@article{ref1,
title="Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE): a cluster-randomized pragmatic trial of a multifactorial fall injury prevention strategy: design and methods",
journal="Journals of gerontology. Series A: Biological sciences and medical sciences",
year="2018",
author="Bhasin, Shalender and Gill, Thomas M. and Reuben, David B. and Latham, Nancy K. and Gurwitz, Jerry H. and Dykes, Patricia and McMahon, Siobhan and Storer, Thomas W. and Duncan, Pamela W. and Ganz, David A. and Basaria, Shehzad and Miller, Michael E. and Travison, Thomas G. and Greene, Erich J. and Dziura, James and Esserman, Denise and Allore, Heather and Carnie, Martha B. and Fagan, Maureen and Hanson, Catherine and Baker, Dorothy and Greenspan, Susan L. and Alexander, Neil and Ko, Fred and Siu, Albert L. and Volpi, Elena and Wu, Albert W. and Rich, Jeremy and Waring, Stephen C. and Wallace, Robert and Casteel, Carri and Magaziner, Jay and Charpentier, Peter and Lu, Charles and Araujo, Katy and Rajeevan, Haseena and Margolis, Scott and Eder, Richard and McGloin, Joanne M. and Skokos, Eleni and Wiggins, Jocelyn and Garber, Lawrence and Clauser, Steven B. and Correa-De-Araujo, Rosaly and Peduzzi, Peter",
volume="73",
number="8",
pages="1053-1061",
abstract="BACKGROUND: Fall injuries are a major cause of morbidity and mortality among older adults. We describe the design of a pragmatic trial to compare the effectiveness of an evidence-based, patient-centered multifactorial fall injury prevention strategy to an enhanced usual care. <br><br>METHODS: Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE) is a 40-month cluster-randomized, parallel-group, superiority, pragmatic trial being conducted at 86 primary care practices in 10 healthcare systems across USA. The 86 practices were randomized to intervention or control group using covariate-based constrained randomization, stratified by healthcare system. Participants are community-living persons, ≥70 years, at increased risk for serious fall injuries. The intervention is a co-management model in which a nurse Falls Care Manager performs multifactorial risk assessments, develops individualized care plans, which include surveillance, follow-up evaluation, and intervention strategies. Control group receives enhanced usual care, with clinicians and patients receiving evidence-based information on falls prevention. Primary outcome is serious fall injuries, operationalized as those leading to medical attention (non-vertebral fractures, joint dislocation, head injury, lacerations, and other major sequelae). Secondary outcomes include all fall injuries, all falls, and well-being (concern for falling; anxiety and depressive symptoms; physical function and disability). Target sample size was 5,322 participants to provide 90% power to detect 20% reduction in primary outcome rate relative to control. <br><br>RESULTS: Trial enrolled 5451 subjects in 20 months. Intervention and follow-up are ongoing. <br><br>CONCLUSIONS: The findings of the STRIDE study will have important clinical and policy implications for the prevention of fall injuries in older adults.<p /> <p>Language: en</p>",
language="en",
issn="1079-5006",
doi="10.1093/gerona/glx190",
url="http://dx.doi.org/10.1093/gerona/glx190"
}