Journal article
Effect of a Multifactorial Fall Injury Prevention Intervention on Patient Well-Being: The STRIDE Study
Journal of the American Geriatrics Society (JAGS), Vol.69(1), pp.173-179
01/2021
DOI: 10.1111/jgs.16854
PMCID: PMC8178516
PMID: 33037632
Abstract
In 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.
Pragmatic cluster-randomized trial of 5,451 community-living persons at high risk for serious fall injuries.
A total of 86 primary care practices within 10 U.S. healthcare systems.
A random subsample of 743 persons aged 75 and older.
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.
Participants 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.
STRIDE's multifactorial intervention to reduce fall injuries was not associated with clinically meaningful improvements in patient well-being.
Details
- Title: Subtitle
- Effect of a Multifactorial Fall Injury Prevention Intervention on Patient Well-Being: The STRIDE Study
- Creators
- Thomas M Gill - Yale UniversityShalender Bhasin - Brigham and Women's HospitalDavid B Reuben - University of California, Los AngelesNancy K Latham - Brigham and Women's HospitalKaty Araujo - Yale UniversityDavid A Ganz - University of California, Los AngelesChad Boult - Johns Hopkins UniversityAlbert W Wu - Johns Hopkins UniversityJay Magaziner - University of Maryland, BaltimoreNeil Alexander - University of MichiganRobert B Wallace - University of IowaMichael E Miller - Wake Forest UniversityThomas G Travison - Harvard UniversitySusan L Greenspan - University of PittsburghJerry H Gurwitz - University of Massachusetts Chan Medical SchoolJeremy Rich - HealthCare Partners El Segundo California USAElena Volpi - The University of Texas Medical Branch at GalvestonStephen C Waring - Essentia HealthTodd M Manini - University of FloridaLillian C Min - University of MichiganJeanne Teresi - Hebrew HomePatricia C Dykes - Brigham and Women's HospitalSiobhan McMahon - University of MinnesotaJoanne M McGloin - Yale UniversityEleni A Skokos - Yale UniversityPeter Charpentier - Yale UniversityShehzad Basaria - Brigham and Women's HospitalPamela W Duncan - Wake Forest UniversityThomas W Storer - Brigham and Women's HospitalPriscilla Gazarian - University of Massachusetts BostonHeather G Allore - Yale UniversityJames Dziura - Yale UniversityDenise Esserman - Yale UniversityMartha B Carnie - Brigham and Women's HospitalCatherine Hanson - University of MiamiFred Ko - Icahn School of Medicine at Mount SinaiNeil M Resnick - University of PittsburghJocelyn Wiggins - University of MichiganCharles Lu - Yale UniversityCan Meng - Yale UniversityLori Goehring - Brigham and Women's HospitalMaureen Fagan - University of MiamiRosaly Correa-de-Araujo - National Institutes of HealthCarri Casteel - University of IowaPeter Peduzzi - Yale UniversityErich J Greene - Yale University
- Resource Type
- Journal article
- Publication Details
- Journal of the American Geriatrics Society (JAGS), Vol.69(1), pp.173-179
- DOI
- 10.1111/jgs.16854
- PMID
- 33037632
- PMCID
- PMC8178516
- NLM abbreviation
- J Am Geriatr Soc
- ISSN
- 0002-8614
- eISSN
- 1532-5415
- Grant note
- UL1 TR000142 / NCATS NIH HHS P30 AG024832 / NIA NIH HHS UL1 TR001102 / NCATS NIH HHS P30 AG028748 / NIA NIH HHS P30AG2874106 / NIA NIH HHS P30 AG021332 / NIA NIH HHS K07AG043587 / NIA NIH HHS UL1TR000114 / NIH HHS P30AG013679 / NIA NIH HHS UL1 TR001863 / NCATS NIH HHS U01AG048270 / NIA NIH HHS UL1 TR002541 / NCATS NIH HHS P30 AG028747 / NIA NIH HHS UL1TR000142 / NIH HHS P30AG021342 / NIA NIH HHS UL1TR001102 / NIH HHS P30AG024824 / NIA NIH HHS UL1 TR000114 / NCATS NIH HHS K08 AG050808 / NIA NIH HHS P30AG028748 / NIA NIH HHS P30AG021332 / NIA NIH HHS P30 AG021342 / NIA NIH HHS U01 AG048270 / NIA NIH HHS KL2 TR000113 / NCATS NIH HHS KL2TR000113 / NIH HHS K07 AG043587 / NIA NIH HHS P30AG024832 / NIA NIH HHS P30 AG024824 / NIA NIH HHS
- Language
- English
- Date published
- 01/2021
- Academic Unit
- Occupational and Environmental Health; Epidemiology; Injury Prevention Research Center; Internal Medicine
- Record Identifier
- 9984227058302771
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