Evidence map›Paper›PMID 27671540›Full record

Trial reportTrials2016

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

Heather Waterman, Claire Ballinger, Caroline Brundle, Sebastien Chastin, Heather Gage, Robert Harper, David Henson, Bob Laventure, Lisa McEvoy, Mark Pilling and 4 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 6 pooled it
7.5field-weighted citation impact, top 3% 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

16 citing papers in PubMed, 6 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  11. Exercise based reduction of falls in communitydwelling older adults: a network meta-analysis.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2023
    Review
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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

14 authors at 9 institutions in 1 country.

Heather WatermanUniversity of Cardiff, Eastgate House, 35-43 Newport Road, Cardiff, CF24 0AB, UK. watermanh1@cardiff.ac.uk.
Claire BallingerUniversity of Southampton, Southampton, UK.
Caroline BrundleBradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
Sebastien ChastinGlasgow Caledonian University, Glasgow, UK.
Heather GageUniversity of Surrey, Surrey, UK.
Robert HarperCentral Manchester University Hospitals NHS Foundation Trust, Manchester, UK.
David HensonManchester Academic Health Sciences Centre, Manchester, UK.
Bob LaventureUniversity of Loughborough, Loughborough, UK.
Lisa McEvoyManchester Academic Health Sciences Centre, Manchester, UK.
Mark PillingManchester Academic Health Sciences Centre, Manchester, UK.
Nicky OlleveantManchester Academic Health Sciences Centre, Manchester, UK.
Dawn A SkeltonGlasgow Caledonian University, Glasgow, UK.
Penelope StanfordManchester Academic Health Sciences Centre, Manchester, UK.
Chris ToddManchester Academic Health Sciences Centre, Manchester, UK.
Manchester Academic Health Science Centre · GBGlasgow Caledonian University · GBUniversity of Manchester · GBBradford Teaching Hospitals NHS Foundation Trust · GBCardiff University · GBLoughborough University · GBTrafford General Hospital · GBUniversity of Southampton · GBUniversity of Surrey · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPublished 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.

methodsA 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.

resultsAltogether, 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.

conclusionIt 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 registrationISRCTN53433311 , registered on 8 May 2014.

Indexed as

Accidental FallsAgedAged, 80 and overExerciseFeasibility StudiesFemaleHumansMaleOutcome Assessment, Health CarePatient Acceptance of Health CareSafetyVision DisordersExerciseFallsHome safetyOlder peopleSight lossVisual impairment

Identifiers

PMID27671540
PMCPMC5037880
OpenAlexW2507128025

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.