A Case Management Program at Home to Reduce Fall Risk in Older Fallers: A Single-blind Randomized Controlled Trial Protocol (Magic Study) (Preprint)

BACKGROUND Aim: to describe a randomized controlled trial protocol that aims to implement a home multifactorial program for reducing fall risk based on management of risk factors for falls, evaluate its effects on fall risk awareness, rate of falls, economic cost, adherence and satisfaction among older fallers. OBJECTIVE To describe a randomized controlled trial protocol that aims to implement a home multifactorial program for reducing fall risk based on management of risk factors for falls. METHODS This is a single-blind randomized controlled, parallel group trial protocol. Older people with a history of at least two falls in the last year will be divided into 2 groups. Intervention Group will receive a case management at home for reducing risk of falls, including multidimensional assessment, explanation of fall risk factors and elaboration and monitoring of an individualized intervention plan based on the identified fall risk factors, personal preferences and available resources. The Control Group will be monitored once a month. Assessments (clinical data, fall risk awareness, physical and mental factors, safety at home, feet and shoes, risk and rate of falls) will be carried out at baseline, after 16 weeks of intervention and at the post-trial 6-week and 1-year follow-up. After 16 weeks of intervention, satisfaction and adherence to the intervention will also be assessed. Economic health will be evaluated for the period up to the post-trial 1-year follow-up. RESULTS No Results. CONCLUSIONS This case management program will address multifactorial assessments using validated tools and the implementation of individualized intervention plans focused on reducing fall risk factors, and may provide reliable and valuable information about the effectiveness of case management for increasing fall risk awareness and reducing fall risk in older people. CLINICALTRIAL Clinical Trial Registration: REBEC: RBR - 3t85fd