Cockayne, Sarah orcid.org/0000-0002-1288-5497, Pighills, Alison, Fairhurst, Caroline Marie orcid.org/0000-0003-0547-462X et al. (16 more authors) (2021) Home hazard assessment and environmental modification to prevent falls in older people:the OTIS trial. F1000research. 500. ISSN 2046-1402
Abstract
Background: Falls in older people are a major cause of morbidity and mortality. There is some evidence to suggest that home hazard assessment and environmental modification delivered by an occupational therapist may reduce falls. The objective of this study was to evaluate the effectiveness of this intervention, relative to usual care. Methods: A pragmatic, two-arm modified cohort randomised controlled trial in eight NHS trusts in primary and secondary care in England. In total 1331 community-dwelling adults aged 65 years and over with a history of falls or fear of falling were randomised in a 2:1 allocation to either usual care plus a falls prevention leaflet (n=901) or to receive the home hazard assessment and environmental modification intervention, plus usual care and a falls prevention leaflet (n=430). The primary outcome was the number of falls per participant over the 12 months from randomization. Secondary outcomes included: proportion of fallers and multiple fallers, time to fall, and fear of falling. Results: All 1331 randomised participants (mean age 80 years, 872 [65.5%] female) were included in the primary analysis. There was a small increase in the rate of falls in the intervention group relative to usual care (adjusted incidence rate ratio 1.17, 95% CI 0.99 to 1.38; p=0.07). A similar proportion of participants in the intervention (57.0%) and usual care group (56.2%) reported at least one fall over 12 months. There were no differences in any of the other secondary outcomes and no serious, related adverse events were reported. Conclusions: Home hazard assessment and environmental modification delivered by an occupational therapist did not reduce falls in community-dwelling older people deemed at higher risk of falling recruited to this trial. ISRCTN registry: ISRCTN22202133 Key words: home hazard assessment and environmental modification, falls prevention, older adults, modified cohort randomized controlled trial
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2021 Cockayne S et al. |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Health Sciences (York) The University of York > Faculty of Sciences (York) > Hull York Medical School (York) |
Depositing User: | Pure (York) |
Date Deposited: | 26 May 2021 13:50 |
Last Modified: | 27 Nov 2024 00:40 |
Status: | Published online |
Refereed: | Yes |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:174643 |
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Filename: 56b98aa9_a687_4091_ad93_298b5c3d20e0_52313_sarah_cockayne.pdf
Description: Home hazard assessment and environmental modification to prevent falls in older people: the OTIS trial [version 1; peer review: 1 approved, 1 approved with reservations]
Licence: CC-BY 2.5