Study protocol for the Flooring for Injury Prevention (FLIP) Study: a randomised controlled trial in long-term care

Lachance, Chantelle C.; Feldman, Fabio; Laing, Andrew C.; Leung, Pet Ming; Robinovitch, Stephen N.; Mackey, Dawn C.

doi:10.1136/injuryprev-2016-042008

Cited by 10 publications

(18 citation statements)

References 46 publications

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“…Compliant flooring is a passive intervention approach designed to reduce the stiffness of the ground in order to attenuate the impact forces applied to the body in the event of a fall [ 1 – 5 ]. It has the potential to reduce the incidence and severity of all fall-related injuries caused by impact to the ground, including hip fractures and traumatic brain injuries [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Compliant flooring to prevent fall-related injuries in older adults: A scoping review of biomechanical efficacy, clinical effectiveness, cost-effectiveness, and workplace safety

et al. 2017

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BackgroundCompliant flooring, broadly defined as flooring systems or floor coverings with some level of shock absorbency, may reduce the incidence and severity of fall-related injuries in older adults; however, a lack of synthesized evidence may be limiting widespread uptake.MethodsInformed by the Arksey and O’Malley framework and guided by a Research Advisory Panel of knowledge users, we conducted a scoping review to answer: what is presented about the biomechanical efficacy, clinical effectiveness, cost-effectiveness, and workplace safety associated with compliant flooring systems that aim to prevent fall-related injuries in healthcare settings? We searched academic and grey literature databases. Any record that discussed a compliant flooring system and at least one of biomechanical efficacy, clinical effectiveness, cost-effectiveness, or workplace safety was eligible for inclusion. Two independent reviewers screened and abstracted records, charted data, and summarized results.ResultsAfter screening 3611 titles and abstracts and 166 full-text articles, we included 84 records plus 56 companion (supplementary) reports. Biomechanical efficacy records (n = 50) demonstrate compliant flooring can reduce fall-related impact forces with minimal effects on standing and walking balance. Clinical effectiveness records (n = 20) suggest that compliant flooring may reduce injuries, but may increase risk for falls. Preliminary evidence suggests that compliant flooring may be a cost-effective strategy (n = 12), but may also result in increased physical demands for healthcare workers (n = 17).ConclusionsIn summary, compliant flooring is a promising strategy for preventing fall-related injuries from a biomechanical perspective. Additional research is warranted to confirm whether compliant flooring (i) prevents fall-related injuries in real-world settings, (ii) is a cost-effective intervention strategy, and (iii) can be installed without negatively impacting workplace safety. Avenues for future research are provided, which will help to determine whether compliant flooring is recommended in healthcare environments.

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Section: Introductionmentioning

confidence: 99%

Compliant flooring to prevent fall-related injuries in older adults: A scoping review of biomechanical efficacy, clinical effectiveness, cost-effectiveness, and workplace safety

et al. 2017

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“…Compliant flooring has the potential to reduce the incidence and severity of fall-related injuries at all body sites that impact the ground. Furthermore, compliant flooring is a passive intervention, since its effectiveness does not rely on user adherence once it is installed (Lachance, Jurkowski, Dymarz, & Mackey, 2016 ; Wright & Laing, 2012 ).…”

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confidence: 99%

“…In the LTC setting, stakeholders from health care, research, and industry are involved in making decisions about fall injury prevention strategies, and past research on compliant flooring has engaged stakeholders from each of these sectors (Lachance, Jurkowski, et al., 2016 ; Lachance, Feldman, et al, 2016 ). However, there is limited understanding about stakeholder perceptions of the advantages and disadvantages to implementing compliant flooring and about the research questions that stakeholders deem most important to address in the future.…”

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confidence: 99%

Feasibility of Compliant Flooring in Long-Term Care: Results from a Stakeholder Symposium

Lachance

Mackey

2017

Can. J. Aging

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Compliant flooring aims to prevent fall-related injuries among high-risk older adults in long-term care, but uptake of compliant flooring in this setting is limited. We hosted a one-day stakeholder symposium to identify advantages and disadvantages of implementing compliant flooring in long-term care and the most pressing directions for future research from the perspective of key stakeholders. Twenty-three stakeholders representing health care, industry, and research attended the symposium. Attendees believed the most important advantages of compliant flooring were reducing injuries in residents who have fallen, potential benefits to care staff, and potential increases in quality of life for residents. Attendees perceived the most significant disadvantages of compliant flooring were financial considerations, lack of research evidence, and challenges with installation. Attendees indicated a need for additional research on cost-effectiveness and clinical effectiveness. While stakeholders perceived compliant flooring to add value to long-term care, there are significant informational and financial barriers to uptake.

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“…To avoid duplication of effort, we will build on the search already conducted in a scoping review17 which completed its search in May 2016. The clinical12 16 18–26 38–46 and cost-effectiveness11 21 26 40 41 47–63 records identified in the scoping review will be assessed for inclusion in the current review. We will continue the search from May 2016 to present, and will not apply any language restrictions.…”

Section: Methodsmentioning

confidence: 99%

“…A recent scoping review of flooring interventions involved a thorough search of the literature; however, it did not involve a critical appraisal or systematic synthesis 17. A systematic review of studies identified in the scoping review16 18–25 as well as more recent studies,26–31 will provide a more reliable basis for decision-making and identify the next steps for research.…”

Section: Introductionmentioning

confidence: 99%

Protocol for the SAFEST review: the Shock-Absorbing Flooring Effectiveness SysTematic review including older adults and staff in hospitals and care homes

et al. 2020

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Open accessCL, AL and DM were all involved in the conception and design of the project, and revising the protocol content. JR contributed to the design of the health economics component and revising the protocol. LF contributed to the design of the Summary of Findings Tables component, and drafting of this manuscript. AD, BK, CL and JR were co-applicants on the original funding proposal to HTA. All authors are also Advisory Board members and have read and approved the manuscript.

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Study protocol for the Flooring for Injury Prevention (FLIP) Study: a randomised controlled trial in long-term care

Abstract: NCT01618786.

Cited by 10 publications

References 46 publications

Compliant flooring to prevent fall-related injuries in older adults: A scoping review of biomechanical efficacy, clinical effectiveness, cost-effectiveness, and workplace safety

Compliant flooring to prevent fall-related injuries in older adults: A scoping review of biomechanical efficacy, clinical effectiveness, cost-effectiveness, and workplace safety

Feasibility of Compliant Flooring in Long-Term Care: Results from a Stakeholder Symposium

Protocol for the SAFEST review: the Shock-Absorbing Flooring Effectiveness SysTematic review including older adults and staff in hospitals and care homes

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