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dc.contributor.authorGreene, L
dc.contributor.authorBarber, R
dc.contributor.authorBingham, A
dc.contributor.authorConnors, J
dc.contributor.authorConroy, S
dc.contributor.authorElkhafer, K
dc.contributor.authorFox, C
dc.contributor.authorGoodwin, V
dc.contributor.authorGordon, A
dc.contributor.authorHall, AJ
dc.contributor.authorHarwood, RH
dc.contributor.authorHulme, C
dc.contributor.authorJackson, T
dc.contributor.authorLitherland, R
dc.contributor.authorMorgan-Trimmer, S
dc.contributor.authorPankiewicz, S
dc.contributor.authorParry, SW
dc.contributor.authorSharma, A
dc.contributor.authorUkoumunne, O
dc.contributor.authorWhale, B
dc.contributor.authorAllan, L
dc.date.accessioned2024-02-27T11:52:02Z
dc.date.issued2024-02-01
dc.date.updated2024-02-27T10:28:44Z
dc.description.abstractINTRODUCTION: Individuals with dementia face an increased risk of falls. Falls can cause a decline in the individual's overall functionality. All types of falls, including those that do not result in injury, can lead to psychosocial consequences, such as diminished confidence and a fear of falling. Projections indicate a rising trend in dementia diagnoses, implying an increase in fall incidents. Yet, there is a lack of evidence to support interventions for people living with dementia who have fallen. Our objective is to test the feasibility of a falls intervention trial for people with dementia. METHOD AND ANALYSIS: This is a UK-based two-arm pilot cluster randomised controlled trial. In this study, six collaborating sites, which form the clusters, will be randomly allocated to either the intervention arm or the control arm (receiving treatment as usual) at a 1:1 ratio. During the 6 month recruitment phase, each cluster will enrol 10 dyads, comprising 10 individuals with dementia and their respective carers, leading to a total sample size of 60 dyads. The primary outcomes are the feasibility parameters for a full trial (ie, percentage consented, follow-up rate and cost framework). Secondary outcomes include activities of daily living, quality of life, fall efficacy, mobility, goal attainment, cognitive status, occurrence of falls, carer burden and healthcare service utilisation. Outcome measures will be collected at baseline and 28 weeks, with an additional assessment scheduled at 12 weeks for the healthcare service utilisation questionnaire. An embedded process evaluation, consisting of interviews and observations with participants and healthcare professionals, will explore how the intervention operates and the fidelity of study processes. ETHICS AND DISSEMINATION: The study was approved by the NHS and local authority research governance and research ethics committees (NHS REC reference: 23/WA/0126). The results will be shared at meetings and conferences and will be published in peer-reviewed journals. TRIAL REGISTRATION NUMBER: ISRCTN16413728.en_GB
dc.description.sponsorshipAlzheimer’s Societyen_GB
dc.description.sponsorshipNational Institute for Health and Care Research (NIHR)en_GB
dc.identifier.citationVol. 14(2), article e083494en_GB
dc.identifier.doihttps://doi.org/10.1136/bmjopen-2023-083494
dc.identifier.grantnumber586en_GB
dc.identifier.urihttp://hdl.handle.net/10871/135404
dc.identifierORCID: 0000-0003-3860-9607 (Goodwin, Victoria)
dc.identifierORCID: 0000-0002-3453-5631 (Hall, Abigail J)
dc.identifierORCID: 0000-0003-2077-0419 (Hulme, Claire)
dc.identifierORCID: 0000-0001-5226-9595 (Morgan-Trimmer, Sarah)
dc.identifierORCID: 0009-0004-1750-4990 (Pankiewicz, Sophie)
dc.identifierORCID: 0000-0002-0551-9157 (Ukoumunne, Obioha)
dc.identifierORCID: 0000-0002-8912-4901 (Allan, Louise)
dc.language.isoenen_GB
dc.publisherBMJ Publishing Groupen_GB
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pubmed/38307534en_GB
dc.rights© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/en_GB
dc.titleMaintaining independence in individuals with dementia at home after a fall: a protocol for the UK pilot cluster randomised controlled trial MAINTAINen_GB
dc.typeArticleen_GB
dc.date.available2024-02-27T11:52:02Z
dc.identifier.issn2044-6055
exeter.place-of-publicationEngland
dc.descriptionThis is the final version. Available on open access from BMJ Publishing Group via the DOI in this recorden_GB
dc.identifier.eissn2044-6055
dc.identifier.journalBMJ Openen_GB
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en_GB
dcterms.dateAccepted2024-01-11
rioxxterms.versionVoRen_GB
rioxxterms.licenseref.startdate2024-02-01
rioxxterms.typeJournal Article/Reviewen_GB
refterms.dateFCD2024-02-27T11:48:34Z
refterms.versionFCDVoR
refterms.dateFOA2024-02-27T11:52:09Z
refterms.panelAen_GB
refterms.dateFirstOnline2024-02-01


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© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 
This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Except where otherwise noted, this item's licence is described as © Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/