Fall PreventionHoBFaPPNCT06643169
The Effect of Home Based Fall Prevention Program on Older Adults at High Risk of Falling
A study testing home-based fall prevention program with multifactorial in people with Fall Prevention and Elderly, run by Istanbul University at 1 site in Turkey (Türkiye).
Trial summary
Fall prevention programs that implement and evaluate fall rates, balance status, accidents related to falls and hospital admissions, exercise status, muscle strength, fear of falling, and quality of life can be effective interventions for healthy aging by minimizing the risk of falls in elderly individuals. Read more about this study
- Who is it for?
- Ages 65 years and older
- Conditions the study is for
- Fall Prevention, Elderly, Home Based Care
- What is being tested?
- home-based fall prevention program with multifactorial
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 82 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 11 Oct 2024to 25 Nov 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 65 years and older
- All sexes
- No healthy volunteers
- Older adult
Who may be able to join
- Individuals aged 65 years and over with a high risk of falling (Those who score four and above on the Falls Risk Self-Assessment Scale will be determined as having a high risk of falling).
- To be examined by a physical therapist and to obtain consent that there is no harm in exercising (They will be referred to Bartın State Hospital and evaluated by a physical therapy specialist physician),
- Without a diagnosis of orthostatic hypotension,
- Elderly individuals who volunteered to participate in the study were identified.
Who cannot join
- Cardiovascular surgery in the last one year
- Diagnosis of orthostatic hypotension
- Having a neurological or neurodegenerative disease (such as Parkinson's dementia)
- Older people who exercise regularly,
Trial locations and contacts
1 site in 1 country.
About this study
Official title: The Effect of Home Based Fall Prevention Program on Fall Rate Among Older Adults at High Risk of Falling
Fall prevention programs that implement and evaluate fall rates, balance status, accidents related to falls and hospital admissions, exercise status, muscle strength, fear of falling, and quality of life can be effective interventions for healthy aging by minimizing the risk of falls in elderly individuals. In this doctoral dissertation study, it was aimed to evaluate the effect of a nurse-led home-based fall prevention program on fall rate, balance level, fall risk score, fear of falling, number of hospital admissions due to falls, quality of life, and in-home safety conditions in older adults with high fall risk.
Read the detailed description
Falls are a significant public health problem frequently seen among older people. Approximately one-third of individuals aged 65 years and older fall every year, and fall-related deaths are the leading cause of death in the elderly. According to World Health Organization (WHO) data, between 28% and 35% of adults over 65 fall every year; this rate increases to 42% from age 70. Falls and complications arising from falls are an essential problem for nurses working in primary care. In many countries, primary care nurses play an active role in meeting the health needs of the aging population. However, nurses are the health professionals who spend the most time with individuals, especially elderly individuals, who come to receive health services in primary healthcare organizations.
Nurses can assess the fall risk of elderly individuals with reliable screening tools at specific intervals. As a result, they can develop individualized nursing care plans by identifying existing and potential fall risks. Fall risk assessment in primary care and fall risk reduction practices planned after the assessment should be part of both the first health visit and subsequent visits. In the literature, nurse-led fall prevention programs are reported to be effective and promising for preventing falls for older individuals. In the future, nurses will have a more critical role in addressing older individuals' health problems and challenges. Nurses conduct much research involving evidence-based interventions to protect and promote health and manage diseases in various healthcare settings. Nursing science will continue to build the scientific evidence base for better clinical care and improved quality of life for the aging population. Specialist public health nurses also conduct various fall prevention programs for the elderly. It is reported that fall prevention programs reduce the fall rates and fear of falling, improve balance levels, increase quality of life, and positively affect the ability to maintain activities of daily living and live independently. Fall prevention programs that implement and evaluate fall rates, balance status, accident and hospital admissions related to falls, exercise status, muscle strength, fear of falling, and quality of life interventions in fall prevention programs can be an effective intervention for healthy aging by minimizing the risk of falls in elderly individuals. In this doctoral dissertation study, it was aimed to evaluate the effect of a nurse-led home-based fall prevention program on fall rate, balance level, fall risk score, fear of falling, number of hospital admissions due to falls, quality of life, and in-home safety conditions in older adults with high fall risk.
