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Pragmatic multicentre stepped-wedge cluster randomised trial to investigate the effectiveness of community-based fall prevention programme for older adults with falls risk in Singapore: a protocol paper

This evaluation protocol, published in BMJ Open, details the methods used to evaluate the impact of community fall prevention programmes with group-based strength and balance exercises on fall risk and health outcomes for older adults with fall risk in Singapore.

The protocol describes a pragmatic closed cohort stepped-wedge cluster randomised trial design study, which involves sequential crossover of clusters from the waitlist control condition to the intervention condition, with the sequence of crossover randomly determined.


This evaluation protocol was jointly co-authored by individuals from RFI (Joanne Yoong), Geriatric Education and Research Institute Singapore (Pey June Tan, Mimaika Luluina Ginting, Zoe Zon Be Lim, Nivedha Balachandar, Mumtaz Mohamed Kadir, Chek Hooi Wong), Duke-NUS Medical School (Rehena Sultana, David Bruce Matchar), Singapore Institute of Technology (Tianma Xu), Tan Tock Seng Hospital (Noor Hafizah Ismail, Joyce Kwee Yong Yap), Khoo Teck Puat Hospital (Sweet Fun Wong), and Monash University (Keith Hill).

Read the full protocol paper at

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