Recruiting
Not applicable
Guangzhou Community Elderly Fall Prevention Appropriate Technology Promotion Project
Condition(s) studied
FallOld Age
Investigational drug(s) / intervention(s)
Home Environment Assessment and Modification
Home Environment Assessment and Modification: Participants randomized to this arm receive a multi-component intervention. A trained community health worker conducts a one-time, comprehensive in-home assessment of fall hazards using a standardized checklist. Based on the assessment, the participant receives personalized, face-to-face advice for environmental modifications and is provided with, and instructed on the use of, essential safety aids including non-slip mats, night lights, anti-fall warning signs, and double-sided tape (for securing rugs). This core intervention is delivered once, 4-6 weeks after the baseline survey. All participants (in both arms) are followed up monthly for 12 months to collect data on falls.
Study summary
This Guangzhou-based project uses a randomized controlled trial to test home environment modifications (e.g., anti-slip mats, lighting) for preventing falls among 320 community-dwelling elders. Over 12 months, it assesses effectiveness, cost-efficiency, and scalability, with rigorous quality control and multi-level stakeholder collaboration.
Eligibility
Inclusion Criteria:
* Between 60 and 80 years old (inclusive).
* Community-dwelling.
* Planning to reside at the current address for the next 12 months.
* Able to walk 50 meters unaided (can use a cane).
* Experienced one or more falls in the past 2 years, OR Is "very worried" or "somewhat worried" about falling (even without a fall history).
* Willing to participate in the 12-month fall prevention program and follow-up assessments.
* Possesses basic literacy skills (equivalent to elementary school level or above) and is capable of normal communication with the investigators, as judged by the staff.
* In a stable health condition to participate, as determined by the investigator.
Exclusion Criteria:
* Having an acute disease or an acute episode of a chronic disease.
* Having hearing, vision, or cognitive impairments, or self-reported neurological or psychiatric diseases (e.g., epilepsy, dementia) that prevent normal communication and learning.
* Self-reported serious diseases (e.g., cardiac, cerebral, renal, hepatic, respiratory, or hematologic systems) and judged by a doctor or on-site assessor as intolerant to physical activity.
* Diagnosed with conditions that explicitly affect balance function (e.g., vestibular disorders, cerebellar system lesions, vertigo, Ménière's disease).
* Requires a wheelchair or assistance from another person to walk.
* Likely to move away from the current residence or be absent for an extended period within the next 6 months.
* Unwilling to accept the 12-month follow-up.
Primary outcome measure(s)
- The rate of falling in each group — Time Frame: Baseline, 6-month, 12-month]
Falls will be monitored with supplied monthly fall diaries.
Trial sites (1)
| Facility | City | Region | Status |
| Guangzhoucenter Fordisease Control and Prevention(Guangzhou Health Supervision Institute) |
Guangzhou |
Guangdong |
Recruiting |
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