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Trial registered on ANZCTR
Registration number
ACTRN12608000431325
Ethics application status
Approved
Date submitted
19/08/2008
Date registered
29/08/2008
Date last updated
29/08/2008
Type of registration
Retrospectively registered
Titles & IDs
Public title
Innovative strategies to assist falling elderly - ISAFE
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Scientific title
Innovative Strategies to Assist Falling Elderly – ISAFE: a program initiative for falls and injury prevention in the community
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Secondary ID [1]
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Fall prevention
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Falls risk reduction
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Condition category
Condition code
Public Health
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0
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Health promotion/education
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Public Health
3737
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0
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Other public health
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Physical Medicine / Rehabilitation
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3738
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0
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Physiotherapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Specific Balance Strategy Exercise Program. Subjects in the intervention group will attend a one hour twice-weekly specific balance-strategy training program for 12 weeks. The program will be delivered using work-stations that target the multiple elements of balance that are integral to efficient balance and mobility. Content of this program will include functional strength training and flexibility exercises that load trunk and lower limb muscles in all planes of movement, exercises for postural control and tasks that challenge medio-lateral stability and work participants at the limits of their stability; tasks that foster the use of ankle, hip, stepping and suspension strategies along with speed and efficient reaction times will be used. The program and tasks will be progressed by adding surface and visual challenges and by adding dual / multiple tasks
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Intervention code [1]
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Prevention
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Intervention code [2]
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Early detection / Screening
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Intervention code [3]
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Treatment: Other
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Comparator / control treatment
there is no control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Falls risks Assessment: Falls Management and Prevention Program (MAPP) Referral checklist
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Assessment method [1]
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Timepoint [1]
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at baseline only
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Primary outcome [2]
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measure of extended activities of daily living:Frenchay Activities Index
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Assessment method [2]
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Timepoint [2]
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at baseline and 12 weeks after intervention
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Primary outcome [3]
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number of falls
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Assessment method [3]
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Timepoint [3]
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at baseline only
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Secondary outcome [1]
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balance and mobility measures: The measures used were Balance and Mobility Measures (Boomer) including Timed static stance, Functional reach with right and left arm, Step test with right and left foot and Timed up and go (TUG) test. Clinical measures include functional reach (Duncan et al, 1990) measures reaching forward to the limits of stability from a bilateral stance position;the functional step test with right and left foot (Hill et al 1996) measures speed of performing a dynamic standing task with the number of repeated steps on and of a block 7.5 cm in height, in 15 seconds recorded; timed up and go (TUG) test (Shumway-Cook et al, 2000) measures the time taken to stand up from a chair, walk three metres as quickly and safely as possible past a line on the floor, turn around, walk back to the chair and sit down with the back against the chair;
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Assessment method [1]
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Timepoint [1]
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at baseline, 12 weeks after intervention
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Secondary outcome [2]
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cardiovascular endurance measures using 2 minute walk test
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Assessment method [2]
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Timepoint [2]
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at baseline, 12 weeks after intervention
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Eligibility
Key inclusion criteria
living in a retirement village, independent living unit or hostel, or in their own home and attending a senior citizens centre, respite centre, day therapy or other supported programs for the older person capable of participating safely in a group exercise program
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Minimum age
65
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
where medical assessment precludes safe participation in the activity program. This will be identified through the Falls Referral checklist administered as part of the initial physiotherapy assessment.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
7/05/2007
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
500
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
1118
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4000-4999
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Commonwealth Government of Australia Population health division MDP15 GPO box 9848 Canberra ACT 2601
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Address [1]
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Department of Health and Ageing, Commonwealth Government of Australia Population health division MDP15 GPO box 9848 Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
Government body
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Name
‘Falls and injury prevention community grants programs’, Department of Health and Ageing, Commonwealth Government of Australia
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Address
Department of Health and Ageing, Commonwealth Government of Australia Population health division MDP15 GPO box 9848 Canberra ACT 2601
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Country
Australia
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Domiciliary Allied health Acute and Rehabilitation Team (DAART) Mater Health Services
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Address [1]
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DAART Ground Floor
Mater health Services
39 Annerley Road
Woolloongabba QLD 4102
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Mater Health Services Human Research Ethics Committee
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Ethics committee address [1]
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Room235 Aubigny Place Mater Health Services Raymond Tce South Brisbane, QLD 4101
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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03/05/2007
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Ethics approval number [1]
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1091A
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Summary
Brief summary
The aim of this project was to reduce falls risk in people 65 years and older living in the community in retirement villages, independent living units and hostels or in their own homes and attending a respite centre, day therapy or other supported program for older people, eg. Senior Citizens’ Centres. The geographical area involved was the Brisbane metropolitan region including bayside. The process involved implementation and evaluation of a sustainable model of service delivery based on best practice falls prevention interventions, including individualized risk assessment and a specific targeted intervention. The objectives of the Project were to: encourage best practice falls prevention interventions in the community; increase access to falls prevention information, strategies, and activities for community dwelling older persons and the multidisciplinary team including the GP; build partnerships to reduce falls in older people within selected facilities and for the target population in metropolitan Brisbane and environs; and recommend a sustainable model of service delivery taking into consideration the emerging workforce issues in the future. The strategies employed to deliver the objectives were to increase participation in the target population by offering group exercise programs to 500 participants in the Brisbane metropolitan (including bayside) area;ensure the program is targeted to the risk factors of the individual participants by a screening process followed by referral for appropriate assessment and management; measure the impact of the risk reduction interventions; ensure a coordinated approach by all involved in the project; build capacity in community service providers to consistently assess and manage people at risk of falling; and develop and describe a sustainable model of activity promotion, implementation and evaluation for this target population. The outcomes from this intervention study may provide information to address the development of future programs to reduce the risk of falls in people over 65 years of age. The project will identify and describe the nature and level of risk factors of falls in the target population and will assist program planners to determine the appropriate workforce combination required for the program to continue.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Stephanie Fu
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Address
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DAART Ground floor
Mater Health Services
39 Annerley Road
Woolloongabba QLD 4102
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Country
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Australia
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Phone
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+ 61 7 3163 1765
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Stephanie Fu
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Address
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Division of Physiotherapy
School of health and rehabilitation Sciences
The University of Queensland
St Lucia QLD 4072
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Country
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Australia
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Phone
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+ 61 7 33652779
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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