caa a22 4500 606153063 CHVBK 20210128100552.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s11121-014-0466-2 doi (NATIONALLICENCE)springer-10.1007/s11121-014-0466-2 Assessing the Quality of a Non-randomized Pragmatic Trial for Primary Prevention of Falls among Older Adults [Elektronische Daten] [Steven Albert, Offer Edelstein, Jennifer King, Jason Flatt, Chyongchiou Lin, Robert Boudreau, Anne Newman] Current approaches to falls prevention mostly rely on secondary and tertiary prevention and target individuals at high risk of falls. An alternative is primary prevention, in which all seniors are screened, referred as appropriate, and educated regarding falls risk. Little information is available on research designs that allow investigation of this approach in the setting of aging services delivery, where randomization may not be possible. Healthy Steps for Older Adults, a statewide program of the Pennsylvania (PA) Department of Aging, involves a combination of education about falls and screening for balance problems, with referral to personal physicians and home safety assessments. We developed a non-randomized statewide trial, Falls Free PA, to assess its effectiveness in reducing falls incidence over 12months. We recruited 814 seniors who completed the program (503 first-time participants, 311 people repeating the program) and 1,020 who did not participate in the program, from the same sites. We assessed the quality of this non-randomized design by examining recruitment, follow-up across study groups, and comparability at baseline. Of older adults approached in senior centers, 90.5% (n = 2,219) signed informed consent, and 1,834 (82.4%) completed baseline assessments and were eligible for follow-up. Attrition in the three groups over 12months was low and non-differential (<10% for withdrawal and <2% for other loss to follow-up). Median follow-up, which involved standardized monthly assessment of falls, was 10months in all study groups. At baseline, the groups did not differ in measures of health or falls risk factors. Comparable status at baseline, recruitment from common sites, and similar experience with retention suggest that the non-randomized design will be effective for assessment of this approach to primary prevention of falls. Society for Prevention Research, 2014 Falls nationallicence Primary prevention nationallicence Aging services nationallicence Aging nationallicence Injuries nationallicence Albert Steven Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, 208 Parran Hall, 130 Desoto Street, 15261, Pittsburgh, PA, USA aut Edelstein Offer Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, 208 Parran Hall, 130 Desoto Street, 15261, Pittsburgh, PA, USA aut King Jennifer Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, 208 Parran Hall, 130 Desoto Street, 15261, Pittsburgh, PA, USA aut Flatt Jason Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, 208 Parran Hall, 130 Desoto Street, 15261, Pittsburgh, PA, USA aut Lin Chyongchiou Department of Family Medicine, University of Pittsburgh, Pittsburgh, PA, USA aut Boudreau Robert Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA, USA aut Newman Anne Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA, USA aut Prevention Science Springer US; http://www.springer-ny.com 16/1(2015-01-01), 31-40 1389-4986 16:1<31 2015 16 11121 https://doi.org/10.1007/s11121-014-0466-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11121-014-0466-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Albert Steven Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, 208 Parran Hall, 130 Desoto Street, 15261, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Edelstein Offer Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, 208 Parran Hall, 130 Desoto Street, 15261, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- King Jennifer Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, 208 Parran Hall, 130 Desoto Street, 15261, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Flatt Jason Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, 208 Parran Hall, 130 Desoto Street, 15261, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Lin Chyongchiou Department of Family Medicine, University of Pittsburgh, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Boudreau Robert Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Newman Anne Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA, USA aut NATIONALLICENCE 773 0- Prevention Science Springer US; http://www.springer-ny.com 16/1(2015-01-01), 31-40 1389-4986 16:1<31 2015 16 11121