Article

OBJECTIVE: To explore the feasibility of implementing and evaluating the Guide to
Action Care Home fall prevention intervention. DESIGN:
Two-centre, cluster
feasibility randomized controlled trial and process evaluation. SETTING: Purposive sample of six diverse old age/learning disability, long stay care homes
in Nottinghamshire, UK. SUBJECTS: Residents aged over 50 years, who had fallen at
least once in the past year, not bed-bound, hoist-dependent or terminally ill.
INTERVENTIONS: Intervention homes (n = 3) received Guide to Action Care Home fall
prevention intervention training and support. Control homes (n = 3) received
usual care. OUTCOMES: Recruitment, attrition, baseline and six-month outcome
completion, contamination and intervention fidelity, compliance, tolerability,
acceptance and impact. RESULTS: A total of 81 of 145 (56%) care homes expressed
participatory interest. Six of 22 letter respondent homes (27%) participated. The
expected resident recruitment target was achieved by 76% (52/68). Ten (19%)
residents did not complete follow-up (seven died, three moved). In intervention
homes 36/114 (32%) staff attended training. Two of three (75%) care homes
received protocol compliant training. Staff valued the training, but advised
greater management involvement to improve intervention implementation. Fall risks
were assessed, actioned and recorded in care records. Of 115 recorded falls,
533/570 (93%) of details were complete. Six-month resident fall rates were 1.9
and 4.0 per year for intervention and control homes, respectively. CONCLUSIONS:
The Guide to Action Care Home is implementable under trial conditions.
Recruitment and follow-up rates indicate that a definitive trial can be
completed. Falls (primary outcome) can be ascertained reliably from care records.
CI - (c) The Author(s) 2015.

Langue : ANGLAIS