Balance Right in Multiple Sclerosis (BRiMS): a feasibility randomised controlled trial of a falls prevention programme
dc.contributor.author | Gunn, Hilary | |
dc.contributor.author | Stevens, Kara | |
dc.contributor.author | Creanor, S | |
dc.contributor.author | Andrade, Jackie | |
dc.contributor.author | Paul, L | |
dc.contributor.author | Miller, L | |
dc.contributor.author | Green, C | |
dc.contributor.author | Ewings, P | |
dc.contributor.author | barton, andy | |
dc.contributor.author | Berrow, M | |
dc.contributor.author | Vickery, J | |
dc.contributor.author | Marshall, B | |
dc.contributor.author | Zajicek, J | |
dc.contributor.author | Freeman, Jennifer | |
dc.date.accessioned | 2021-02-24T09:00:42Z | |
dc.date.issued | 2021-12 | |
dc.identifier.issn | 2055-5784 | |
dc.identifier.issn | 2055-5784 | |
dc.identifier.other | 2 | |
dc.identifier.uri | http://hdl.handle.net/10026.1/16908 | |
dc.description.abstract |
<jats:title>Abstract</jats:title><jats:sec> <jats:title>Background</jats:title> <jats:p>Balance, mobility impairments and falls are problematic for people with multiple sclerosis (MS). The “Balance Right in MS (BRiMS)” intervention, a 13-week home and group-based exercise and education programme, aims to improve balance and minimise falls. This study aimed to evaluate the feasibility of undertaking a multi-centre randomised controlled trial and to collect the necessary data to design a definitive trial.</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>This randomised controlled feasibility study recruited from four United Kingdom NHS clinical neurology services. Patients ≥ 18 years with secondary progressive MS (Expanded Disability Status Scale 4 to 7) reporting more than two falls in the preceding 6 months were recruited. Participants were block-randomised to either a manualised 13-week education and exercise programme (BRiMS) plus usual care, or usual care alone.</jats:p> <jats:p>Feasibility assessment evaluated recruitment and retention rates, adherence to group assignment and data completeness. Proposed outcomes for the definitive trial (including impact of MS, mobility, quality of life and falls) and economic data were collected at baseline, 13 and 27 weeks, and participants completed daily paper falls diaries.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>Fifty-six participants (mean age 59.7 years, 66% female, median EDSS 6.0) were recruited in 5 months; 30 randomised to the intervention group. Ten (18%) participants withdrew, 7 from the intervention group. Two additional participants were lost to follow up at the final assessment point. Completion rates were > 98% for all outcomes apart from the falls diary (return rate 62%).</jats:p> <jats:p>After adjusting for baseline score, mean intervention—usual care between-group differences for the potential primary outcomes at week 27 were MS Walking Scale-12v2: − 7.7 (95% confidence interval [CI] − 17.2 to 1.8) and MS Impact Scale-29v2: physical 0.6 (CI − 7.8 to 9), psychological − 0.4 (CI − 9.9 to 9). In total, 715 falls were reported, rate ratio (intervention:usual care) for falls 0.81 (0.41 to 2.26) and injurious falls 0.44 (0.41 to 2.23).</jats:p> </jats:sec><jats:sec> <jats:title>Conclusions</jats:title> <jats:p>Procedures were practical, and retention, programme engagement and outcome completion rates satisfied a priori progression criteria. Challenges were experienced in completion and return of daily falls diaries. Refinement of methods for reporting falls is therefore required, but we consider a full trial to be feasible.</jats:p> </jats:sec><jats:sec> <jats:title>Trial registration</jats:title> <jats:p><jats:ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="uri" xlink:href="https://www.isrctn.com/ISRCTN13587999?q=13587999&filters=&sort=&offset=1&totalResults=1&page=1&pageSize=10&searchType=basicsearch">ISRCTN13587999</jats:ext-link></jats:p> <jats:p>Date of registration: 29 September 2016</jats:p> </jats:sec> | |
