Trial reportBMJ (Clinical research ed.)2021
Multifactorial falls prevention programme compared with usual care in UK care homes for older people: multicentre cluster randomised controlled trial with economic evaluation.
Trial report in BMJ (Clinical research ed.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 5 of them syntheses that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
35 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Effectiveness of clinical decision support in fall prevention among older adults: A systematic review and meta-analysis.PloS one · 2026Pooled it
- Interventions for preventing falls in older people in care facilities.The Cochrane database of systematic reviews · 2025Pooled it
- Models for delivery and co-ordination of primary or secondary health care (or both) to older adults living in aged care facilities.The Cochrane database of systematic reviews · 2024Pooled it
- Pooled it
- Interventions to reduce falls in hospitals: a systematic review and meta-analysis.Age and ageing · 2022Pooled it
- FallFitness exercise program provided using the train-the-trainer approach for community-dwelling older adults: a randomized controlled trial.BMC geriatrics · 2024Trial
- Quality of life, pain and use of analgesic, anxiolytic and antidepressant medication, in people living in care homes.Age and ageing · 2024Trial
- A stepped-wedge randomised controlled trial to assess efficacy and cost-effectiveness of a care-bundle to prevent falls in older hospitalised patients.Age and ageing · 2024Trial
- Dietary nitrate supplementation for preventing and reducing the severity of winter infections, including COVID-19, in care homes (BEET-Winter): a randomised placebo-controlled feasibility trial.European geriatric medicine · 2022Trial
- A multidomain decision support tool to prevent falls in older people: the FinCH cluster RCT.Health technology assessment (Winchester, England) · 2022Trial
- Management of postmenopausal osteoporosis.Endocrine reviews · 2026Review
- Attentive Prototype Learning with Wearable Sensor Mutual Information for Fall Risk Stratification of Parkinson's Patients.Bioengineering (Basel, Switzerland) · 2026Article
- Falls Among Residents Living in Care Homes Using Real-Time Data Collection: A Large UK Case-Control Study.Health science reports · 2026Article
- Psychoeducation for fall prevention among community-dwelling older people: A scoping review.Journal of health psychology · 2025Article
- Article
- System-level interventions for fall risk assessment, fall prevention and fall injury prevention in long-term care facilities: a scoping review.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025Article
- Development of a multifaceted implementation plan to guide falls prevention in residential aged care facilities.BMC geriatrics · 2025Article
- Exploring the organisation and delivery of falls management in care homes for older people in England.BMC geriatrics · 2025Article
- College of Occupational Therapy - Research Priority 10: What is the cost-effectiveness of Occupational Therapy services? Making the economic case for Occupational Therapy.The British journal of occupational therapy · 2025Article
- Factors Influencing the Implementation of Evidence-Based Falls Prevention Interventions for Older Persons Living in Residential long-term care settings - An Umbrella Review of Systematic Reviews.Journal of frailty, sarcopenia and falls · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
20 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine the clinical and cost effectiveness of a multifactorial fall prevention programme compared with usual care in long term care homes.
designMulticentre, parallel, cluster randomised controlled trial.
settingLong term care homes in the UK, registered to care for older people or those with dementia.
participants1657 consenting residents and 84 care homes. 39 were randomised to the intervention group and 45 were randomised to usual care.
interventionsGuide to Action for Care Homes (GtACH): a multifactorial fall prevention programme or usual care.
main outcome measuresPrimary outcome measure was fall rate at 91-180 days after randomisation. The economic evaluation measured health related quality of life using quality adjusted life years (QALYs) derived from the five domain five level version of the EuroQoL index (EQ-5D-5L) or proxy version (EQ-5D-5L-P) and the Dementia Quality of Life utility measure (DEMQOL-U), which were self-completed by competent residents and by a care home staff member proxy (DEMQOL-P-U) for all residents (in case the ability to complete changed during the study) until 12 months after randomisation. Secondary outcome measures were falls at 1-90, 181-270, and 271-360 days after randomisation, Barthel index score, and the Physical Activity Measure-Residential Care Homes (PAM-RC) score at 91, 180, 270, and 360 days after randomisation.
resultsMean age of residents was 85 years. 32% were men. GtACH training was delivered to 1051/1480 staff (71%). Primary outcome data were available for 630 participants in the GtACH group and 712 in the usual care group. The unadjusted incidence rate ratio for falls between 91 and 180 days was 0.57 (95% confidence interval 0.45 to 0.71, P<0.001) in favour of the GtACH programme (GtACH: six falls/1000 residents
conclusionsThe GtACH programme was associated with a reduction in fall rate and cost effectiveness, without a decrease in activity or increase in dependency.
trial registrationISRCTN34353836.
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