- Conditions
- Fall Prevention, Elderly, Home Based Care, Fall Risk
- Being tested
- home-based fall prevention program with multifactorial
- Keywords
- high fall risk, elderly, fall prevention, home based
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
home-based fall prevention program with multifactorialBehavioural
- Health Education
- Otago Exercises
- Assessing and Organizing the Safe Home Environment
| Study group | Role | What they receive |
|---|---|---|
| Experimental Group | Experimental | 6-week home-based fall prevention program with multifactorial intervention Receives: Behavioral: home-based fall prevention program with multifactorial |
| Control Group | No intervention | Not described |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of falls
elderly self-report with falls diary
Measured: baseline, 2 weeks and 6 weeks
Secondary outcomes (4)
Balance level
Berg Balance Scale:
It consists of 14 items and each section is graded from 0 (bad) to 4 (best), measuring the level of dependency and/or independence during positions such as standing up from sitting, standing with feet together, standing in a full balance position, balancing on one leg, and the ability of the person to change position. A high score from the BBS indicates good balance. According to the scores obtained from this test, cases are divided into "high risk of falling, balance disorder (0-20 points)", "moderate risk of falling, acceptable balance (21-40 points)", "low risk of falling, good balance (41-56 points)".
Measured: baseline, 2 weeks and 6 weeks
Fall risk score
Timed Up and Go Test: It is used to assess the risk of falling and mobility in the elderly. The TUG test is a balance test frequently used to assess functional mobility in frail elderly (70-84 years of age) living in the community. It was developed by Podsiadlo and Richardson in 1991. The test measures the speed during many functional maneuvers such as standing up, walking, turning and sitting down. In the test, the person is asked to stand up from the chair, walk 3 meters (10ft) at a safe and normal speed, turn around, walk back and sit down on the chair and the time is recorded in seconds. A shorter time indicates better balance and mobility skills. The starting position of the test should be standardized. In this study, it will be performed twice and the average will be taken. TUG is a simple, sensitive and specific test used to measure the probability of falling in the elderly.
Measured: baseline, 2 months and 3 months
Fear of falling
International Falls Efficacy Scale (FES-I): Each item of the sixteen-item scale is rated between 1 and 4 points (I am not worried at all: 1 point, I am a little worried: 2 points, I am quite worried: 3 points, I am very worried: 4 points). The total scale score varies between 16 and 64, and a higher score indicates an increased fear of falling. FES-I is a scale that evaluates how much older individuals trust themselves in their daily living activities and shows their level of fear of falling.
Measured: baseline, 2 weeks and 6 weeks
Home environment assessment
Fall-Related Home Safety Conditions Assessment Form: Developed by Belgin and Lok in 2012, the form evaluates the features that may pose a risk for elderly individuals to fall inside the home. The form consists of a total of 41 questions and their distribution to the areas is as follows; living room 7, kitchen 6, bedroom 7, bathroom/toilet 9, stairs 10 and corridor 4 questions. Each question is scored as Yes "0", No "1" and GY (no observation) "0" if the area planned to be observed is not inside the house, according to the risk in the examined area. The highest score received from the form is "41" and the lowest is "0". High scores indicate a high risk of falling, and a "0" score means no risk.
Measured: baseline, 2 weeks and 6 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Oct 2024
- Study start11 Oct 2024
- Primary completion31 Jul 2025
- Study completion25 Nov 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Fall PreventionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 82 participants (actual)
Sponsor and investigators
- Lead sponsor
- Istanbul University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Feyza Demir Bozkurt, Istanbul University - Cerrahpasa
- Investigators
- Selda Secginli, Prof.Dr., Study director, selda.secginli@atlas.edu.tr
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06643169
- Sponsor's protocol ID
- IUC-NURSE-FDB-01
- Acronym
- HoBFaPP
- Status last verified
- Apr 2025
- First submitted
- 13 Oct 2024
- Last updated
- 20 Apr 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 20 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Home Based Fall Prevention Program on Fall Rate Among Older Adults at High Risk of Falling
- ClinicalTrials.gov ID
- NCT06643169
- Acronym / sponsor ID
- HoBFaPP / IUC-NURSE-FDB-01
- Conditions
- Fall Prevention, Elderly, Home Based Care, Fall Risk
- Keywords
- high fall risk, elderly, fall prevention, home based
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 82 participants (actual)
- Lead sponsor
- Istanbul UniversityUniversity, hospital or other
- Study start
- 11 Oct 2024 (actual)
- Primary completion
- 31 Jul 2025 (actual)
- Study completion
- 25 Nov 2025 (actual)
- First posted
- 16 Oct 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Fall prevention programs that implement and evaluate fall rates, balance status, accidents related to falls and hospital admissions, exercise status, muscle strength, fear of falling, and quality of life can be effective interventions for healthy aging by minimizing the risk of falls in elderly individuals. In this doctoral dissertation study, it was aimed to evaluate the effect of a nurse-led home-based fall prevention program on fall rate, balance level, fall risk score, fear of falling, number of hospital admissions due to falls, quality of life, and in-home safety conditions in older adults with high fall risk.
