dc.contributor.author | Cockayne, Sarah | |
dc.contributor.author | Adamson, Joy | |
dc.contributor.author | Corbacho Martin, Belen | |
dc.contributor.author | Fairhurst, Caroline | |
dc.contributor.author | Hewitt, Catherine | |
dc.contributor.author | Hicks, Kate | |
dc.contributor.author | Hull, Robin | |
dc.contributor.author | Keenan, Anne Maree | |
dc.contributor.author | Lamb, Sarah E | |
dc.contributor.author | Loughrey, Lorraine | |
dc.contributor.author | McIntosh, Caroline | |
dc.contributor.author | Menz, Hylton B | |
dc.contributor.author | Redmond, Anthony C | |
dc.contributor.author | Rodgers, Sara | |
dc.contributor.author | Vernon, Wesley | |
dc.contributor.author | Watson, Judith | |
dc.contributor.author | Torgerson, David | |
dc.date.accessioned | 2018-09-20T16:03:34Z | |
dc.date.available | 2018-09-20T16:03:34Z | |
dc.date.issued | 2014-12-01 | |
dc.identifier.citation | Cockayne, Sarah; Adamson, Joy; Corbacho Martin, Belen; Fairhurst, Caroline; Hewitt, Catherine; Hicks, Kate; Hull, Robin; Keenan, Anne Maree; Lamb, Sarah E; Loughrey, Lorraine; McIntosh, Caroline; Menz, Hylton B; Redmond, Anthony C; Rodgers, Sara; Vernon, Wesley; Watson, Judith; Torgerson, David (2014). The reform study protocol: a cohort randomised controlled trial of a multifaceted podiatry intervention for the prevention of falls in older people. BMJ Open 4 (12), | |
dc.identifier.issn | 2044-6055,2044-6055 | |
dc.identifier.uri | http://hdl.handle.net/10379/10824 | |
dc.description.abstract | Introduction: Falls and fall-related injuries are a serious cause of morbidity and cost to society. Foot problems and inappropriate footwear may increase the risk of falls; therefore podiatric interventions may play a role in reducing falls. Two Cochrane systematic reviews identified only one study of a podiatry intervention aimed to reduce falls, which was undertaken in Australia. The REFORM trial aims to evaluate the clinical and cost-effectiveness of a multifaceted podiatry intervention in reducing falls in people aged 65 years and over in a UK and Irish setting.
Methods and analysis: This multicentre, cohort randomised controlled trial will recruit 2600 participants from routine podiatry clinics in the UK and Ireland to the REFORM cohort. In order to detect a 10% point reduction in falls from 50% to 40%, with 80% power 890 participants will be randomised to receive routine podiatry care and a falls prevention leaflet or routine podiatry care, a falls prevention leaflet and a multifaceted podiatry intervention. The primary outcome is rate of falls (falls/person/time) over 12 months assessed by patient self-report falls diary. Secondary self-report outcome measures include: the proportion of single and multiple fallers and time to first fall over a 12-month period; Short Falls Efficacy Scale-International; fear of falling in the past 4 weeks; Frenchay Activities Index; fracture rate; Geriatric Depression Scale; EuroQoL-five dimensional scale 3-L; health service utilisation at 6 and 12 months. A qualitative study will examine the acceptability of the package of care to participants and podiatrists.
Ethics and dissemination: The trial has received a favourable opinion from the East of England-Cambridge East Research Ethics Committee and Galway Research Ethics Committee. The trial results will be published in peer-reviewed journals and at conference presentations. | |
dc.publisher | BMJ | |
dc.relation.ispartof | BMJ Open | |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 Ireland | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/3.0/ie/ | |
dc.subject | cost-effectiveness analysis | |
dc.subject | foot pain | |
dc.subject | functional status | |
dc.subject | clinical-trial | |
dc.subject | ankle | |
dc.subject | risk | |
dc.subject | balance | |
dc.subject | adults | |
dc.subject | uncertainty | |
dc.subject | efficacy | |
dc.title | The reform study protocol: a cohort randomised controlled trial of a multifaceted podiatry intervention for the prevention of falls in older people | |
dc.type | Article | |
dc.identifier.doi | 10.1136/bmjopen-2014-006977 | |
dc.local.publishedsource | http://bmjopen.bmj.com/content/bmjopen/4/12/e006977.full.pdf | |
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