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A feasibility study to prevent falls in older people who are sight impaired: the VIP2UK randomised controlled trial

Waterman, H, Ballinger, C, Brundle, C, Chastin, S, Gage, Heather, Harper, R, Henson, D, Laventure, B, McEvoy, L, Pilling, M , Olleveant, N, Skelton, DA, Stanford, P and Todd, C (2016) A feasibility study to prevent falls in older people who are sight impaired: the VIP2UK randomised controlled trial TRIALS, 17 (464), ARTN 464.

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Abstract

Background: Published evaluations of successful interventions to prevent falls in people with sight impairment (SI) are limited. The aim of this feasibility study is to optimise the design and investigation of home safety (HS) and home exercise (HE) programmes to prevent falls in older people with SI. Methods: A community-based feasibility study in north-west England comprising a three-arm randomised controlled trial (RCT) allocated participants to (1) a control group receiving usual care and social visits, (2) an experimental group receiving the HS programme and (3) an experimental group receiving the HS + HE programme. Participants were community-dwelling, aged 65 years and older and sight impaired. Primary outcome data on falls were collected continuously over 6 months. Secondary outcomes on physical activity (self-report and instrumented) and adherence were collected at baseline and 3 and 6 months for HE and at 6 months for the HS programme. Costs for the HS and HS + HE groups were calculated from logs of time spent on home visits, telephone calls and travel. The research assistant and statistician were blinded to group allocation. Results: Altogether, 49 people were recruited over a 9-month period (randomised: 16 to control, 16 to HS, 17 to HS + HE). The interventions were implemented over 6 months by an occupational therapist at a cost per person (pounds sterling, 2011) of £249 (HS) and £674 (HS + HE). Eighty-eight percent (43/49) completed the trial and 6-month follow-up. At 6-month follow-up, 100 % reported partially or completely adhering to HS recommendations but evidence for adherence to HE was equivocal. Although self-reported physical activity increased, instrumented monitoring showed a decrease in walking activity. There were no statistically significant differences in falls between the groups; however, the study was not powered to detect a difference. Conclusion: It is feasible and acceptable for an occupational therapist to deliver HS and HE falls prevention programmes to people with SI living independently in the community. Future studies could access Local Authority Registers of people with SI to improve recruitment rates. Further research is required to identify how to improve adherence to HE and to measure changes in physical activity before conducting a definitive RCT. Trial registration: ISRCTN53433311, registered on 8 May 2014.

Item Type: Article
Subjects : Economics
Divisions : Faculty of Arts and Social Sciences > School of Economics
Authors :
NameEmailORCID
Waterman, HUNSPECIFIEDUNSPECIFIED
Ballinger, CUNSPECIFIEDUNSPECIFIED
Brundle, CUNSPECIFIEDUNSPECIFIED
Chastin, SUNSPECIFIEDUNSPECIFIED
Gage, HeatherH.Gage@surrey.ac.ukUNSPECIFIED
Harper, RUNSPECIFIEDUNSPECIFIED
Henson, DUNSPECIFIEDUNSPECIFIED
Laventure, BUNSPECIFIEDUNSPECIFIED
McEvoy, LUNSPECIFIEDUNSPECIFIED
Pilling, MUNSPECIFIEDUNSPECIFIED
Olleveant, NUNSPECIFIEDUNSPECIFIED
Skelton, DAUNSPECIFIEDUNSPECIFIED
Stanford, PUNSPECIFIEDUNSPECIFIED
Todd, CUNSPECIFIEDUNSPECIFIED
Date : 26 September 2016
Identification Number : 10.1186/s13063-016-1565-0
Copyright Disclaimer : © 2016 The Author(s). Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Uncontrolled Keywords : Science & Technology, Life Sciences & Biomedicine, Medicine, Research & Experimental, Research & Experimental Medicine, Older people, Visual impairment, Sight loss, Exercise, Home safety, Falls, PHYSICAL-ACTIVITY, VISUAL IMPAIRMENT, ACTIVITY-MONITOR, FES-I, HEALTH, ADULTS, PILOT, DEFINITIONS, STRATEGIES, EXERCISE
Related URLs :
Depositing User : Symplectic Elements
Date Deposited : 22 Feb 2017 14:06
Last Modified : 19 Jul 2017 10:58
URI: http://epubs.surrey.ac.uk/id/eprint/813600

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