Trial reportJournal of the American Geriatrics Society2021
Effect of a Multifactorial Fall Injury Prevention Intervention on Patient Well-Being: The STRIDE Study.
Trial report in Journal of the American Geriatrics Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05245097 (Mitigation of Major Hip Injury Due to Fall in an At-Risk, Older Adult Population With a Wearable Smart Belt), which is not on this map. Cited by 16 papers, 2 of them syntheses that pooled 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.
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.
Mitigation of Major Hip Injury Due to Fall in an At-Risk, Older Adult Population With a Wearable Smart Belt
Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Reporting race and ethnicity in aging in place research: A systematic review.The Gerontologist · 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
- Endpoint assessment via routinely collected data generates estimates comparable to randomized controlled trial data: analysis of a cluster-randomized trial on fall injury prevention.Journal of clinical epidemiology · 2025Trial
- Association of a Perioperative Multicomponent Fall Prevention Intervention With Falls and Quality of Life After Elective Inpatient Surgical Procedures.JAMA network open · 2022Trial
- 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 · 2024Article
- A pilot study to identify factors associated with frailty within the World Trade Center general responder cohort.American journal of industrial medicine · 2024Article
- Medicare's Hospital Readmission Reduction Program reduced fall-related health care use: An unexpected benefit?Health services research · 2024Article
- Designing three-level cluster randomized trials to assess treatment effect heterogeneity.Biostatistics (Oxford, England) · 2023Article
- Costs of fall injuries in the STRIDE study: an economic evaluation of healthcare system heterogeneity and heterogeneity of treatment effect.Cost effectiveness and resource allocation : C/E · 2023Article
- Potential Solutions for the Mitigation of Hip Injuries Caused by Falls in Older Adults: A Narrative Review.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023Review
- Effect of a Home Health and Safety Intervention on Emergency Department Use in the Frail Elderly: A Prospective Observational Study.The western journal of emergency medicine · 2023Observational
- Real World Evidence of Wearable Smartbelt for Mitigation of Fall Impact in Older Adult Care.IEEE journal of translational engineering in health and medicine · 2023Article
- Effect of the STRIDE fall injury prevention intervention on falls, fall injuries, and health-related quality of life.Journal of the American Geriatrics Society · 2022Article
- Engagement of older adults in STRIDE's multifactorial fall injury prevention intervention.Journal of the American Geriatrics Society · 2022Article
- Accounting for unequal cluster sizes in designing cluster randomized trials to detect treatment effect heterogeneity.Statistics in medicine · 2022Article
- Extended effects of a wearable sensory prosthesis on gait, balance function and falls after 26 weeks of use in persons with peripheral neuropathy and high fall risk-The walk2Wellness trial.Frontiers in aging neuroscience · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
46 authors.
Funding
Abstract
BACKGROUND/
objectivesIn the Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE) study, a multifactorial intervention was associated with a nonsignificant 8% reduction in time to first serious fall injury but a significant 10% reduction in time to first self-reported fall injury relative to enhanced usual care. The effect of the intervention on other outcomes important to patients has not yet been reported. We aimed to evaluate the effect of the intervention on patient well-being including concern about falling, anxiety, depression, physical function, and disability.
designPragmatic cluster-randomized trial of 5,451 community-living persons at high risk for serious fall injuries.
settingA total of 86 primary care practices within 10 U.S. healthcare systems.
participantsA random subsample of 743 persons aged 75 and older. MEASUREMENTS: The well-being measures, assessed at baseline, 12 months, and 24 months, included a modified version of the Fall Efficacy Scale, Patient-Reported Outcomes Measurement Information System (PROMIS) anxiety and depression scales, and Late-Life Function and Disability Instrument.
resultsParticipants in the intervention (n = 384) and control groups (n = 359) were comparable in age: mean (standard deviation) of 81.9 (4.7) versus 81.8 (5.0) years. Mean scores were similar between groups at 12 and 24 months for concern about falling, physical function, and disability, whereas the intervention group's mean scores on anxiety and depression were .7 points lower (i.e., better) at 12 months and .6 to .8 points lower at 24 months. For each of these outcomes, differences between the groups' adjusted least square mean changes from baseline to 12 and 24 months, respectively, were quantitatively small. The overall difference in means between groups over 2 years was statistically significant only for depression, favoring the intervention: -1.19 (99% confidence interval, -2.36 to -.02), with 3.5 points representing a minimally important difference.
conclusionsSTRIDE's multifactorial intervention to reduce fall injuries was not associated with clinically meaningful improvements in patient well-being.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.