Guangzhou Community Elderly Fall Prevention Appropriate Technology Promotion Project
Guangzhou Center for Disease Control and Prevention
320 participants
Jan 1, 2026
INTERVENTIONAL
Conditions
Summary
This Guangzhou-based project uses a randomized controlled trial to test home environment modifications (e.g., anti-slip mats, lighting) for preventing falls among 320 community-dwelling elders. Over 12 months, it assesses effectiveness, cost-efficiency, and scalability, with rigorous quality control and multi-level stakeholder collaboration.
Eligibility
Inclusion Criteria8
- Between 60 and 80 years old (inclusive).
- Community-dwelling.
- Planning to reside at the current address for the next 12 months.
- Able to walk 50 meters unaided (can use a cane).
- Experienced one or more falls in the past 2 years, OR Is "very worried" or "somewhat worried" about falling (even without a fall history).
- Willing to participate in the 12-month fall prevention program and follow-up assessments.
- Possesses basic literacy skills (equivalent to elementary school level or above) and is capable of normal communication with the investigators, as judged by the staff.
- In a stable health condition to participate, as determined by the investigator.
Exclusion Criteria7
- Having an acute disease or an acute episode of a chronic disease.
- Having hearing, vision, or cognitive impairments, or self-reported neurological or psychiatric diseases (e.g., epilepsy, dementia) that prevent normal communication and learning.
- Self-reported serious diseases (e.g., cardiac, cerebral, renal, hepatic, respiratory, or hematologic systems) and judged by a doctor or on-site assessor as intolerant to physical activity.
- Diagnosed with conditions that explicitly affect balance function (e.g., vestibular disorders, cerebellar system lesions, vertigo, Ménière's disease).
- Requires a wheelchair or assistance from another person to walk.
- Likely to move away from the current residence or be absent for an extended period within the next 6 months.
- Unwilling to accept the 12-month follow-up.
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Interventions
Participants randomized to this arm receive a multi-component intervention. A trained community health worker conducts a one-time, comprehensive in-home assessment of fall hazards using a standardized checklist. Based on the assessment, the participant receives personalized, face-to-face advice for environmental modifications and is provided with, and instructed on the use of, essential safety aids including non-slip mats, night lights, anti-fall warning signs, and double-sided tape (for securing rugs). This core intervention is delivered once, 4-6 weeks after the baseline survey. All participants (in both arms) are followed up monthly for 12 months to collect data on falls.
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT07458958