Detailed description
Falls are a significant public health problem frequently seen among older people. Approximately one-third of individuals aged 65 years and older fall every year, and fall-related deaths are the leading cause of death in the elderly. According to World Health Organization (WHO) data, between 28% and 35% of adults over 65 fall every year; this rate increases to 42% from age 70. Falls and complications arising from falls are an essential problem for nurses working in primary care. In many countries, primary care nurses play an active role in meeting the health needs of the aging population. However, nurses are the health professionals who spend the most time with individuals, especially elderly individuals, who come to receive health services in primary healthcare organizations.
Nurses can assess the fall risk of elderly individuals with reliable screening tools at specific intervals. As a result, they can develop individualized nursing care plans by identifying existing and potential fall risks. Fall risk assessment in primary care and fall risk reduction practices planned after the assessment should be part of both the first health visit and subsequent visits. In the literature, nurse-led fall prevention programs are reported to be effective and promising for preventing falls for older individuals. In the future, nurses will have a more critical role in addressing older individuals' health problems and challenges. Nurses conduct much research involving evidence-based interventions to protect and promote health and manage diseases in various healthcare settings. Nursing science will continue to build the scientific evidence base for better clinical care and improved quality of life for the aging population. Specialist public health nurses also conduct various fall prevention programs for the elderly. It is reported that fall prevention programs reduce the fall rates and fear of falling, improve balance levels, increase quality of life, and positively affect the ability to maintain activities of daily living and live independently. Fall prevention programs that implement and evaluate fall rates, balance status, accident and hospital admissions related to falls, exercise status, muscle strength, fear of falling, and quality of life interventions in fall prevention programs can be an effective intervention for healthy aging by minimizing the risk of falls in elderly individuals. In this doctoral dissertation study, it was aimed to evaluate the effect of a nurse-led home-based fall prevention program on fall rate, balance level, fall risk score, fear of falling, number of hospital admissions due to falls, quality of life, and in-home safety conditions in older adults with high fall risk.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Experimental Group | Experimental | Behavioral: home-based fall prevention program with multifactorial6-week home-based fall prevention program with multifactorial intervention |
| Control Group | No intervention | – |
Who may qualify
- Ages
- 65 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Older adult
Key inclusion criteria (4 listed)
- Individuals aged 65 years and over with a high risk of falling (Those who score four and above on the Falls Risk Self-Assessment Scale will be determined as having a high risk of falling).
- To be examined by a physical therapist and to obtain consent that there is no harm in exercising (They will be referred to Bartın State Hospital and evaluated by a physical therapy specialist physician),
- Without a diagnosis of orthostatic hypotension,
- Elderly individuals who volunteered to participate in the study were identified.
Key exclusion criteria (4 listed)
- Cardiovascular surgery in the last one year
- Diagnosis of orthostatic hypotension
- Having a neurological or neurodegenerative disease (such as Parkinson's dementia)
- Older people who exercise regularly,
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| home-based fall prevention program with multifactorial* Health Education * Otago Exercises * Assessing and Organizing the Safe Home Environment | Behavioural | Experimental Group |
Primary outcome
Number of falls
Time frame: baseline, 2 weeks and 6 weeks
elderly self-report with falls diary
4 secondary outcomes
Balance level
Time frame: baseline, 2 weeks and 6 weeks
Fall risk score
Time frame: baseline, 2 months and 3 months
Fear of falling
Time frame: baseline, 2 weeks and 6 weeks
Home environment assessment
Time frame: baseline, 2 weeks and 6 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Apr 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Selda Secginli, Prof.Dr. study director
selda.secginli@atlas.edu.tr
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing home-based fall prevention program with multifactorial in people with Fall Prevention and Elderly, run by Istanbul University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 20 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of falls (time frame: baseline, 2 weeks and 6 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Apr 2026.