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Comparison of alternative falls data collection methods in the Prevention of Falls Injury Trial (PreFIT)

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PreFIT Study Group (Including: Griffin, James M., Lall, Ranjit, Bruce, J. (Julie), Withers, Emma J., Finnegan, Susanne and Lamb, S. E. (Sallie E.)). (2018) Comparison of alternative falls data collection methods in the Prevention of Falls Injury Trial (PreFIT). Journal of Clinical Epidemiology, 106 . pp. 32-40. doi:10.1016/j.jclinepi.2018.09.006

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Official URL: https://doi.org/10.1016/j.jclinepi.2018.09.006

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Abstract

Background and objectives:
Prospective, monthly diaries are recommended for collecting falls data but are burdensome and expensive. To compare characteristics of fallers and estimates of fall rates by method of data collection.

Study design and setting:
A methodology study nested within a large cluster RCT. We randomised 9803 older adults from 63 general practices across England to receive one of three fall prevention interventions. Participants provided a retrospective report of falls in postal questionnaires mailed every four months. A separate randomisation allocated participants to receive prospective monthly falls diaries for one simultaneous four month period.

Results:
Falls diaries were returned by 7762/9375 (83%); of which 6306/9375 (67%) participants reported the same number of falls on both data sources. Diary non-responders were older and had poorer levels of physical and mental health. Analysis of time-points where both data sources were available showed the falls rate on diaries was consistently higher than on the questionnaire (mean rate: 0.16 v 0.12 falls per person month observation). Diary allocation was associated with a higher rate of withdrawal from the main trial.

Conclusion:
Diary completion was associated with sample attrition. We found on average a 32% difference in falls rates between the two data sources. Retrospective and prospective falls data are not consistently reported when collected simultaneously. [Abstract copyright: Copyright © 2018. Published by Elsevier Inc.]

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
SWORD Depositor: Library Publications Router
Library of Congress Subject Headings (LCSH): Falls (Accidents) -- Prevention -- Statistical methods, Falls (Accidents) in old age -- Statistical methods, Clinical trials, Databases -- Quality control
Journal or Publication Title: Journal of Clinical Epidemiology
Publisher: Elsevier Inc.
ISSN: 0895-4356
Official Date: February 2018
Dates:
DateEvent
February 2018Published
25 September 2018Available
18 September 2018Accepted
Volume: 106
Page Range: pp. 32-40
DOI: 10.1016/j.jclinepi.2018.09.006
Status: Peer Reviewed
Publication Status: Published
Reuse Statement (publisher, data, author rights): ** From PubMed via Jisc Publications Router. ** History: received 29-05-2018; revised 28-08-2018; accepted 18-09-2018.
Access rights to Published version: Open Access
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
08/14/41[NIHR] National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272

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