TY  - JOUR
PY  - 2017//
TI  - Tailored education program using home floor plans for falls prevention in discharged older patients: A pilot randomized controlled trial
JO  - Archives of gerontology and geriatrics
A1  - Ueda, Tetsuya
A1  - Higuchi, Yumi
A1  - Imaoka, Masakazu
A1  - Todo, Emiko
A1  - Kitagawa, Tomomi
A1  - Ando, Suguru
SP  - 9
EP  - 13
VL  - 71
IS  - 
N2  - OBJECTIVE: To investigate the effect of a tailored education program using home floor plans on falls prevention in discharged older patients. <br><br>DESIGN: A single-center, parallel, pragmatic, pilot randomized controlled trial with equal allocation to the intervention and control groups. SETTING: Discharged hospital patients were followed-up in their home settings. PARTICIPANTS: All discharged orthopedic patients aged ≥65 years who experienced ≥1 fall(s) in the past year (n=60). INTERVENTIONS: Both groups received standard care (exercises) and the intervention group also received a tailored education program for falls prevention using home floor plans. MEASUREMENTS: Falls and near-falls at the participants' homes using a 1-month fall calendar during the 1-month period after discharge. The evaluators were blinded at the baseline assessment. <br><br>RESULTS: Nine participants were withdrawn from the study, leaving 51 of 60 (85%) participants for the final analyses. No falls occurred in the intervention group (n=25) during follow-up. However, 2 participants (7.7%) fell in the control group (n=26). Near-falls were reported by 7 participants (28.0%) in the intervention group and 13 participants (50.0%) in the control group. The intervention group had 75% less near-falls compared with the control group, as assessed using a Cox proportional hazards model (hazard ratio, 0.25; 95% confidence interval, 0.09-0.75). <br><br>CONCLUSIONS: The tailored education program using home floor plans at the hospital was effective for reducing falls and near-falls among discharged orthopedic patients. Registration of clinical trials: This study was registered with the Research Ethics Committee of University Hospital Medical Information Network (UMIN) Center (000018201).<br><br>Copyright © 2017 Elsevier B.V. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0167-4943
UR  - http://dx.doi.org/10.1016/j.archger.2017.02.010
ID  - ref1
ER  -