Trial reportClinical interventions in aging2013
Effects of a complex intervention on fall risk in the general practitioner setting: a cluster randomized controlled trial.
Trial report in Clinical interventions in aging, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 5 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- Effects of Cognitive Behavioral Therapy on Fall Prevention for Older Adults: A Meta-Analysis.Worldviews on evidence-based nursing · 2026Pooled it
- Cognitive behavioural therapy (CBT) with and without exercise to reduce fear of falling in older people living in the community.The Cochrane database of systematic reviews · 2023Pooled it
- Effects of Supervised vs. Unsupervised Training Programs on Balance and Muscle Strength in Older Adults: A Systematic Review and Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2017Pooled it
- Physical Activity Intervention Effects on Physical Function Among Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis.Journal of aging and physical activity · 2017Pooled it
- Statistical analysis and handling of missing data in cluster randomized trials: a systematic review.Trials · 2016Pooled it
- Strategies for recruitment in general practice settings: the iSOLVE fall prevention pragmatic cluster randomised controlled trial.BMC medical research methodology · 2019Trial
- Fall Prevention in a Primary Care Setting.Deutsches Arzteblatt international · 2016Trial
- Effectiveness of two year balance training programme on prevention of fall induced injuries in at risk women aged 75-85 living in community: Ossébo randomised controlled trial.BMJ (Clinical research ed.) · 2015Trial
- Nurse-led multicomponent educational intervention in primary care to reduce fear of falling in older adults: a cluster randomized trial.BMC nursing · 2026Article
- Article
- Facing the COVID-19 pandemic: An Italian feasibility study of a mixed in-person/telerehabilitation intervention for cancer patients.Cancer medicine · 2024Observational
- Effect of Modulated Electromyostimulation on the Motor System of Elderly Neurological Patients. Pilot Study of Russian Currents Also Known as Kotz Currents.Frontiers in physiology · 2022Article
- Multimodal Exercise Effects in Older Adults Depend on Sleep, Movement Biography, and Habitual Physical Activity: A Randomized Controlled Trial.Frontiers in aging neuroscience · 2021Article
- Article
- Raising and stabilization phase of the sit-to-stand movement better discriminate healthy elderly adults from young subjects: a pilot cross-sectional study.Archives of physiotherapy · 2020Article
- Trunk Skeletal Muscle Mass and Phase Angle Measured by Bioelectrical Impedance Analysis are Associated with the Chance of Femoral Neck Fracture in Very Elderly People.Clinical interventions in aging · 2020Article
- Functional Electrical Stimulation: A Possible Strategy to Improve Muscle Function in Central Core Disease?Frontiers in neurology · 2019Article
- [Evaluation of a simple screening tool for ambulant fall prevention].Der Unfallchirurg · 2018Article
- Frailty and exercise interventions : Evidence and barriers for exercise programs.Zeitschrift fur Gerontologie und Geriatrie · 2016Review
- [Active and safe with wheeled walkers : Pilot study on feasibility of mobility exercises for wheeled walker users].Zeitschrift fur Gerontologie und Geriatrie · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo study the feasibility of first, reaching functionally declined, but still independent older persons at risk of falls through their general practitioner (GP) and second, to reduce their physiological and psychological fall risk factors with a complex exercise intervention. We investigated the effects of a 16-week exercise intervention on physiological (function, strength, and balance) and psychological (fear of falling) outcomes in community-dwelling older persons in comparison with usual care. In addition, we obtained data on adherence of the participants to the exercise program.
methodsTests on physical and psychological fall risk were conducted at study inclusion, and after the 16-week intervention period in the GP office setting. The 16-week intervention included progressive and challenging balance, gait, and strength exercise as well as changes to behavioral aspects. To account for the hierarchical structure in the chosen study design, with patients nested in GPs and measurements nested in patients, a three-level linear mixed effects model was determined for analysis.
resultsIn total, 33 GPs recruited 378 participants (75.4% females). The mean age of the participants was 78.1 years (standard deviation 5.9 years). Patients in the intervention group showed an improvement in the Timed-Up-and-Go-test (TUG) that was 1.5 seconds greater than that showed by the control group, equivalent to a small to moderate effect. For balance, a relative improvement of 0.8 seconds was accomplished, and anxiety about falls was reduced by 3.7 points in the Falls Efficacy Scale-International (FES-I), in the intervention group relative to control group. In total, 76.6% (N = 170) of the intervention group participated in more than 75% the supervised group sessions.
conclusionThe strategy to address older persons at high risk of falling in the GP setting with a complex exercise intervention was successful. In functionally declined, community-dwelling, older persons a complex intervention for reducing fall risks was effective compared with usual care.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.