dc.format.extent | 2- | |
dc.format.medium | Electronic | |
dc.language | en | |
dc.language.iso | en | |
dc.publisher | Springer Science and Business Media LLC | |
dc.subject | Accidental falls | |
dc.subject | Balance | |
dc.subject | Exercise | |
dc.subject | Feasibility randomised controlled trial | |
dc.subject | Mobility | |
dc.subject | Quality of life | |
dc.subject | Secondary progressive multiple sclerosis | |
dc.subject | Self-management | |
dc.title | Balance Right in Multiple Sclerosis (BRiMS): a feasibility randomised controlled trial of a falls prevention programme | |
dc.type | journal-article | |
dc.type | Journal Article | |
plymouth.author-url | https://www.ncbi.nlm.nih.gov/pubmed/33390184 | |
plymouth.issue | 1 | |
plymouth.volume | 7 | |
plymouth.publication-status | Published | |
plymouth.journal | Pilot and Feasibility Studies | |
dc.identifier.doi | 10.1186/s40814-020-00732-9 | |
plymouth.organisational-group | /Plymouth | |
plymouth.organisational-group | /Plymouth/Admin Group - REF | |
plymouth.organisational-group | /Plymouth/Admin Group - REF/REF Admin Group - FoH | |
plymouth.organisational-group | /Plymouth/Faculty of Health | |
plymouth.organisational-group | /Plymouth/Faculty of Health/Peninsula Medical School | |
plymouth.organisational-group | /Plymouth/Faculty of Health/Peninsula Medical School/PMS - Manual | |
plymouth.organisational-group | /Plymouth/Faculty of Health/School of Health Professions | |
plymouth.organisational-group | /Plymouth/Faculty of Health/School of Psychology | |
plymouth.organisational-group | /Plymouth/REF 2021 Researchers by UoA | |
plymouth.organisational-group | /Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy | |
plymouth.organisational-group | /Plymouth/REF 2021 Researchers by UoA/UoA04 Psychology, Psychiatry and Neuroscience | |
plymouth.organisational-group | /Plymouth/REF 2021 Researchers by UoA/UoA04 Psychology, Psychiatry and Neuroscience/UoA04 REF peer reviewers | |
plymouth.organisational-group | /Plymouth/Research Groups | |
plymouth.organisational-group | /Plymouth/Research Groups/Centre for Brain, Cognition and Behaviour (CBCB) | |
plymouth.organisational-group | /Plymouth/Research Groups/Centre for Brain, Cognition and Behaviour (CBCB)/Cognition | |
plymouth.organisational-group | /Plymouth/Research Groups/Institute of Health and Community | |
plymouth.organisational-group | /Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED) | |
plymouth.organisational-group | /Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)/CCT&PS | |
plymouth.organisational-group | /Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR) | |
plymouth.organisational-group | /Plymouth/Users by role | |
plymouth.organisational-group | /Plymouth/Users by role/Academics | |
plymouth.organisational-group | /Plymouth/Users by role/Researchers in ResearchFish submission | |
dc.publisher.place | England | |
dcterms.dateAccepted | 2020-11-23 | |
dc.rights.embargodate | 2021-3-18 | |
dc.identifier.eissn | 2055-5784 | |
dc.rights.embargoperiod | Not known | |
rioxxterms.versionofrecord | 10.1186/s40814-020-00732-9 | |
rioxxterms.licenseref.uri | http://www.rioxx.net/licenses/all-rights-reserved | |
rioxxterms.licenseref.startdate | 2021-12 | |
rioxxterms.type | Journal Article/Review | |
plymouth.funder | Balance Right in Multiple Sclerosis (BRiMS): A guided self-management programme to reduce falls and improve quality of life balance and mobility in people with Multiple Sclerosis.::NIHR Evaluation Trials and Studies Coordinating Centre |