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics