PrevenTing Falls in a high-risk, vision-impaired population through specialist ORientation and Mobility services

Protocol for the PlaTFORM randomised trial

Lisa Keay, Lisa Dillon, Lindy Clemson, Anne Tiedemann, Catherine Sherrington, Peter McCluskey, Pradeep Ramulu, Stephen Jan, Kris Rogers, Jodi Martin, Frances Tinsley, Kirsten Bonrud Jakobsen, Rebecca Q. Ivers

Research output: Contribution to journalArticle

Abstract

Background Older people with vision impairment have significant ongoing morbidity, including risk of falls, but are neglected in fall prevention programmes. PlaTFORM is a pragmatic evaluation of the Lifestyle-integrated Functional Exercise fall prevention programme for older people with vision impairment or blindness (v-LiFE). Implementation and scalability issues will also be investigated. Methods PlaTFORM is a single-blinded, randomised trial designed to evaluate the v-LiFE programme compared with usual care. Primary outcomes are fall rate over 12 months, measured using prospective monthly fall calendars, and function and participation assessed by the Late-Life Function and Disability Instrument (Late-Life FDI) Function component. The secondary outcome is rate of falls requiring medical care. Activity-normalised fall rate will be estimated using accelerometer-measured physical activity data. EuroQol 5-dimension 5-level questionnaire will measure quality of life and impact of falls. Health record linkage will estimate resource use associated with falls. v-LiFE cost-effectiveness will be determined compared with usual care. 500 participants (250 per group) can provide 90% power to detect a significant between-group difference in fall rates; 588 will be recruited to allow for drop-out. Falls per personyear and Late-Life FDI will be compared between groups. Discussion PlaTFORM will determine if falls can be prevented among older people with vision loss through a home-based exercise programme. v-LiFE embeds balance and strength training within everyday activities with the aim of preventing falls. The study will also determine whether the programme can be effectively delivered by personnel who provide Orientation and Mobility training for people with vision impairment.

Original languageEnglish (US)
JournalInjury Prevention
DOIs
StateAccepted/In press - Feb 13 2017

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Population
Resistance Training
Blindness
Cost-Benefit Analysis
Life Style
Quality of Life
Morbidity
Health
Calendars
Surveys and Questionnaires
Power (Psychology)

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

PrevenTing Falls in a high-risk, vision-impaired population through specialist ORientation and Mobility services : Protocol for the PlaTFORM randomised trial. / Keay, Lisa; Dillon, Lisa; Clemson, Lindy; Tiedemann, Anne; Sherrington, Catherine; McCluskey, Peter; Ramulu, Pradeep; Jan, Stephen; Rogers, Kris; Martin, Jodi; Tinsley, Frances; Jakobsen, Kirsten Bonrud; Ivers, Rebecca Q.

In: Injury Prevention, 13.02.2017.

Research output: Contribution to journalArticle

Keay, L, Dillon, L, Clemson, L, Tiedemann, A, Sherrington, C, McCluskey, P, Ramulu, P, Jan, S, Rogers, K, Martin, J, Tinsley, F, Jakobsen, KB & Ivers, RQ 2017, 'PrevenTing Falls in a high-risk, vision-impaired population through specialist ORientation and Mobility services: Protocol for the PlaTFORM randomised trial', Injury Prevention. https://doi.org/10.1136/injuryprev-2016-042301
Keay, Lisa ; Dillon, Lisa ; Clemson, Lindy ; Tiedemann, Anne ; Sherrington, Catherine ; McCluskey, Peter ; Ramulu, Pradeep ; Jan, Stephen ; Rogers, Kris ; Martin, Jodi ; Tinsley, Frances ; Jakobsen, Kirsten Bonrud ; Ivers, Rebecca Q. / PrevenTing Falls in a high-risk, vision-impaired population through specialist ORientation and Mobility services : Protocol for the PlaTFORM randomised trial. In: Injury Prevention. 2017.
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abstract = "Background Older people with vision impairment have significant ongoing morbidity, including risk of falls, but are neglected in fall prevention programmes. PlaTFORM is a pragmatic evaluation of the Lifestyle-integrated Functional Exercise fall prevention programme for older people with vision impairment or blindness (v-LiFE). Implementation and scalability issues will also be investigated. Methods PlaTFORM is a single-blinded, randomised trial designed to evaluate the v-LiFE programme compared with usual care. Primary outcomes are fall rate over 12 months, measured using prospective monthly fall calendars, and function and participation assessed by the Late-Life Function and Disability Instrument (Late-Life FDI) Function component. The secondary outcome is rate of falls requiring medical care. Activity-normalised fall rate will be estimated using accelerometer-measured physical activity data. EuroQol 5-dimension 5-level questionnaire will measure quality of life and impact of falls. Health record linkage will estimate resource use associated with falls. v-LiFE cost-effectiveness will be determined compared with usual care. 500 participants (250 per group) can provide 90{\%} power to detect a significant between-group difference in fall rates; 588 will be recruited to allow for drop-out. Falls per personyear and Late-Life FDI will be compared between groups. Discussion PlaTFORM will determine if falls can be prevented among older people with vision loss through a home-based exercise programme. v-LiFE embeds balance and strength training within everyday activities with the aim of preventing falls. The study will also determine whether the programme can be effectively delivered by personnel who provide Orientation and Mobility training for people with vision impairment.",
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T2 - Protocol for the PlaTFORM randomised trial

AU - Keay, Lisa

AU - Dillon, Lisa

AU - Clemson, Lindy

AU - Tiedemann, Anne

AU - Sherrington, Catherine

AU - McCluskey, Peter

AU - Ramulu, Pradeep

AU - Jan, Stephen

AU - Rogers, Kris

AU - Martin, Jodi

AU - Tinsley, Frances

AU - Jakobsen, Kirsten Bonrud

AU - Ivers, Rebecca Q.

PY - 2017/2/13

Y1 - 2017/2/13

N2 - Background Older people with vision impairment have significant ongoing morbidity, including risk of falls, but are neglected in fall prevention programmes. PlaTFORM is a pragmatic evaluation of the Lifestyle-integrated Functional Exercise fall prevention programme for older people with vision impairment or blindness (v-LiFE). Implementation and scalability issues will also be investigated. Methods PlaTFORM is a single-blinded, randomised trial designed to evaluate the v-LiFE programme compared with usual care. Primary outcomes are fall rate over 12 months, measured using prospective monthly fall calendars, and function and participation assessed by the Late-Life Function and Disability Instrument (Late-Life FDI) Function component. The secondary outcome is rate of falls requiring medical care. Activity-normalised fall rate will be estimated using accelerometer-measured physical activity data. EuroQol 5-dimension 5-level questionnaire will measure quality of life and impact of falls. Health record linkage will estimate resource use associated with falls. v-LiFE cost-effectiveness will be determined compared with usual care. 500 participants (250 per group) can provide 90% power to detect a significant between-group difference in fall rates; 588 will be recruited to allow for drop-out. Falls per personyear and Late-Life FDI will be compared between groups. Discussion PlaTFORM will determine if falls can be prevented among older people with vision loss through a home-based exercise programme. v-LiFE embeds balance and strength training within everyday activities with the aim of preventing falls. The study will also determine whether the programme can be effectively delivered by personnel who provide Orientation and Mobility training for people with vision impairment.

AB - Background Older people with vision impairment have significant ongoing morbidity, including risk of falls, but are neglected in fall prevention programmes. PlaTFORM is a pragmatic evaluation of the Lifestyle-integrated Functional Exercise fall prevention programme for older people with vision impairment or blindness (v-LiFE). Implementation and scalability issues will also be investigated. Methods PlaTFORM is a single-blinded, randomised trial designed to evaluate the v-LiFE programme compared with usual care. Primary outcomes are fall rate over 12 months, measured using prospective monthly fall calendars, and function and participation assessed by the Late-Life Function and Disability Instrument (Late-Life FDI) Function component. The secondary outcome is rate of falls requiring medical care. Activity-normalised fall rate will be estimated using accelerometer-measured physical activity data. EuroQol 5-dimension 5-level questionnaire will measure quality of life and impact of falls. Health record linkage will estimate resource use associated with falls. v-LiFE cost-effectiveness will be determined compared with usual care. 500 participants (250 per group) can provide 90% power to detect a significant between-group difference in fall rates; 588 will be recruited to allow for drop-out. Falls per personyear and Late-Life FDI will be compared between groups. Discussion PlaTFORM will determine if falls can be prevented among older people with vision loss through a home-based exercise programme. v-LiFE embeds balance and strength training within everyday activities with the aim of preventing falls. The study will also determine whether the programme can be effectively delivered by personnel who provide Orientation and Mobility training for people with vision impairment.

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