Conventional and tablet-supported physical training to reduce falls and fall-related injuries in community-dwelling older adults: protocol of the randomised SURE-footed into the future Fall Intervention Trial (SURE-FIT)
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Le résumé fourni par la source
INTRODUCTION: Exercise-based interventions are well-established in reducing falls and fall-related injuries, but adherence and accessibility remain key challenges, particularly in rural areas. While conventional in-person training is widely used, digital interventions may offer scalable solutions to enhance engagement and reach. However, pragmatic trials evaluating the real-world effectiveness of conventional and digitally supported fall prevention interventions are lacking, limiting the evidence base for their implementation in routine healthcare settings. The SURE-Footed into the Future Fall Intervention Trial (SURE-FIT) aims to compare the effectiveness of two structured fall prevention interventions-a conventional centre-based exercise programme and a hybrid telemedical programme combining in-person and tablet-supported training-against a wait-list control group in reducing falls and fall-related injuries among community-dwelling older adults. METHODS AND ANALYSIS: This study is a pragmatic three-arm, parallel-group, randomised controlled superiority trial with a 1:1:1 allocation ratio. Participants (≥65 years, community-dwelling, planned n=2778) will be randomly assigned to (1) conventional centre-based training supplemented with printed materials for home-based continuation (conventional group), (2) a hybrid model integrating centre-based and tablet-supported training for continuation (tablet group) or (3) a wait-list control group. The intervention includes a 9-week supervised phase followed by 43 weeks of independent home-based training. The primary outcomes are the incidence rate of falls and fall-related injuries over 12 months. Secondary outcomes include physical functioning, physical activity, concerns about falling, loneliness and the risk of low protein intake. A process evaluation will assess intervention feasibility and implementation. Additionally, qualitative interviews will be conducted with participants, course instructors and municipal stakeholders to explore experiences, facilitators and challenges related to programme participation and implementation. A health-economic evaluation will be conducted to assess the cost-effectiveness of the structured fall prevention interventions. Data collection will take place at baseline and every 3 months via standardised questionnaires, with a subgroup undergoing physical performance testing and sensor-based activity monitoring. Analyses will follow an intention-to-treat approach. ETHICS AND DISSEMINATION: Ethical approval has been granted by the Ethics Committee of Ulm University (271/23). Written informed consent will be obtained from all participants before enrolment. Study findings will be disseminated through peer-reviewed publications, scientific conferences and national fall prevention initiatives. Additionally, results will be shared with key municipal representatives, and the German National Association of Senior Citizens' Organisations (BAGSO). A publicly accessible website will provide ongoing access to study information and findings in plain language. TRIAL REGISTRATION NUMBER: DRKS00032878, German Clinical Trials Register.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Conventional and tablet-supported physical training to reduce falls and fall-related injuries in community-dwelling older adults: protocol of the randomised SURE-footed into the future Fall Intervention Trial (SURE-FIT)
- Date Crossref
- 01/11/2025
- Éditeur
- BMJ
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Universität Ulm pays non établi dans la noticeUniversité ou école supérieure
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Robert Bosch Hospital Department of Telemedicine pays non établi dans la noticeÉtablissement de santé
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Zimmer Biomet (Germany) pays non établi dans la noticeEntreprise
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Humboldt-Universität zu Berlin pays non établi dans la noticeUniversité ou école supérieure
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MSB Medical School Berlin pays non établi dans la noticeUniversité ou école supérieure
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Universität Hamburg pays non établi dans la noticeUniversité ou école supérieure
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University Medical Center Hamburg-Eppendorf pays non établi dans la noticeÉtablissement de santé
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K+S (Germany) pays non établi dans la noticeEntreprise
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German Insurance Association pays non établi dans la noticeInstitution
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Department of Clinical Gerontology pays non établi dans la noticeÉtablissement de santé
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Ulm University Institute of Epidemiology and Medical Biometry pays non établi dans la noticeUniversité ou école supérieure
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Department of Geriatrics and Medical Gerontology pays non établi dans la noticeInstitution
Universität Ulm, Department of Telemedicine — Robert Bosch Hospital et Zimmer Biomet (Germany), avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.