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Completed

NCT Number: NCT07499895

Fall-Prevention Education and Fall-Related Behaviors in Older Adults

This study investigates the effect of a structured fall-prevention education program on safe fall-related behaviors in older adults. Falls are a common and serious problem among older individuals and may lead to injuries, loss of independence, and decreased quality of life. The study includes older adults at high risk of falls who are randomly assigned to an intervention or control group. The intervention group participates in two interactive educational sessions covering fall risk factors, home safety, safe behaviors, and preventive strategies, followed by a question-and-answer discussion. The control group receives an informational brochure only. Participants' fall-related behaviors are assessed before and after the intervention using validated measurement tools. The study aims to evaluate the effectiveness of structured, interactive education in improving fall-prevention behaviors among older adults.

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Key information

Conditions

Fall Prevention Accidental Fall Fall Risk Factors

Age range

65 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Sivas Cumhuriyet University

Merkez, Sivas, Turkey (Türkiye)

About this study

Falls among older adults are a major public health concern, causing injuries, loss of independence, and increased healthcare costs. Nursing-led educational interventions play a key role in increasing awareness and promoting protective behaviors. This study is designed as a pretest-posttest, parallel-group randomized controlled trial to be conducted with older adults attending a family health center in Central Anatolia, Türkiye. Participants are classified as high fall risk according to the Morse Fall Risk Scale. Inclusion criteria include age 65 or older, Turkish literacy, and consent to participate. Exclusion criteria include prior fall education, communication problems, or low fall risk scores. The intervention group receives a structured fall-prevention education program consisting of two 25-minute interactive sessions, separated by a 10-minute break. The first session addresses intrinsic and extrinsic fall risk factors, while the second focuses on home safety modifications, safe behaviors, and health measures, concluding with a question-and-answer segment. The control group receives a brochure only. Data will be collected using the Personal Information Form, Morse Fall Risk Scale, and Fall Behaviors Scale for Older Adults. Statistical analyses will include paired and independent t-tests to assess within-group and between-group differences. Ethical approval has been obtained from the Sivas Cumhuriyet University Non-Interventional Clinical Research Ethics Committee (Decision No: 2024-07/32, 18 July 2024), along with written permission from the Provincial Directorate of Health. All participants will provide written informed consent, and the study will be conducted in accordance with the Declaration of Helsinki principles.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Aged 65 years or older
  • Native Turkish speaker
  • Literate in Turkish
  • High score on the Morse Fall Risk Scale
  • Provided informed consent to participate in the study

Exclusion criteria

  • Not a native Turkish speaker
  • Younger than 65 years of age
  • Presence of communication problems
  • Low score on the Morse Fall Risk Scale
  • Previously received fall-related education
  • Declined to participate in the study

Treatment and study plan

Structured Fall-Prevention Education

Behavioral

The intervention consisted of a structured, interactive fall-prevention education program for older adults at high risk of falls.

The program included two 25-minute sessions with a 10-minute break in between. The first session focused on intrinsic and extrinsic fall risk factors, such as muscle weakness, balance and gait problems, chronic diseases, polypharmacy, visual impairments, inappropriate footwear, and environmental hazards like poor lighting or slippery floors. The second session focused on preventive strategies, including home safety modifications (e.g., non-slip mats, grab bars), safe behaviors (e.g., standing up slowly, proper use of assistive devices), and health-related measures (e.g., balance exercises, nutrition, hydration). Sessions concluded with a question-and-answer segment tailored to individual concerns. This program emphasizes active participation and practical skills, distinguishing it from passive information-only interventions, such as brochures or written mate

Fall-Prevention Informational Brochure

Behavioral

Participants received a printed informational brochure containing general information about fall risk factors and fall-prevention strategies. No structured educational sessions or interactive training were provided.

Primary outcomes

  1. Fall-Related Behaviors

    Time frame: Baseline and 3 months after the intervention

    Fall-related behaviors of older adults will be assessed using a structured questionnaire that evaluates behaviors associated with fall risk and fall prevention in daily life. The assessment includes behaviors related to mobility, environmental safety, use of assistive devices, and safety precautions. Higher scores indicate safer behaviors related to fall prevention.

Secondary outcomes

  1. Knowledge About Fall Risk and Prevention

    Time frame: Baseline and immediately after the intervention

    Participants' knowledge regarding fall risk factors and fall-prevention strategies will be assessed using a structured questionnaire developed for older adults. The questionnaire evaluates awareness of intrinsic and extrinsic fall risk factors and knowledge of preventive measures to reduce fall risk in daily life. Higher scores indicate greater knowledge about fall prevention.

Sponsors and collaborators

Lead sponsor

Betul Esra Cevik

Other

Registry information

Official study title

The Effect of Fall-Prevention Education on Fall-Related Behaviors in Older Adults

Important dates

Study start
2024
Primary completion
2024
Study completion
2024
First posted
Mar 30, 2026
Registry last updated
Mar 30, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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