Evidence map›Paper›PMID 28571563›Full record

Trial reportBMC geriatrics2017

The design and development of a complex multifactorial falls assessment intervention for falls prevention: The Prevention of Falls Injury Trial (PreFIT).

Julie Bruce, Shvaita Ralhan, Ray Sheridan, Katharine Westacott, Emma Withers, Susanne Finnegan, John Davison, Finbarr C Martin, Sarah E Lamb, PreFIT Intervention (MFFP) Group and 1 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in BMC geriatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 5% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  4. Review
  5. Article
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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

11 authors at 7 institutions in 1 country.

Julie BruceWarwick Clinical Trials Unit, Division of Health Sciences, University of Warwick, Coventry, CV4 7AL, UK. julie.bruce@warwick.ac.uk.ORCID 0000-0002-8462-7999
Shvaita RalhanOxford University Hospitals NHS Trust, The John Radcliffe Hospital, Headley Way, Headington, Oxfordshire, OX3 9DU, UK.
Ray SheridanRoyal Devon & Exeter Hospital, Barrack Road, Exeter, EX2 5DW, UK.
Katharine WestacottUniversity Hospitals of Coventry and Warwickshire, Clifford Bridge Road, Coventry, CV2 2DX, UK.
Emma WithersWarwick Clinical Trials Unit, Division of Health Sciences, University of Warwick, Coventry, CV4 7AL, UK.
Susanne FinneganWarwick Clinical Trials Unit, Division of Health Sciences, University of Warwick, Coventry, CV4 7AL, UK.
John DavisonFalls and Syncope Service, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle, NE1 4LP, UK.
Finbarr C MartinGuys and St Thomas' NHS Foundation Trust, St Thomas' Hospital, London, SE1 7EH, UK.
Sarah E LambWarwick Clinical Trials Unit, Division of Health Sciences, University of Warwick, Coventry, CV4 7AL, UK.
PreFIT Intervention (MFFP) Group
PreFIT Study Group
Newcastle upon Tyne Hospitals NHS Foundation Trust · GBRoyal Devon and Exeter Hospital · GBSt Thomas' Hospital · GBUniversity Hospitals Coventry and Warwickshire NHS Trust · GBJohn Radcliffe Hospital · GBNuffield Orthopaedic Centre · GBUniversity of Warwick · GB

Funding

Department of Health 08/14/41
6 · The paper itself

Abstract

backgroundThis paper describes the design and development of a complex multifactorial falls prevention (MFFP) intervention for implementation and testing within the framework of a large UK-based falls prevention randomised controlled trial (RCT).

methodsA complex intervention was developed for inclusion within the Prevention of Falls Injury Trial (PreFIT), a multicentre pragmatic RCT. PreFIT aims to compare the clinical and cost-effectiveness of three alternative primary care falls prevention interventions (advice, exercise and MFFP), on outcomes of fractures and falls. Community-dwelling adults, aged 70 years and older, were recruited from primary care in the National Health Service (NHS), England.

resultsDevelopment of the PreFIT MFFP intervention was informed by the existing evidence base and clinical guidelines for the assessment and management of falls in older adults. After piloting and modification, the final MFFP intervention includes seven falls risk factors: a detailed falls history interview with consideration of 'red flags'; assessment of balance and gait; vision; medication screen; cardiac screen; feet and footwear screen and home environment assessment. This complex intervention has been fully manualised with clear, documented assessment and treatment pathways for each risk factor. Each risk factor is assessed in every trial participant referred for MFFP. Referral for assessment is based upon a screening survey to identify those with a history of falling or balance problems. Intervention delivery can be adapted to the local setting.

conclusionThis complex falls prevention intervention is currently being tested within the framework of a large clinical trial. This paper adheres to TIDieR and CONSORT recommendations for the comprehensive and explicit reporting of trial interventions. Results from the PreFIT study will be published in due course. The effectiveness and cost-effectiveness of the PreFIT MFFP intervention, compared to advice and exercise, on the prevention of falls and fractures, will be reported at the conclusion of the trial.

Indexed as

Independent LivingAccidental FallsAgedAged, 80 and overCost-Benefit AnalysisEfficiency, OrganizationalEnglandExercise TherapyFemaleFractures, BoneGaitGeriatric AssessmentHumansMaleMedication Therapy ManagementPostural BalanceFallsFalls preventionMultifactorial assessmentOlder adultsTrial intervention

Identifiers

PMID28571563
PMCPMC5455136
OpenAlexW2620857736

What OpenQuestion holds

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LicenceCC BY
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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.