Evidence map›Paper›PMID 25518875›Full record

Trial reportBMJ open2014

The REFORM study protocol: a cohort randomised controlled trial of a multifaceted podiatry intervention for the prevention of falls in older people.

Sarah Cockayne, Joy Adamson, Belen Corbacho Martin, Caroline Fairhurst, Catherine Hewitt, Kate Hicks, Robin Hull, Anne Maree Keenan, Sarah E Lamb, Lorraine Loughrey and 8 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
8.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. F3ALLS Approach to Preventing Falls.The journal of nutrition, health & aging · 2018
    Article
  10. Editorial: Frailty, Comorbidity, and COPD.The journal of nutrition, health & aging · 2018
    Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 9 institutions in 3 countries.

Sarah CockayneYork Trials Unit, Department of Health Sciences, University of York, York, UK.
Joy AdamsonYork Trials Unit, Department of Health Sciences, University of York, York, UK.
Belen Corbacho MartinYork Trials Unit, Department of Health Sciences, University of York, York, UK.
Caroline FairhurstYork Trials Unit, Department of Health Sciences, University of York, York, UK.
Catherine HewittYork Trials Unit, Department of Health Sciences, University of York, York, UK.
Kate HicksYork Trials Unit, Department of Health Sciences, University of York, York, UK.
Robin HullPodiatry Services, Harrogate and District NHS Foundation Trust, Harrogate District Hospital, Harrogate, UK.
Anne Maree KeenanNIHR Leeds Musculoskeletal Biomedical Research Unit, Chapel Allerton Hospital, Leeds, UK Leeds Institute of Rheumatology and Musculoskeletal Medicine, University of Leeds, Leeds, UK.
Sarah E LambNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Kadoorie Critical Care Research Centre, John Radcliffe Hospital, University of Oxford, Oxford, UK.
Lorraine LoughreyYork Trials Unit, Department of Health Sciences, University of York, York, UK NIHR Leeds Musculoskeletal Biomedical Research Unit, Chapel Allerton Hospital, Leeds, UK.
Caroline McIntoshNational University of Ireland, Galway, Republic of Ireland.
Hylton B MenzFaculty of Health Sciences, Lower Extremity and Gait Studies Program, La Trobe University, Bundoora, Victoria, Australia.
Anthony C RedmondNIHR Leeds Musculoskeletal Biomedical Research Unit, Chapel Allerton Hospital, Leeds, UK Leeds Institute of Rheumatology and Musculoskeletal Medicine, University of Leeds, Leeds, UK.
Sara RodgersYork Trials Unit, Department of Health Sciences, University of York, York, UK.
Wesley VernonPodiatry Services, Sheffield Teaching Hospitals NHS Foundation Trust, Jordanthorpe Health Centre, Sheffield, UK.
Judith WatsonYork Trials Unit, Department of Health Sciences, University of York, York, UK.
David TorgersonYork Trials Unit, Department of Health Sciences, University of York, York, UK.
REFORM study
University of York · GBChapel Allerton Hospital · GBHarrogate District Hospital · GBLa Trobe University · AUNIHR Leeds Musculoskeletal Biomedical Research Unit · GBOllscoil na Gaillimhe – University of Galway · IESheffield Teaching Hospitals NHS Foundation Trust · GBUniversity of Leeds · GBUniversity of Oxford · GB

Funding

Department of Health 09/77/01Department of Health PDA/03/07/047
6 · The paper itself

Abstract

introductionFalls and fall-related injuries are a serious cause of morbidity and cost to society. Foot problems and inappropriate footwear may increase the risk of falls; therefore podiatric interventions may play a role in reducing falls. Two Cochrane systematic reviews identified only one study of a podiatry intervention aimed to reduce falls, which was undertaken in Australia. The REFORM trial aims to evaluate the clinical and cost-effectiveness of a multifaceted podiatry intervention in reducing falls in people aged 65 years and over in a UK and Irish setting. METHODS AND ANALYSIS: This multicentre, cohort randomised controlled trial will recruit 2600 participants from routine podiatry clinics in the UK and Ireland to the REFORM cohort. In order to detect a 10% point reduction in falls from 50% to 40%, with 80% power 890 participants will be randomised to receive routine podiatry care and a falls prevention leaflet or routine podiatry care, a falls prevention leaflet and a multifaceted podiatry intervention. The primary outcome is rate of falls (falls/person/time) over 12 months assessed by patient self-report falls diary. Secondary self-report outcome measures include: the proportion of single and multiple fallers and time to first fall over a 12-month period; Short Falls Efficacy Scale-International; fear of falling in the past 4 weeks; Frenchay Activities Index; fracture rate; Geriatric Depression Scale; EuroQoL-five dimensional scale 3-L; health service utilisation at 6 and 12 months. A qualitative study will examine the acceptability of the package of care to participants and podiatrists. ETHICS AND DISSEMINATION: The trial has received a favourable opinion from the East of England-Cambridge East Research Ethics Committee and Galway Research Ethics Committee. The trial results will be published in peer-reviewed journals and at conference presentations. TRIAL REGISTRATION NUMBER: Current Controlled Trials ISRCTN68240461 assigned 01/07/2011.

Indexed as

Accidental FallsAgedAged, 80 and overCohort StudiesEnglandFemaleFoot OrthosesHumansIrelandMalePatient Education as TopicPodiatryShoesHEALTH ECONOMICSQUALITATIVE RESEARCHSTATISTICS & RESEARCH METHODS

Identifiers

PMID25518875
PMCPMC4275677
OpenAlexW2105931249

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.