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01.12.2014 | Study protocol | Ausgabe 1/2014 Open Access

BMC Geriatrics 1/2014

An individually-tailored multifactorial intervention program for older fallers in a middle-income developing country: Malaysian Falls Assessment and Intervention Trial (MyFAIT)

Zeitschrift:
BMC Geriatrics > Ausgabe 1/2014
Autoren:
Pey June Tan, Ee Ming Khoo, Karuthan Chinna, Keith D Hill, Phillip JH Poi, Maw Pin Tan
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1471-2318-14-78) contains supplementary material, which is available to authorized users.

Competing interests

This study is funded by the Health and Translational Medicine Cluster (HTMC) under the University of Malaya Research Grant (UMRG) program, and also by the Ministry of Science, Technology and Innovation (MOSTI) under the ScienceFund grant.

Authors’ contributions

All authors have made an intellectual contribution to this research trial. MPT, EMK, PJHP and KH were responsible for identifying the research questions and design of the study and overseeing the implementation of the study. KC was responsible for the development of additional research questions, further consolidation of research design and statistical information. PJT contributed to the development of support materials, recruitment of participants and study implementation. All authors were responsible for drafting of this manuscript and have read and approved the final version.

Abstract

Background

In line with a rapidly ageing global population, the rise in the frequency of falls will lead to increased healthcare and social care costs. This study will be one of the few randomized controlled trials evaluating a multifaceted falls intervention in a low-middle income, culturally-diverse older Asian community. The primary objective of our paper is to evaluate whether individually tailored multifactorial interventions will successfully reduce the number of falls among older adults.

Methods

Three hundred community-dwelling older Malaysian adults with a history of (i) two or more falls, or (ii) one injurious fall in the past 12 months will be recruited. Baseline assessment will include cardiovascular, frailty, fracture risk, psychological factors, gait and balance, activities of daily living and visual assessments. Fallers will be randomized into 2 groups: to receive tailored multifactorial interventions (intervention group); or given lifestyle advice with continued conventional care (control group). Multifactorial interventions will target 6 specific risk factors. All participants will be re-assessed after 12 months. The primary outcome measure will be fall recurrence, measured with monthly falls diaries. Secondary outcomes include falls risk factors; and psychological measures including fear of falling, and quality of life.

Discussion

Previous studies evaluating multifactorial interventions in falls have reported variable outcomes. Given likely cultural, personal, lifestyle and health service differences in Asian countries, it is vital that individually-tailored multifaceted interventions are evaluated in an Asian population to determine applicability of these interventions in our setting. If successful, these approaches have the potential for widespread application in geriatric healthcare services, will reduce the projected escalation of falls and fall-related injuries, and improve the quality of life of our older community.

Trial registration

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