| Title |
ICT-based system to predict and prevent falls (iStoppFalls): results from an international multicenter randomized controlled trial
|
|---|---|
| Published in |
European Review of Aging and Physical Activity, November 2015
|
| DOI | 10.1186/s11556-015-0155-6 |
| Pubmed ID | |
| Authors |
Yves J. Gschwind, Sabine Eichberg, Andreas Ejupi, Helios de Rosario, Michael Kroll, Hannah R. Marston, Mario Drobics, Janneke Annegarn, Rainer Wieching, Stephen R. Lord, Konstantin Aal, Daryoush Vaziri, Ashley Woodbury, Dennis Fink, Kim Delbaere |
| Abstract |
Falls and fall-related injuries are a serious public health issue. Exercise programs can effectively reduce fall risk in older people. The iStoppFalls project developed an Information and Communication Technology-based system to deliver an unsupervised exercise program in older people's homes. The primary aims of the iStoppFalls randomized controlled trial were to assess the feasibility (exercise adherence, acceptability and safety) of the intervention program and its effectiveness on common fall risk factors. A total of 153 community-dwelling people aged 65+ years took part in this international, multicentre, randomized controlled trial. Intervention group participants conducted the exercise program for 16 weeks, with a recommended duration of 120 min/week for balance exergames and 60 min/week for strength exercises. All intervention and control participants received educational material including advice on a healthy lifestyle and fall prevention. Assessments included physical and cognitive tests, and questionnaires for health, fear of falling, number of falls, quality of life and psychosocial outcomes. The median total exercise duration was 11.7 h (IQR = 22.0) over the 16-week intervention period. There were no adverse events. Physiological fall risk (Physiological Profile Assessment, PPA) reduced significantly more in the intervention group compared to the control group (F1,127 = 4.54, p = 0.035). There was a significant three-way interaction for fall risk assessed by the PPA between the high-adherence (>90 min/week; n = 18, 25.4 %), low-adherence (<90 min/week; n = 53, 74.6 %) and control group (F2,125 = 3.12, n = 75, p = 0.044). Post hoc analysis revealed a significantly larger effect in favour of the high-adherence group compared to the control group for fall risk (p = 0.031), postural sway (p = 0.046), stepping reaction time (p = 0.041), executive functioning (p = 0.044), and quality of life (p for trend = 0.052). The iStoppFalls exercise program reduced physiological fall risk in the study sample. Additional subgroup analyses revealed that intervention participants with better adherence also improved in postural sway, stepping reaction, and executive function. Australian New Zealand Clinical Trials Registry Trial ID: ACTRN12614000096651 International Standard Randomised Controlled Trial Number: ISRCTN15932647. |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 327 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Canada | 1 | <1% |
| Unknown | 326 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 52 | 16% |
| Student > Bachelor | 35 | 11% |
| Student > Ph. D. Student | 33 | 10% |
| Researcher | 28 | 9% |
| Unspecified | 25 | 8% |
| Other | 53 | 16% |
| Unknown | 101 | 31% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 49 | 15% |
| Medicine and Dentistry | 37 | 11% |
| Unspecified | 25 | 8% |
| Sports and Recreations | 23 | 7% |
| Psychology | 17 | 5% |
| Other | 57 | 17% |
| Unknown | 119 | 36% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 September 2016.
All research outputs
#21,415,544
of 23,911,072 outputs
Outputs from European Review of Aging and Physical Activity
#152
of 166 outputs
Outputs of similar age
#334,769
of 394,441 outputs
Outputs of similar age from European Review of Aging and Physical Activity
#5
of 6 outputs
Altmetric has tracked 23,911,072 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 166 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.2. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 394,441 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 6 others from the same source and published within six weeks on either side of this one.