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Improving fall prevention by providing tailored information to elderly patients


- candidate number14893
- NTR NumberNTR3994
- ISRCTNISRCTN wordt niet meer aangevraagd.
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR15-mei-2013
- Secondary IDs 30002001 / W13_005 #13.17.0061 ZonMW / MEC waiver
- Public TitleImproving fall prevention by providing tailored information to elderly patients
- Scientific TitleImproving fall prevention in fall outpatient clinic (FOC) by providing tailored information - using information technology
- ACRONYMPROFIT fall-outpatient clinic
- hypothesisWe hypothesize: (a) that providing patient specific risk information to elders when they visit the emergency department will improve their willingness to visit the FOC; and (b) that elders may underestimate their risk for a recurrent fall.
- Healt Condition(s) or Problem(s) studiedOlder adults, Geriatrics, Falling
- Inclusion criteriaPatients aged 65 or older who visit the emergency department due to a fall are included.
- Exclusion criteriaThose patients who entered the emergency department with an ambulance and/or are not able to fill in the questionnaire are excluded.
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingDouble
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-jul-2013
- planned closingdate1-jul-2014
- Target number of participants208
- InterventionsWhen an elderly patient visits the Emergency Department (ED) due to a fall they will be asked to fill in the CTI (CAREFALL Triage Instrument) questionnaire on a laptop. They will also be asked about their subjective assessment of of the risk of falling in the coming year. Upon completion of the CTI the risk estimate for a recurrent fall will be automatically calculated via a prediction model. Based on the criteria and the existing risk factors the patients will be categorized in one of the following groups and receive a specific message for that group at the end of filling in the questionnaire.
1. Those patients who, based on current policy, will not be invited to the fall outpatient clinic will be merely thanked for filling in the questionnaire.
2. Patients who, based on current policy, will be invited to the fall outpatient clinic will be randomized (sample size 104 patients per group):
(a) In the intervention group the patients will be presented with their probability of recurrent falling within one year (and their relative risk in comparison to elders not having their risk factors). They will also be informed that they will be contacted via a letter from the geriatrician within two weeks (similar to the current process) inviting them to visit the outpatient fall prevention clinic. (b) In the control group patients will be informed that they will be contacted via a letter within two weeks (similar to the current process) inviting them to the outpatient fall prevention clinic.
- Primary outcomePrimary outcome is the percentage of patients who are invited to the outpatient fall clinic who actually visit the clinic.
- Secondary outcome(a) The difference between the perceived and predicted probability of recurrent falls. (b) The percentage of completed questionnaires (in comparison to care as usual).
- TimepointsMeasurements are automatically calculated/collected by the computer as soon as they become available. We will measure outcomes at the end of the study.
- Trial web siteN/A
- statusplanned
- CONTACT FOR PUBLIC QUERIES Marjan Askari
- CONTACT for SCIENTIFIC QUERIES Ameen Abu-Hanna
- Sponsor/Initiator Academic Medical Center (AMC), Amsterdam
- Funding
(Source(s) of Monetary or Material Support)
ZON-MW, The Netherlands Organization for Health Research and Development
- Publications[Askari 2013] Marjan Askari, Richard Westerhof , Saied Eslami, Stephanie Medlock, Sophia E. de Rooij, Ameen Abu-Hanna. A combined disease management and process modeling approach for assessing and improving care processes: A fall management case-study. International Journal of Medical Informatics informatics - DOI:10.1016/j.ijmedinf.2013.06.011.
- Brief summaryThe fall prevention outpatient clinic aims at preventing (recurrent) falls of elders (≥ 65 years) that visited the Emergency Department (ED) due to an injurious fall. There are however various problems in the current fall prevention processes such as: (a) patients are currently identified by a nurse visiting the ED which then sends the CTI questionnaire to the patient by post and so many patients do not even fill the questionnaire; (b) Many of those completing the questionnaire and invited to the fall prevention clinic, do actually visit the outpatient fall prevention clinic; (c) the information conveyed to the elders are not individualized. Our aim is to investigate whether providing patient specific risk information to elders when they visit the ED will increase the percentage of actual visits. Our secondary aim is to measure (a) effect on percentage completed questionnaires and (b) difference between perceived and predicted risk of a recurrent fall.
- Main changes (audit trail)
- RECORD15-mei-2013 - 8-aug-2013


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