Development and delivery of an exercise programme for falls prevention: the Prevention of Falls Injury Trial (PreFIT)

Susanne Finnegan, Julie Bruce, Dawn A. Skelton, Emma J. Withers, Sarah E. Lamb

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Abstract

This paper describes the development and implementation of an exercise intervention to prevent falls within The Prevention of Fall Injury Trial (PreFIT), which is a large multi-centred randomised controlled trial based in the UK National Health Service (NHS). Based on the results of a validated falls and balance survey, participants were eligible for the exercise intervention if they were at moderate or high risk of falling. Intervention development was informed using the current evidence base, published guidelines, pre-existing surveys of clinical practice, a pilot studyand consensus work with therapists and practitioners. The exercise programme targets lower limb strength and balance, which are known, modifiable risk factors for falling. Treatment was individually tailored and progressive, with seven recommended contacts over a six-month period. Using the template for intervention description and replication (TIDieR) checklist, this paper describes the rationale and processes for treatment selection and delivery of the PreFIT exercise intervention. Contribution of the Paper: Rationale for a falls prevention exercise intervention within a large randomised controlled trial; A thorough description of the development and delivery of a complex falls prevention exercise intervention.
Original languageEnglish
Pages (from-to)72-79
Number of pages8
JournalPhysiotherapy
Volume104
Issue number1
Early online date26 Jun 2017
DOIs
Publication statusPublished - Mar 2018

Keywords

  • intervention development
  • Intervention design
  • exercise
  • older adults
  • falls

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