ProFaNE Taxonomy

Introduction

ProFaNE's original Workpackage 1, led by Clemens Becker and Sallie Lamb, not only published a consensus outcome measures [1] for use in falls prevention intervention research, they also published a recommendation for a definitive falls definition and measurement of falls [2] and they worked on a taxonomy (naming and classification system) for falls prevention interventions so that in the future there could be meta-analyses of the different types of interventions. The taxonomy was designed for three purposes:

(1) To characterise and classify existing fall prevention interventions - such as those published in the literature as well as clinical services.

(2) To encourage authors of new interventions to report the intervention in such away that it can be replicated and understood by others.

(3) To assist designers of new interventions to consider the range of factors that should be considered in developing and reporting a new intervention and to assist with pre-specification of a framework (model) explaining effectiveness for future testing.

It is being used by the Cochrane Collaboration and Reviewers [3,4,5] and other groups [6] to characterise interventions, map research activity to date and identify areas which need more research.

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References:

[1] Lamb SE, Jørstad-Stein EC, Hauer K, Becker C; Prevention of Falls Network Europe and Outcomes Consensus Group. Development of a common outcome data set for fall injury prevention trials: the Prevention of Falls Network Europe consensus. J Am Geriatr Soc. 2005;53(9):1618-22.

[2] Hauer K, Lamb SE, Jorstad EC, Todd C, Becker C; ProFaNE-Group. Systematic review of definitions and methods of measuring falls in randomised controlled fall prevention trials. Age Ageing. 2006;35(1):5-10.

[3] Gillespie LD, Robertson MC, Gillespie WJ, Lamb SE, Gates S, Cumming RG, Rowe BH. Interventions for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews 2009, Issue 2. Art. No.: CD007146. DOI: 10.1002/14651858.CD007146.pub2.

[4] Cameron ID, Murray GR, Gillespie LD, Robertson MC, Hill KD, Cumming RG, Kerse N. Interventions for preventing falls in older people in nursing care facilities and hospitals. Cochrane Database of Systematic Reviews 2010, Issue 1. Art. No.: CD005465. DOI: 10.1002/14651858.CD005465.pub2.

[5] Howe TE, Rochester L, Jackson A, Banks PMH, Blair VA. Exercise for improving balance in older people. Cochrane Database of Systematic Reviews 2007, Issue 4. Art. No.: CD004963. DOI: 10.1002/14651858.CD004963.pub2.

[6] Sherrington C, Whitney JC, Lord SR, Herbert RD, Cumming RG, Close JC. Effective exercise for the prevention of falls: a systematic review and meta-analysis. J Am Geriatr Soc. 2008;56(12):2234-43.