Evidence map›Paper›PMID 38273325›Full record

ArticleImplementation science : IS2024

Tailored implementation of national recommendations on fall prevention among older adults in municipalities in Norway (FALLPREVENT trial): a study protocol for a cluster-randomised trial.

Maria Bjerk, Signe A Flottorp, Are Hugo Pripp, Henning Øien, Tonya Moen Hansen, Robbie Foy, Jacqueline Close, Siv Linnerud, Therese Brovold, Rune Solli and 8 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Implementation science : IS, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
19.5field-weighted citation impact, top 1% 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

7 citing papers in PubMed, 17 citations in OpenAlex.

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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

18 authors at 10 institutions in 7 countries.

Maria BjerkDepartment of Rehabilitation Science and Health Technology, Faculty of Health Sciences, Oslo Metropolitan University (OsloMet), Oslo, Norway. maria.bjerk@oslomet.no.ORCID 0000-0001-8839-1613
Signe A FlottorpDivision for Health Services, Norwegian Institute of Public Health, Oslo, Norway.
Are Hugo PrippDepartment of Rehabilitation Science and Health Technology, Faculty of Health Sciences, Oslo Metropolitan University (OsloMet), Oslo, Norway.
Henning ØienDivision for Health Services, Norwegian Institute of Public Health, Oslo, Norway.
Tonya Moen HansenDivision for Health Services, Norwegian Institute of Public Health, Oslo, Norway.
Robbie FoyUniversity of Leeds, Leeds, UK.
Jacqueline CloseNeuroscience Research Australia, Randwick, NSW, Australia.
Siv LinnerudDepartment of Rehabilitation Science and Health Technology, Faculty of Health Sciences, Oslo Metropolitan University (OsloMet), Oslo, Norway.
Therese BrovoldDepartment of Rehabilitation Science and Health Technology, Faculty of Health Sciences, Oslo Metropolitan University (OsloMet), Oslo, Norway.
Rune SolliDepartment of Rehabilitation Science and Health Technology, Faculty of Health Sciences, Oslo Metropolitan University (OsloMet), Oslo, Norway.
Nina Rydland OlsenDepartment of Health and Functioning, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
Dawn A SkeltonResearch Centre for Health (ReaCH), Department of Physiotherapy and Paramedicine, School of Health & Life Sciences, Glasgow Caledonian University, Glasgow, UK.
Elisabeth RydwikWomen's Health and Allied Health Professionals Theme, Medical Unit Occupational Therapy and Physiotherapy, Karolinska University Hospital, Solna, Sweden.
Jorunn L HelbostadDepartment of Neuromedicine and Movement Science, Faculty of Medicine and Health, NTNU, Trondheim, Norway.
Gro IdlandAgency for Health, Municipality of Oslo, Oslo, Norway.
Linda KvælDepartment of Housing and Ageing Research, Norwegian Social Research - NOVA, Oslo Metropolitan University (OsloMet), Oslo, Norway.
Edgar VieiraDepartment of Physical Therapy, Florida International University, Miami, FL, USA.
Kristin TaraldsenDepartment of Rehabilitation Science and Health Technology, Faculty of Health Sciences, Oslo Metropolitan University (OsloMet), Oslo, Norway.
OsloMet – Oslo Metropolitan University · NONorwegian Institute of Public Health · NOFlorida International University · USGlasgow Caledonian University · GBKarolinska University Hospital · SENorwegian University of Science and Technology · NOOslo University Hospital · NOPrince of Wales Hospital · AUUniversity of Leeds · GBWestern Norway University of Applied Sciences · NO

Funding

Norges Forskningsråd 301996
6 · The paper itself

Abstract

backgroundDespite substantial research evidence indicating the effectiveness of a range of interventions to prevent falls, uptake into routine clinical practice has been limited by several implementation challenges. The complexity of fall prevention in municipality health care underlines the importance of flexible implementation strategies tailored both to general determinants of fall prevention and to local contexts. This cluster-randomised trial (RCT) investigates the effectiveness of a tailored intervention to implement national recommendations on fall prevention among older home-dwelling adults compared to usual practice on adherence to the recommendations in health professionals.

methodsTwenty-five municipalities from four regions in Norway will be randomised to intervention or control arms. Each municipality cluster will recruit up to 30 health professionals to participate in the study as responders. The tailored implementation intervention comprises four components: (1) identifying local structures for implementation, (2) establishing a resource team from different professions and levels, (3) promoting knowledge on implementation and fall prevention and (4) supporting the implementation process. Each of these components includes several implementation activities. The Consolidated Framework for Implementation Research (CFIR) will be used to categorise determinants of the implementation process and the Expert Recommendations for Implementing Change (ERIC) will guide the matching of barriers to implementation strategies. The primary outcome measure for the study will be health professionals' adherence to the national recommendations on fall prevention measured by a questionnaire. Secondary outcomes include injurious falls, the feasibility of the intervention, the experiences of the implementation process and intervention costs. Measurements will be carried out at baseline in August 2023, post-intervention in May 2024 and at a follow-up in November 2024. DISCUSSION: This study will provide evidence on the effectiveness, intervention costs and underlying processes of change of tailored implementation of evidence-based fall prevention recommendations.

trial registrationThe trial is registered in the Open Science Registry: https://doi.org/10.17605/OSF.IO/JQ9T5 . Registered: March 03, 2023.

Indexed as

Randomized Controlled Trials as TopicAgedCitiesHumansNorway3–10 Implementation scienceCluster-randomised trialFall preventionGuidelinesImplementation interventionImplementation strategiesMunicipal health servicesNational recommendationsOlder adults

Identifiers

PMID38273325
PMCPMC10811923
OpenAlexW4391231553

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.