Lamb, S. E. (Sallie E.), Becker, Clemens, Gillespie, Lesley D., Smith, Jessica L., Finnegan, Susanne, Potter, Rachel and Pfeiffer, Klaus. (2011) Reporting of complex interventions in clinical trials : development of a taxonomy to classify and describe fall-prevention interventions. Trials, Vol.12 (No.125). ISSN 1745-6215

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Abstract

Background: Interventions for preventing falls in older people often involve several components, multidisciplinary teams, and implementation in a variety of settings. We have developed a classification system (taxonomy) to describe interventions used to prevent falls in older people, with the aim of improving the design and reporting of clinical trials of fall-prevention interventions, and synthesis of evidence from these trials. Methods: Thirty three international experts in falls prevention and health services research participated in a series of meetings to develop consensus. Robust techniques were used including literature reviews, expert presentations, and structured consensus workshops moderated by experienced facilitators. The taxonomy was refined using an international test panel of five health care practitioners. We assessed the chance corrected agreement of the final version by comparing taxonomy completion for 10 randomly selected published papers describing a variety of fall prevention interventions. Results: The taxonomy consists of four domains, summarized as the “Approach”, “Base”, “Components” and “Descriptors” of an intervention. Sub-domains include; where participants are identified; the theoretical approach of the intervention; clinical targeting criteria; details on assessments; descriptions of the nature and intensity of interventions. Chance corrected agreement of the final version of the taxonomy was good to excellent for all items. Further independent evaluation of the taxonomy is required. Conclusions: The taxonomy is a useful instrument for characterizing a broad range of interventions used in falls prevention. Investigators are encouraged to use the taxonomy to report their interventions.

Item Type:	Journal Article
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Falls (Accidents) in old age -- Prevention -- Classification
Journal or Publication Title:	Trials
Publisher:	BioMed Central Ltd.
ISSN:	1745-6215
Date:	17 May 2011
Volume:	Vol.12
Number:	No.125
Identification Number:	10.1186/1745-6215-12-125
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access
Funder:	European Commission (EC)
Grant number:	QLRT-2001-02705 (EC)
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URI:	http://wrap.warwick.ac.uk/id/eprint/35920

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