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DC Field | Value | Language |
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dc.contributor.author | Boyle E. | en |
dc.contributor.author | Smit D. | en |
dc.contributor.author | Waldron N. | en |
dc.contributor.author | McDonald E. | en |
dc.contributor.author | Ayton D. | en |
dc.contributor.author | Hill K. | en |
dc.contributor.author | Barker A. | en |
dc.contributor.author | Cameron P. | en |
dc.contributor.author | Flicker L. | en |
dc.contributor.author | Arendts G. | en |
dc.contributor.author | Brand C. | en |
dc.contributor.author | Morello R. | en |
dc.contributor.author | Etherton-Beer C. | en |
dc.contributor.author | Forbes A. | en |
dc.contributor.author | Haines T. | en |
dc.contributor.author | Hill A.-M. | en |
dc.contributor.author | Hunter P. | en |
dc.contributor.author | Lowthian J. | en |
dc.contributor.author | Nyman S. | en |
dc.contributor.author | Redfern J. | en |
dc.date.accessioned | 2021-05-14T12:21:39Z | en |
dc.date.available | 2021-05-14T12:21:39Z | en |
dc.date.copyright | 2019 | en |
dc.date.created | 20200327 | en |
dc.date.issued | 2020-03-27 | en |
dc.identifier.citation | Age and Ageing. Conference: 1st World Congress on Falls and Postural Stability. Kuala Lumpur Malaysia. 48 (2) (pp iv18), 2019. Date of Publication: December 2019. | en |
dc.identifier.issn | 1468-2834 | en |
dc.identifier.uri | https://repository.monashhealth.org/monashhealthjspui/handle/1/36442 | en |
dc.description.abstract | Background:Themajority of older people who fall and present to EmergencyDepartments (EDs) are reported not to receive guideline level care to reduce future risk of falls. The aim of this randomized controlled trial was to evaluate whether RESPOND, a 6-month telephone-based patient-centred program had an effect on falls and fall injuries in older people presenting to ED after a fall. Method(s): 541 older fallers who presented to a WA or Victorian ED were recruited (inclusion criteria: discharged home <72 hours, could walk without hands-on assistance, use a telephone, and no cognitive impairment (MMSE>23). Intervention participants (n=263, mean age=73) received the RESPOND intervention, comprising (1) home-based risk assessment; (2) six months telephone-based education, coaching, goal setting and support for evidence-based risk factor management; and (3) linkages to existing services; while controls (n=260, mean age=73) received usual care. Primary outcomes were falls and fall injuries in the 12-month follow-up. Secondary outcomes included ED presentations, hospital admissions, fractures, death, falls risk, falls efficacy and quality of life. Result(s): Falls rate was significantly lower in the RESPOND group (incidence rate ratio 0.65 [95%CI 0.43-0.99]; p=0.042). Although there was no significant difference in fall injuries (p=0.374), the rate of fractures was significantly lower in the RESPOND group (p=0.03).There were no significant group differences in other secondary outcomes. Conclusion(s): The RESPOND falls prevention program reduced falls and fractures, in older people presenting to the ED with a fall. Key learnings for translation include: potential scalability and sustainability of a patient-centred and predominantly telephonebased program. | en |
dc.language | en | en |
dc.language | English | en |
dc.publisher | Oxford University Press | en |
dc.relation.ispartof | Age and Ageing | en |
dc.subject | education | en |
dc.subject | *emergency ward | en |
dc.subject | female | en |
dc.subject | follow up | en |
dc.subject | fracture | en |
dc.subject | hospital admission | en |
dc.subject | human | en |
dc.subject | incidence | en |
dc.subject | learning | en |
dc.subject | major clinical study | en |
dc.subject | aged | en |
dc.subject | Mini Mental State Examination | en |
dc.subject | outcome assessment | en |
dc.subject | quality of life | en |
dc.subject | randomized controlled trial | en |
dc.subject | risk assessment | en |
dc.subject | risk factor | en |
dc.subject | telephone | en |
dc.subject | male | en |
dc.subject | cognitive defect | en |
dc.subject | conference abstract | en |
dc.subject | controlled study | en |
dc.subject.mesh | education | - |
dc.subject.mesh | emergency ward | - |
dc.subject.mesh | fracture | - |
dc.subject.mesh | hospital admission | - |
dc.subject.mesh | learning | - |
dc.subject.mesh | aged | - |
dc.subject.mesh | Mini Mental State Examination | - |
dc.subject.mesh | quality of life | - |
dc.subject.mesh | telephone | - |
dc.subject.mesh | cognitive defect | - |
dc.title | Responding to the first fall to prevent the second: Successful RCT in reducing falls using a person centred approach for older fallers presenting to emergency departments. | en |
dc.type | Conference Abstract | en |
dc.identifier.affiliation | Workforce, Innovation, Strategy, Education and Research (WISER) | - |
dc.type.studyortrial | Randomised controlled trial | - |
dc.identifier.doi | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1093/ageing/afz164.106 | - |
