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From the same journal

Cohort Randomised Controlled Trial of a Multifaceted Podiatry Intervention for the Prevention of Falls in Older People (The REFORM Trial)

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Cohort Randomised Controlled Trial of a Multifaceted Podiatry Intervention for the Prevention of Falls in Older People (The REFORM Trial). / Cockayne, Sarah; Adamson, Joy; Clarke, Arabella; Corbacho Martín, Belén; Fairhurst, Caroline; Green, Lorraine; Hewitt, Catherine E; Hicks, Kate; Kenan, Anne-Maree; Lamb, Sarah E; McIntosh, Caroline; Menz, Hylton B; Redmond, Anthony C; Richardson, Zoe; Rodgers, Sara; Vernon, Wesley; Watson, Judith; Torgerson, David J; REFORM study.

In: PLoS ONE, Vol. 12, No. 1, e0168712, 20.01.2017, p. 1-15.

Research output: Contribution to journalArticle

Harvard

Cockayne, S, Adamson, J, Clarke, A, Corbacho Martín, B, Fairhurst, C, Green, L, Hewitt, CE, Hicks, K, Kenan, A-M, Lamb, SE, McIntosh, C, Menz, HB, Redmond, AC, Richardson, Z, Rodgers, S, Vernon, W, Watson, J, Torgerson, DJ & REFORM study 2017, 'Cohort Randomised Controlled Trial of a Multifaceted Podiatry Intervention for the Prevention of Falls in Older People (The REFORM Trial)', PLoS ONE, vol. 12, no. 1, e0168712, pp. 1-15. https://doi.org/10.1371/journal.pone.0168712

APA

Cockayne, S., Adamson, J., Clarke, A., Corbacho Martín, B., Fairhurst, C., Green, L., ... REFORM study (2017). Cohort Randomised Controlled Trial of a Multifaceted Podiatry Intervention for the Prevention of Falls in Older People (The REFORM Trial). PLoS ONE, 12(1), 1-15. [e0168712]. https://doi.org/10.1371/journal.pone.0168712

Vancouver

Cockayne S, Adamson J, Clarke A, Corbacho Martín B, Fairhurst C, Green L et al. Cohort Randomised Controlled Trial of a Multifaceted Podiatry Intervention for the Prevention of Falls in Older People (The REFORM Trial). PLoS ONE. 2017 Jan 20;12(1):1-15. e0168712. https://doi.org/10.1371/journal.pone.0168712

Author

Cockayne, Sarah ; Adamson, Joy ; Clarke, Arabella ; Corbacho Martín, Belén ; Fairhurst, Caroline ; Green, Lorraine ; Hewitt, Catherine E ; Hicks, Kate ; Kenan, Anne-Maree ; Lamb, Sarah E ; McIntosh, Caroline ; Menz, Hylton B ; Redmond, Anthony C ; Richardson, Zoe ; Rodgers, Sara ; Vernon, Wesley ; Watson, Judith ; Torgerson, David J ; REFORM study. / Cohort Randomised Controlled Trial of a Multifaceted Podiatry Intervention for the Prevention of Falls in Older People (The REFORM Trial). In: PLoS ONE. 2017 ; Vol. 12, No. 1. pp. 1-15.

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@article{2800e102e43c401b9454fba3dd5be07a,
title = "Cohort Randomised Controlled Trial of a Multifaceted Podiatry Intervention for the Prevention of Falls in Older People (The REFORM Trial)",
abstract = "BACKGROUND: Falls are a major cause of morbidity among older people. A multifaceted podiatry intervention may reduce the risk of falling. This study evaluated such an intervention.DESIGN: Pragmatic cohort randomised controlled trial in England and Ireland. 1010 participants were randomised (493 to the Intervention group and 517 to Usual Care) to either: a podiatry intervention, including foot and ankle exercises, foot orthoses and, if required, new footwear, and a falls prevention leaflet or usual podiatry treatment plus a falls prevention leaflet. The primary outcome was the incidence rate of self-reported falls per participant in the 12 months following randomisation. Secondary outcomes included: proportion of fallers and those reporting multiple falls, time to first fall, fear of falling, Frenchay Activities Index, Geriatric Depression Scale, foot pain, health related quality of life, and cost-effectiveness.RESULTS: In the primary analysis were 484 (98.2{\%}) intervention and 507 (98.1{\%}) control participants. There was a small, non statistically significant reduction in the incidence rate of falls in the intervention group (adjusted incidence rate ratio 0.88, 95{\%} CI 0.73 to 1.05, p = 0.16). The proportion of participants experiencing a fall was lower (49.7 vs 54.9{\%}, adjusted odds ratio 0.78, 95{\%} CI 0.60 to 1.00, p = 0.05) as was the proportion experiencing two or more falls (27.6{\%} vs 34.6{\%}, adjusted odds ratio 0.69, 95{\%} CI 0.52 to 0.90, p = 0.01). There was an increase (p = 0.02) in foot pain for the intervention group. There were no statistically significant differences in other outcomes. The intervention was more costly but marginally more beneficial in terms of health-related quality of life (mean quality adjusted life year (QALY) difference 0.0129, 95{\%} CI -0.0050 to 0.0314) and had a 65{\%} probability of being cost-effective at a threshold of £30,000 per QALY gained.CONCLUSION: There was a small reduction in falls. The intervention may be cost-effective.TRIAL REGISTRATION: ISRCTN ISRCTN68240461.",
author = "Sarah Cockayne and Joy Adamson and Arabella Clarke and {Corbacho Mart{\'i}n}, Bel{\'e}n and Caroline Fairhurst and Lorraine Green and Hewitt, {Catherine E} and Kate Hicks and Anne-Maree Kenan and Lamb, {Sarah E} and Caroline McIntosh and Menz, {Hylton B} and Redmond, {Anthony C} and Zoe Richardson and Sara Rodgers and Wesley Vernon and Judith Watson and Torgerson, {David J} and {REFORM study}",
note = "{\circledC} 2017 Cockayne et al.",
year = "2017",
month = "1",
day = "20",
doi = "10.1371/journal.pone.0168712",
language = "English",
volume = "12",
pages = "1--15",
journal = "PLoS ONE",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "1",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Cohort Randomised Controlled Trial of a Multifaceted Podiatry Intervention for the Prevention of Falls in Older People (The REFORM Trial)

