Does progressive resistance and balance exercise reduce falls in residential aged care? Randomized controlled trial protocol for the SUNBEAM program

Hewitt, Jennifer, Refshauge, Kathryn M., Goodall, Stephen, Henwood, Timothy and Clemson, Lindy (2014) Does progressive resistance and balance exercise reduce falls in residential aged care? Randomized controlled trial protocol for the SUNBEAM program. Clinical Interventions in Aging, 9 369-376. doi:10.2147/CIA.S53931


Author Hewitt, Jennifer
Refshauge, Kathryn M.
Goodall, Stephen
Henwood, Timothy
Clemson, Lindy
Title Does progressive resistance and balance exercise reduce falls in residential aged care? Randomized controlled trial protocol for the SUNBEAM program
Journal name Clinical Interventions in Aging   Check publisher's open access policy
ISSN 1178-1998
1176-9092
Publication date 2014-02-21
Year available 2014
Sub-type Article (original research)
DOI 10.2147/CIA.S53931
Open Access Status DOI
Volume 9
Start page 369
End page 376
Total pages 8
Place of publication Macclesfield, United Kingdom
Publisher Dove Medical Press
Collection year 2015
Language eng
Formatted abstract
Introduction: Falls are common among older adults. It is reported that approximately 60% of residents of aged care facilities fall each year. This is a major cause of morbidity and mortality, and a significant burden for health care providers and the health system. Among community dwelling older adults, exercise appears to be an effective countermeasure, but data are limited and inconsistent among studies in residents of aged care communities. This trial has been designed to evaluate whether the SUNBEAM program (Strength and Balance Exercise in Aged Care) reduces falls in residents of aged care facilities.
Research question: Is the program more effective and cost-effective than usual care for the prevention of falls?
Design: Single-blinded, two group, cluster randomized trial.
Participants and setting: 300 residents, living in 20 aged care facilities.
Intervention: Progressive resistance and balance training under the guidance of a physiotherapist for 6 months, then facility-guided maintenance training for 6 months.
Control: Usual care.
Measurements: Number of falls, number of fallers, quality of life, mobility, balance, fear of falling, cognitive well-being, resource use, and cost-effectiveness. Measurements will be taken at baseline, 6 months, and 12 months.
Analysis: The number of falls will be analyzed using a Poisson mixed model. A logistic mixed model will be used to analyze the number of residents who fall during the study period. Intention-to-treat analysis will be used.
Discussion: This study addresses a significant shortcoming in aged care research, and has potential to impact upon a substantial health care problem. Outcomes will be used to inform care providers, and guide health care policies.
Keyword Balance
Cost-effectiveness
Falls
Nursing care
Strength
Training
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Nursing, Midwifery and Social Work Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 4 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 4 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Tue, 18 Mar 2014, 00:33:29 EST by System User on behalf of School of Nursing, Midwifery and Social Work