local.date.conferencestart | 2019-12-04 | en |
dc.identifier.source | 631302676 | en |
dc.identifier.institution | (Hill) Rehabilitation Ageing and Independent Living Research Centre, Monash University, Australia (Barker, Cameron, Brand, Morello, Forbes, Lowthian, Ayton) School of Public Health and Preventive Medicine, Monash University, Australia (Cameron, Hunter, Smit) Alfred Health, Australia (Flicker, Arendts, Etherton-Beer) School of Medicine, University of Western Australia, Australia (Flicker, Etherton-Beer) Department of Geriatric Medicine, Royal Perth Hospital, Australia (Flicker, Arendts, Etherton-Beer) Harry Perkins Institute for Medical Research, Australia (Brand) Melbourne EpiCentre, University of Melbourne, Australia (Brand) Melbourne EpiCentre, Melbourne Health, Melbourne Health, Australia (Haines) School of Primary and Allied Health Care, Monash University, Australia (Haines) Allied Health Research Unit, Monash Health, Australia (Hill, Boyle) School of Physiotherapy and Exercise Science, Curtin University, Australia (Lowthian) Bolton Clarke Research Institute/ Bolton Clarke, Australia (Nyman) Department of Psychology, Faculty of Science and Technology, Bournemouth University, United Kingdom (Redfern) Westmead Applied Research Centre, University of Sydney, Australia (Waldron) Health Networks Branch, Department of Health, Government of Western Australia, Australia (McDonald) Emergency Department, Royal Perth Hospital, Australia | en |
dc.description.address | K. Hill, Rehabilitation Ageing and Independent Living Research Centre, Monash University, Australia | en |
dc.subject.keyword | major clinical study | en |
dc.subject.keyword | male | en |
dc.subject.keyword | Mini Mental State Examination | en |
dc.subject.keyword | outcome assessment | en |
dc.subject.keyword | quality of life | en |
dc.subject.keyword | randomized controlled trial | en |
dc.subject.keyword | risk assessment | en |
dc.subject.keyword | risk factor | en |
dc.subject.keyword | telephone | en |
dc.subject.keyword | follow up | en |
dc.subject.keyword | fracture | en |
dc.subject.keyword | *emergency ward | en |
dc.subject.keyword | education | en |
dc.subject.keyword | controlled study | en |
dc.subject.keyword | conference abstract | en |
dc.subject.keyword | cognitive defect | en |
dc.subject.keyword | aged | en |
dc.subject.keyword | female | en |
dc.subject.keyword | hospital admission | en |
dc.subject.keyword | human | en |
dc.subject.keyword | incidence | en |
dc.subject.keyword | learning | en |
dc.relation.libraryurl | LibKey Link | en |
dc.description.publicationstatus | CONFERENCE ABSTRACT | en |
local.date.conferenceend | 2019-12-07 | en |
dc.rights.statement | Copyright 2020 Elsevier B.V., All rights reserved. | en |
dc.identifier.affiliationext | (Hill) Rehabilitation Ageing and Independent Living Research Centre, Monash University, Australia | - |
dc.identifier.affiliationext | (Barker, Cameron, Brand, Morello, Forbes, Lowthian, Ayton) School of Public Health and Preventive Medicine, Monash University, Australia | - |
dc.identifier.affiliationext | (Cameron, Hunter, Smit) Alfred Health, Australia | - |
dc.identifier.affiliationext | (Flicker, Arendts, Etherton-Beer) School of Medicine, University of Western Australia, Australia | - |
dc.identifier.affiliationext | (Flicker, Etherton-Beer) Department of Geriatric Medicine, Royal Perth Hospital, Australia | - |
dc.identifier.affiliationext | (Flicker, Arendts, Etherton-Beer) Harry Perkins Institute for Medical Research, Australia | - |
dc.identifier.affiliationext | (Brand) Melbourne EpiCentre, University of Melbourne, Australia | - |
dc.identifier.affiliationext | (Brand) Melbourne EpiCentre, Melbourne Health, Melbourne Health, Australia | - |
dc.identifier.affiliationext | (Haines) School of Primary and Allied Health Care, Monash University, Australia | - |
dc.identifier.affiliationext | (Hill, Boyle) School of Physiotherapy and Exercise Science, Curtin University, Australia | - |
dc.identifier.affiliationext | (Lowthian) Bolton Clarke Research Institute/ Bolton Clarke, Australia | - |
dc.identifier.affiliationext | (Nyman) Department of Psychology, Faculty of Science and Technology, Bournemouth University, United Kingdom | - |
dc.identifier.affiliationext | (Redfern) Westmead Applied Research Centre, University of Sydney, Australia | - |
dc.identifier.affiliationext | (Waldron) Health Networks Branch, Department of Health, Government of Western Australia, Australia | - |
dc.identifier.affiliationext | (McDonald) Emergency Department, Royal Perth Hospital, Australia | - |
dc.identifier.affiliationmh | (Haines) Allied Health Research Unit, Monash Health, Australia | - |
item.openairetype | Conference Abstract | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.grantfulltext | none | - |
item.cerifentitytype | Publications | - |
item.fulltext | No Fulltext | - |
crisitem.author.dept | Monash University - School of Primary and Allied Health Care | - |
Appears in Collections: | Conferences |
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