Maintaining Independence in People with Dementia who had a fall
Research type
Research Study
Full title
An intervention to maintain independence in People living With Dementia, living in their own homes, who have already fallen: a multi-centre, two-arm pilot cluster randomised controlled trial
IRAS ID
323555
Contact name
Louise Allan
Contact email
Sponsor organisation
Royal Devon University Healthcare NHS Foundation Trust
Duration of Study in the UK
1 years, 6 months, 31 days
Research summary
To deliver a pilot cluster RCT of an intervention to maintain independence in PWD, living in their own homes, who have already fallen. This will enable us to
determine whether it is feasible to proceed to a full cluster randomised controlled trial of the intervention.People with dementia fall over up to ten times more often than people who do not have
dementia. When they fall over, they are more likely to hurt themselves. They are less likely to recover than people without dementia. After a fall people with dementia may need a lot more help and they, and their carer, may have a poorer quality of life.We have designed a rehabilitation programme for people with dementia aged over 50 who have had a fall in the past 6 months. We aim to test the intervention in a two-group pilot study of 60 patient and carer participant pairs.
Patient and carer pairs will be recruited through community settings (primary care, paramedics, admiral nurses), secondary care settings (emergency departments, supported discharge teams, rehabilitation outreach teams, memory clinics) and research registers. If a patient is found to lack mental capacity to give
informed consent, we will approach a consultee (close family or friend). At their homes, participants will have an initial assessment visit followed by up to 19 rehabilitation sessions over a 12 week period with booster sessions at weeks 16, 20 and 24. The rehabilitation programme will be personalised to each participant, taking into account their physical abilities, their preference for activities and goals agreed by the therapist, the patient participant and their unpaid carer.A clinical researcher will follow-up participants at 3-months over the phone and at 6-months at the participants home.
REC name
Wales REC 6
REC reference
23/WA/0126
Date of REC Opinion
28 Apr 2023
REC opinion
Favourable Opinion