Guangzhou Community Elderly Fall Prevention Appropriate Technology Promotion Project

Обзор

This Guangzhou-based project uses a randomized controlled trial to test home environment modifications (e.g., anti-slip mats, lighting) for preventing falls among 320 community-dwelling elders. Over 12 months, it assesses effectiveness, cost-efficiency, and scalability, with rigorous quality control and multi-level stakeholder collaboration.

Вмешательства

• Поведенческое Home Environment Assessment and Modification
  Participants randomized to this arm receive a multi-component intervention. A trained community health worker conducts a one-time, comprehensive in-home assessment of fall hazards using a standardized checklist. Based on the assessment, the participant receives personalized, face-to-face advice for environmental modifications and is provided with, and instructed on the use of, essential safety aids including non-slip mats, night lights, anti-fall warning signs, and double-sided tape (for securin

Первичные конечные точки

• The rate of falling in each group [Срок оценки: Time Frame: Baseline, 6-month, 12-month]]

Вторичные конечные точки (4)

• Knowledge, Attitudes, and Practices (KAP) regarding Fall Prevention [Срок оценки: Time Frame: Baseline, 6-month, 12-month]
• Fall efficacy in each group [Срок оценки: Time Frame: Baseline, 6-month, 12-month]
• Quality of life in each group [Срок оценки: Time Frame: Baseline, 6-month, 12-month]
• Timed Up and Go (TUG) Test [Срок оценки: Time Frame: Baseline, 6-month, 12-month]

Критерии участия

Критерии включения

• Between 60 and 80 years old (inclusive).
• Community-dwelling.
• Planning to reside at the current address for the next 12 months.
• Able to walk 50 meters unaided (can use a cane).
• Experienced one or more falls in the past 2 years, OR Is "very worried" or "somewhat worried" about falling (even without a fall history).
• Willing to participate in the 12-month fall prevention program and follow-up assessments.
• Possesses basic literacy skills (equivalent to elementary school level or above) and is capable of normal communication with the investigators, as judged by the staff.
• In a stable health condition to participate, as determined by the investigator.

Критерии исключения

• Having an acute disease or an acute episode of a chronic disease.
• Having hearing, vision, or cognitive impairments, or self-reported neurological or psychiatric diseases (e.g., epilepsy, dementia) that prevent normal communication and learning.
• Self-reported serious diseases (e.g., cardiac, cerebral, renal, hepatic, respiratory, or hematologic systems) and judged by a doctor or on-site assessor as intolerant to physical activity.
• Diagnosed with conditions that explicitly affect balance function (e.g., vestibular disorders, cerebellar system lesions, vertigo, Ménière's disease).
• Requires a wheelchair or assistance from another person to walk.
• Likely to move away from the current residence or be absent for an extended period within the next 6 months.
• Unwilling to accept the 12-month follow-up.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Двойное слепое

Основная цель

Профилактика

Центры проведения

Китай · 1 центр

• Guangzhoucenter Fordisease Control and Prevention（Guangzhou Health Supervision Institute） — Гуанчжоу

Идентификаторы

NCT: NCT07458958 · GZCDC-ECHR-2025P0088

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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