Intervention description as per TIDieR32
| TIDieR item no | Item |
|---|---|
| 1. Brief name | RESPOND to the first fall to prevent the second—a patient-centred programme to prevent secondary falls in older people presenting to the ED with a fall |
| 2. Why | Falls by older people are frequent and associated with disability, institutionalisation and mortality. Older people presenting to the ED following a fall frequently fall again indicating a failure in secondary falls prevention. This trial will test the efficacy of delivering patient-centred education and behaviour change strategies to enhance patient engagement in falls prevention activities. |
| 3. What (materials) | The RESPOND programme targets four risk factors with evidence of effective interventions: poor balance and/or loss of strength; vision impairment; long-time use of benzodiazepines; and poor bone health. Four education leaflets have been developed specifically for the project providing simple information on these risk factors and positive health messages relating to management options. |
| 4. What (procedures) | The RESPOND programme has three components: (1) home-based risk factor assessment; (2) education on risk factor management, goal setting, coaching and follow-up telephone support for management of one or more of four risk factors with evidence of effective interventions; and (3) healthcare provider communication and community linkage into existing community services that meet participant goals. |
| 5. Who provided | Clinician employed by the RESPOND team. A health professional trained in motivational interviewing and behaviour change strategies and experienced in falls prevention including completing home safety assessments and prescribing falls prevention exercises. |
| 6. How delivered | The intervention is personalised and provided on a one-to-one basis; initially face-to-face with subsequent coaching over the telephone. |
| 7. Where delivered | Face-to-face intervention occurs in the participant's home. |
| 8. When and how much | The clinician will provide an initial 45 min face-to-face session within 2 weeks of ED discharge. The first coaching phone call will be made within 2 weeks of initial visit and the second within 3 months. Remaining phone calls will occur at intervals that allow progress towards goals. There will be a minimum of two follow-up phone calls with each call lasting approximately 45 min. Each participant will receive an average of 10 hours of the intervention. |
| 9. Tailoring | Participants may choose to address one or more of the four risk factors with the option to add in extra strategies throughout the follow-up period. |
| 10. Modifications | Modifications made to the intervention during the course of the study will be reported in the outcome paper. |
| 11. Assessment of intervention fidelity | A detailed programme evaluation will be conducted concurrently to the RCT to assess if the intervention was implemented as planned. This evaluation has detailed methodology and will be reported in a separate protocol paper. |
ED, emergency department; RCT, randomised controlled trial.