Effectiveness of a community-based multifaceted fall-prevention intervention in active and independent older Chinese adults

Inj Prev. 2009 Aug;15(4):248-51. doi: 10.1136/ip.2008.020420.

Abstract

Objective: To evaluate the effectiveness of an 18-month multifaceted intervention designed to reduce the incidence of falls in community-living older adults in China.

Methods: A population-based community trial evaluated by before-and-after cross-sectional surveys. Four residential communities were randomised to either a multifaceted intervention or a control condition. Baseline information was collected from a sample of older adults in each community. A 1-year annual fall rate was calculated after an 18-month comprehensive intervention.

Results: After intervention, 7.19% of the intervention community sample reported falls, compared with 17.86% of the control community sample (p<0.000). The annual fall rate decreased by 10.52% in the intervention communities, whereas the difference in control communities was not statistically significant.

Conclusions: Multifaceted interventions in community settings may be useful in preventing falls among older people, and can be applied in similar settings in China.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidental Falls / prevention & control*
  • Accidental Falls / statistics & numerical data
  • Activities of Daily Living
  • Aged
  • Aged, 80 and over
  • China
  • Community Health Services / methods*
  • Feasibility Studies
  • Female
  • Health Knowledge, Attitudes, Practice
  • Health Services for the Aged / organization & administration
  • Humans
  • Male
  • Middle Aged