AU - Cockayne, Sarah

AU - Adamson, Joy

AU - Clarke, Arabella

AU - Corbacho Martín, Belén

AU - Fairhurst, Caroline

AU - Green, Lorraine

AU - Hewitt, Catherine E

AU - Hicks, Kate

AU - Kenan, Anne-Maree

AU - Lamb, Sarah E

AU - McIntosh, Caroline

AU - Menz, Hylton B

AU - Redmond, Anthony C

AU - Richardson, Zoe

AU - Rodgers, Sara

AU - Vernon, Wesley

AU - Watson, Judith

AU - Torgerson, David J

AU - REFORM study

N1 - © 2017 Cockayne et al.

PY - 2017/1/20

Y1 - 2017/1/20

N2 - BACKGROUND: Falls are a major cause of morbidity among older people. A multifaceted podiatry intervention may reduce the risk of falling. This study evaluated such an intervention.DESIGN: Pragmatic cohort randomised controlled trial in England and Ireland. 1010 participants were randomised (493 to the Intervention group and 517 to Usual Care) to either: a podiatry intervention, including foot and ankle exercises, foot orthoses and, if required, new footwear, and a falls prevention leaflet or usual podiatry treatment plus a falls prevention leaflet. The primary outcome was the incidence rate of self-reported falls per participant in the 12 months following randomisation. Secondary outcomes included: proportion of fallers and those reporting multiple falls, time to first fall, fear of falling, Frenchay Activities Index, Geriatric Depression Scale, foot pain, health related quality of life, and cost-effectiveness.RESULTS: In the primary analysis were 484 (98.2%) intervention and 507 (98.1%) control participants. There was a small, non statistically significant reduction in the incidence rate of falls in the intervention group (adjusted incidence rate ratio 0.88, 95% CI 0.73 to 1.05, p = 0.16). The proportion of participants experiencing a fall was lower (49.7 vs 54.9%, adjusted odds ratio 0.78, 95% CI 0.60 to 1.00, p = 0.05) as was the proportion experiencing two or more falls (27.6% vs 34.6%, adjusted odds ratio 0.69, 95% CI 0.52 to 0.90, p = 0.01). There was an increase (p = 0.02) in foot pain for the intervention group. There were no statistically significant differences in other outcomes. The intervention was more costly but marginally more beneficial in terms of health-related quality of life (mean quality adjusted life year (QALY) difference 0.0129, 95% CI -0.0050 to 0.0314) and had a 65% probability of being cost-effective at a threshold of £30,000 per QALY gained.CONCLUSION: There was a small reduction in falls. The intervention may be cost-effective.TRIAL REGISTRATION: ISRCTN ISRCTN68240461.

AB - BACKGROUND: Falls are a major cause of morbidity among older people. A multifaceted podiatry intervention may reduce the risk of falling. This study evaluated such an intervention.DESIGN: Pragmatic cohort randomised controlled trial in England and Ireland. 1010 participants were randomised (493 to the Intervention group and 517 to Usual Care) to either: a podiatry intervention, including foot and ankle exercises, foot orthoses and, if required, new footwear, and a falls prevention leaflet or usual podiatry treatment plus a falls prevention leaflet. The primary outcome was the incidence rate of self-reported falls per participant in the 12 months following randomisation. Secondary outcomes included: proportion of fallers and those reporting multiple falls, time to first fall, fear of falling, Frenchay Activities Index, Geriatric Depression Scale, foot pain, health related quality of life, and cost-effectiveness.RESULTS: In the primary analysis were 484 (98.2%) intervention and 507 (98.1%) control participants. There was a small, non statistically significant reduction in the incidence rate of falls in the intervention group (adjusted incidence rate ratio 0.88, 95% CI 0.73 to 1.05, p = 0.16). The proportion of participants experiencing a fall was lower (49.7 vs 54.9%, adjusted odds ratio 0.78, 95% CI 0.60 to 1.00, p = 0.05) as was the proportion experiencing two or more falls (27.6% vs 34.6%, adjusted odds ratio 0.69, 95% CI 0.52 to 0.90, p = 0.01). There was an increase (p = 0.02) in foot pain for the intervention group. There were no statistically significant differences in other outcomes. The intervention was more costly but marginally more beneficial in terms of health-related quality of life (mean quality adjusted life year (QALY) difference 0.0129, 95% CI -0.0050 to 0.0314) and had a 65% probability of being cost-effective at a threshold of £30,000 per QALY gained.CONCLUSION: There was a small reduction in falls. The intervention may be cost-effective.TRIAL REGISTRATION: ISRCTN ISRCTN68240461.

U2 - 10.1371/journal.pone.0168712

DO - 10.1371/journal.pone.0168712

M3 - Article

VL - 12

SP - 1

EP - 15

JO - PLoS ONE

T2 - PLoS ONE

JF - PLoS ONE

SN - 1932-6203

IS - 1

M1 - e0168712

ER -