Study Protocol of a Randomized Controlled Trial of Home Modification to Prevent Home Fall Injuries in Houses with Māori Occupants
Worldwide, injuries due to falls in the home impose a substantial burden and merit considerable effort to find effective prevention measures. The current study is one of very few randomized controlled trials that assess the effectiveness of home modification for preventing falls. It is the first car...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2020-10-01
|
| Series: | Methods and Protocols |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2409-9279/3/4/71 |
| _version_ | 1827703634897403904 |
|---|---|
| author | Michael Keall Hope Tupara Nevil Pierse Marg Wilkie Michael Baker Philippa Howden-Chapman Chris Cunningham |
| author_facet | Michael Keall Hope Tupara Nevil Pierse Marg Wilkie Michael Baker Philippa Howden-Chapman Chris Cunningham |
| author_sort | Michael Keall |
| collection | DOAJ |
| description | Worldwide, injuries due to falls in the home impose a substantial burden and merit considerable effort to find effective prevention measures. The current study is one of very few randomized controlled trials that assess the effectiveness of home modification for preventing falls. It is the first carried out with a minority or indigenous community and focused on reducing inequities. Just over 250 households in Aotearoa, New Zealand, with Māori occupants were recruited in two strata, 150 from the Wellington region and 100 from the Taranaki region. These were randomly allocated to equally sized treatment and control groups within the respective regions, the treatment group receiving a package of home modifications designed to prevent falls at the start of the study, and the control group receiving the package at the end of the study. Injury data came from the Accident Compensation Corporation, a state-owned no-fault injury insurer. This provided coverage of virtually all unintentional injuries requiring medical treatment. Matched injury claims were made available for analysis once all identifying fields had been removed. These data will be pooled with data for Māori households from the already-conducted Home Injury Prevention Intervention (HIPI) study, which tested an identical intervention on the general population. In the analysis, the primary outcome measure will be fall injury rates over time, comparing treatment and control households, adjusting for the stratum and prior falls in the household. A secondary measure will be the rates of specific injuries, which are most likely to be prevented by the package of modifications tested. We anticipate that the findings will provide robust evidence for effective injury prevention measures that can reduce an important contributor to health inequities for indigenous populations such as the Māori. |
| first_indexed | 2024-03-10T15:22:44Z |
| format | Article |
| id | doaj.art-7c3cf9e9e5854f4a99ea2b03f3a5e154 |
| institution | Directory Open Access Journal |
| issn | 2409-9279 |
| language | English |
| last_indexed | 2024-03-10T15:22:44Z |
| publishDate | 2020-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Methods and Protocols |
| spelling | doaj.art-7c3cf9e9e5854f4a99ea2b03f3a5e1542023-11-20T18:22:18ZengMDPI AGMethods and Protocols2409-92792020-10-01347110.3390/mps3040071Study Protocol of a Randomized Controlled Trial of Home Modification to Prevent Home Fall Injuries in Houses with Māori OccupantsMichael Keall0Hope Tupara1Nevil Pierse2Marg Wilkie3Michael Baker4Philippa Howden-Chapman5Chris Cunningham6He Kāinga Oranga, University of Otago, Wellington 6242, New ZealandResearch Centre for Hauora & Health, Massey University, Wellington 6021, New ZealandHe Kāinga Oranga, University of Otago, Wellington 6242, New ZealandResearch Centre for Hauora & Health, Massey University, Wellington 6021, New ZealandHe Kāinga Oranga, University of Otago, Wellington 6242, New ZealandHe Kāinga Oranga, University of Otago, Wellington 6242, New ZealandResearch Centre for Hauora & Health, Massey University, Wellington 6021, New ZealandWorldwide, injuries due to falls in the home impose a substantial burden and merit considerable effort to find effective prevention measures. The current study is one of very few randomized controlled trials that assess the effectiveness of home modification for preventing falls. It is the first carried out with a minority or indigenous community and focused on reducing inequities. Just over 250 households in Aotearoa, New Zealand, with Māori occupants were recruited in two strata, 150 from the Wellington region and 100 from the Taranaki region. These were randomly allocated to equally sized treatment and control groups within the respective regions, the treatment group receiving a package of home modifications designed to prevent falls at the start of the study, and the control group receiving the package at the end of the study. Injury data came from the Accident Compensation Corporation, a state-owned no-fault injury insurer. This provided coverage of virtually all unintentional injuries requiring medical treatment. Matched injury claims were made available for analysis once all identifying fields had been removed. These data will be pooled with data for Māori households from the already-conducted Home Injury Prevention Intervention (HIPI) study, which tested an identical intervention on the general population. In the analysis, the primary outcome measure will be fall injury rates over time, comparing treatment and control households, adjusting for the stratum and prior falls in the household. A secondary measure will be the rates of specific injuries, which are most likely to be prevented by the package of modifications tested. We anticipate that the findings will provide robust evidence for effective injury prevention measures that can reduce an important contributor to health inequities for indigenous populations such as the Māori.https://www.mdpi.com/2409-9279/3/4/71home modificationinterventionsfall injuriesrandomized controlled trialindigenous health |
| spellingShingle | Michael Keall Hope Tupara Nevil Pierse Marg Wilkie Michael Baker Philippa Howden-Chapman Chris Cunningham Study Protocol of a Randomized Controlled Trial of Home Modification to Prevent Home Fall Injuries in Houses with Māori Occupants Methods and Protocols home modification interventions fall injuries randomized controlled trial indigenous health |
| title | Study Protocol of a Randomized Controlled Trial of Home Modification to Prevent Home Fall Injuries in Houses with Māori Occupants |
| title_full | Study Protocol of a Randomized Controlled Trial of Home Modification to Prevent Home Fall Injuries in Houses with Māori Occupants |
| title_fullStr | Study Protocol of a Randomized Controlled Trial of Home Modification to Prevent Home Fall Injuries in Houses with Māori Occupants |
| title_full_unstemmed | Study Protocol of a Randomized Controlled Trial of Home Modification to Prevent Home Fall Injuries in Houses with Māori Occupants |
| title_short | Study Protocol of a Randomized Controlled Trial of Home Modification to Prevent Home Fall Injuries in Houses with Māori Occupants |
| title_sort | study protocol of a randomized controlled trial of home modification to prevent home fall injuries in houses with maori occupants |
| topic | home modification interventions fall injuries randomized controlled trial indigenous health |
| url | https://www.mdpi.com/2409-9279/3/4/71 |
| work_keys_str_mv | AT michaelkeall studyprotocolofarandomizedcontrolledtrialofhomemodificationtopreventhomefallinjuriesinhouseswithmaorioccupants AT hopetupara studyprotocolofarandomizedcontrolledtrialofhomemodificationtopreventhomefallinjuriesinhouseswithmaorioccupants AT nevilpierse studyprotocolofarandomizedcontrolledtrialofhomemodificationtopreventhomefallinjuriesinhouseswithmaorioccupants AT margwilkie studyprotocolofarandomizedcontrolledtrialofhomemodificationtopreventhomefallinjuriesinhouseswithmaorioccupants AT michaelbaker studyprotocolofarandomizedcontrolledtrialofhomemodificationtopreventhomefallinjuriesinhouseswithmaorioccupants AT philippahowdenchapman studyprotocolofarandomizedcontrolledtrialofhomemodificationtopreventhomefallinjuriesinhouseswithmaorioccupants AT chriscunningham studyprotocolofarandomizedcontrolledtrialofhomemodificationtopreventhomefallinjuriesinhouseswithmaorioccupants |