Evidence map›Paper›PMID 29044479›Full record

ArticleJournal of the American Geriatrics Society2017

The Strategies to Reduce Injuries and Develop Confidence in Elders Intervention: Falls Risk Factor Assessment and Management, Patient Engagement, and Nurse Co-management.

David B Reuben, Priscilla Gazarian, Neil Alexander, Katy Araujo, Dorothy Baker, Jonathan F Bean, Chad Boult, Peter Charpentier, Pamela Duncan, Nancy Latham and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
5.5field-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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  4. Pilot Outcomes of a Multicomponent Fall Risk Program Integrated Into Daily Lives of Community-Dwelling Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2021
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  15. Validation of a Rule-Based ICD-10-CM Algorithm to Detect Fall Injuries in Medicare Data.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
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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 10 institutions in 1 country.

David B ReubenDivision of Geriatrics, Department of Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
Priscilla GazarianCenter for Patient Safety, Research and Practice, Brigham and Women's Hospital, Boston, Massachusetts.
Neil AlexanderDepartment of Medicine, School of Medicine, University of Michigan, Ann Arbor, Michigan.
Katy AraujoSchool of Medicine, Yale University, New Haven, Connecticut.
Dorothy BakerSchool of Medicine, Yale University, New Haven, Connecticut.
Jonathan F BeanNew England Geriatric Research, Education and Clinical Center, Veterans Affairs Boston Healthcare System, Boston, Massachusetts.
Chad BoultSaint Alphonsus Health System, Boise, Idaho.
Peter CharpentierSchool of Medicine, Yale University, New Haven, Connecticut.
Pamela DuncanDepartment of Neurology, School of Medicine, Wake Forest University, Wake Forest Baptist Health, Winston-Salem, North Carolina.
Nancy LathamMen's Health, Aging, and Metabolism Unit, Brigham and Women's Hospital-Harvard Medical School, Boston, Massachusetts.
Rosanne M LeipzigBrookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
Lisa M QuintilianiBoston University, Boston, Massachusetts.
Thomas StorerMen's Health, Aging, and Metabolism Unit, Brigham and Women's Hospital-Harvard Medical School, Boston, Massachusetts.
Siobhan McMahonSchool of Nursing, University of Minnesota, Minneapolis, Minnesota.
Yale University · USBrigham and Women's Hospital · USHarvard University · USAtrium Health Wake Forest Baptist · USBoston University · USIcahn School of Medicine at Mount Sinai · USSaint Alphonsus Health System · USUniversity of California, Los Angeles · USUniversity of Michigan–Ann Arbor · USUniversity of Minnesota · US

Funding

Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Albert C Shaw · 2002 to 2026
$37.9M
Randomized Trial of a Multifactorial Fall Injury Prevention Strategy-SupplementU01AG048270 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI BHASIN, SHALENDER, GILL, THOMAS MICHAEL · 2014 to 2019
$34.8M
Research Education CoreP30AG024824 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Neil Alexander · 2004 to 2026
$29.2M
UCLA OLDER AMERICANS INDEPENDENCE CENTERP30AG028748 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MOORE, ALISON AHERN · 2006 to 2017
$9.8M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)KL2TR000113 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$5.4M
NCATS NIH HHS KL2 TR000113NIA NIH HHS P30 AG021342NIA NIH HHS P30 AG024824NIA NIH HHS P30 AG028748NIA NIH HHS U01 AG048270
6 · The paper itself

Abstract

In response to the epidemic of falls and serious falls-related injuries in older persons, in 2014, the Patient Centered Outcomes Research Institute (PCORI) and the National Institute on Aging funded a pragmatic trial, Strategies to Reduce Injuries and Develop confidence in Elders (STRIDE) to compare the effects of a multifactorial intervention with those of an enhanced usual care intervention. The STRIDE multifactorial intervention consists of five major components that registered nurses deliver in the role of falls care managers, co-managing fall risk in partnership with patients and their primary care providers (PCPs). The components include a standardized assessment of eight modifiable risk factors (medications; postural hypotension; feet and footwear; vision; vitamin D; osteoporosis; home safety; strength, gait, and balance impairment) and the use of protocols and algorithms to generate recommended management of risk factors; explanation of assessment results to the patient (and caregiver when appropriate) using basic motivational interviewing techniques to elicit patient priorities, preferences, and readiness to participate in treatments; co-creation of individualized falls care plans that patients' PCPs review, modify, and approve; implementation of the falls care plan; and ongoing monitoring of response, regularly scheduled re-assessments of fall risk, and revisions of the falls care plan. Custom-designed falls care management software facilitates risk factor assessment, the identification of recommended interventions, clinic note generation, and longitudinal care management. The trial testing the effectiveness of the STRIDE intervention is in progress, with results expected in late 2019.

Indexed as

Geriatric NursingPatient ParticipationAccidental FallsAgedHumansRisk AssessmentRisk FactorsRisk ManagementWounds and Injuriescluster-randomized clinical trialfallsinjuriesprevention

Identifiers

PMID29044479
PMCPMC5729112
OpenAlexW2765212079

What OpenQuestion holds

Textmetadata
LicenceTDM
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.