Development and delivery of an exercise programme for falls prevention: the Prevention of Falls Injury Trial (PreFIT)

Physiotherapy. 2018 Mar;104(1):72-79. doi: 10.1016/j.physio.2017.06.004. Epub 2017 Jun 27.

Abstract

Objective: This paper describes the development and implementation of an exercise intervention to prevent falls within The Prevention of Fall Injury Trial (PreFIT), which is a large multi-centred randomised controlled trial based in the UK National Health Service (NHS).

Design: Using the template for intervention description and replication (TIDieR) checklist, to describe the rationale and processes for treatment selection and delivery of the PreFIT exercise intervention.

Participants: Based on the results of a validated falls and balance survey, participants were eligible for the exercise intervention if they were at moderate or high risk of falling.

Interventions: Intervention development was informed using the current evidence base, published guidelines, and pre-existing surveys of clinical practice, a pilot study and consensus work with therapists and practitioners. The exercise programme targets lower limb strength and balance, which are known, modifiable risk factors for falling. Treatment was individually tailored and progressive, with seven recommended contacts over a six-month period. Clinical Trials Registry (ISCTRN 71002650).

Keywords: Complex intervention; Exercise; Falls; Falls prevention; Older people.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Accidental Falls / prevention & control*
  • Aged
  • Aged, 80 and over
  • Exercise Therapy / methods*
  • Female
  • Humans
  • Lower Extremity / physiology*
  • Male
  • Muscle Strength / physiology*
  • Muscle, Skeletal / physiology
  • Patient-Centered Care / methods
  • Physical Therapy Modalities
  • Pilot Projects
  • Postural Balance*
  • Program Development
  • Research Design
  • Risk Factors
  • United Kingdom