{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T00:02:07Z","timestamp":1792800127495,"version":"4.5.0"},"reference-count":59,"publisher":"MDPI AG","issue":"24","license":[{"start":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T00:00:00Z","timestamp":1733875200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Official College of Nursing of Madrid","award":["AYD263_2022"],"award-info":[{"award-number":["AYD263_2022"]}]},{"name":"Gerencia Asistencial de Atenci\u00f3n Primaria (GAAP)","award":["AYD263_2022"],"award-info":[{"award-number":["AYD263_2022"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Healthcare"],"abstract":"<jats:p>Background\/Objectives: Fear of falling (FOF) and falls are prevalent issues among older adults, leading to activity restriction, decreased quality of life, and increased dependency. This study aims to assess the effectiveness of a nurse-led health education intervention to reduce FOF and fall incidence in older adults within primary care settings. Methods: This two-arm, multicenter, parallel, cluster-randomized clinical trial includes ten primary care centers in Spain and will enroll 150 adults over 65 years with FOF, mild or no functional dependence, and independent ambulation. Participants will be randomized to either the intervention group, which will receive five initial group education sessions led by community nurses and a booster session at six months, or the control group, which will receive usual care. Primary outcomes include FOF, assessed using the Short Falls Efficacy Scale-International (FES-I), and fall incidence. Data collection will occur at baseline, one month, six months, and twelve months post intervention. This study has been approved by the Ethics Committee for Research with Medicinal Products at Gregorio Mara\u00f1\u00f3n University Hospital in accordance with the Declaration of Helsinki. Expected Outcomes: The health education intervention is expected to significantly reduce both FOF and fall incidence, supporting the integration of FOF management in routine primary care for older adults, with potential benefits for safety and quality of life. Trial Registration: ClinicalTrials.gov: NCT05889910. The study protocol follows CONSORT and SPIRIT guidelines.<\/jats:p>","DOI":"10.3390\/healthcare12242510","type":"journal-article","created":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T12:38:56Z","timestamp":1733920736000},"page":"2510","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Effect of a Health Education Intervention to Reduce Fear of Falling and Falls in Older People: A Cluster Randomized Clinical Trial Protocol"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7075-6706","authenticated-orcid":false,"given":"Nuria","family":"Alcolea-Ruiz","sequence":"first","affiliation":[{"name":"Sector III Healthcare Centre, South Assistance Directorate, Primary Care Assistance Management, Madrid Health Service, 28905 Madrid, Spain"},{"name":"Faculty of Nursing, Physiotherapy, and Podiatry, Complutense University of Madrid, 28040 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Candelas","family":"L\u00f3pez-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Physiotherapy, and Podiatry, Complutense University of Madrid, 28040 Madrid, Spain"},{"name":"Emergency and Trauma Intensive Care Unit, 12 de Octubre University Hospital, 28041 Madrid, Spain"},{"name":"Invecuid Care Research Group, Hospital 12 de Octubre Health Research Institute (imas12), 28041 Madrid, Spain"},{"name":"\u201cSalud P\u00fablica-Estilos de Vida, Metodolog\u00eda Enfermera y Cuidados en el Entorno Comunitario\u201d Research Group, Nursing Department, Faculty of Nursing, Physiotherapy, and Podiatry, Complutense University of Madrid, 28040 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0439-8952","authenticated-orcid":false,"given":"Teresa","family":"P\u00e9rez-P\u00e9rez","sequence":"additional","affiliation":[{"name":"Department of Statistics and Data Science, Faculty of Statistical Studies, Complutense University of Madrid, 28040 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia","family":"Alcolea","sequence":"additional","affiliation":[{"name":"La Paz Children\u2019s Hospital, La Paz Biomedical Research Foundation (IdiPAZ), CYBER INFECT, Madrid Health Service, 28046 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"FEARFALL_CARE Clinical Care Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4294-8417","authenticated-orcid":false,"given":"Francisco Javier","family":"P\u00e9rez-Rivas","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Physiotherapy, and Podiatry, Complutense University of Madrid, 28040 Madrid, Spain"},{"name":"\u201cSalud P\u00fablica-Estilos de Vida, Metodolog\u00eda Enfermera y Cuidados en el Entorno Comunitario\u201d Research Group, Nursing Department, Faculty of Nursing, Physiotherapy, and Podiatry, Complutense University of Madrid, 28040 Madrid, Spain"},{"name":"RICAPPS Research Networking Centre in Chronicity, Primary Care, and Health Promotion (RICORS), Carlos III Institute of Health, 28220 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,12,11]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"P239","DOI":"10.1093\/geronj\/45.6.P239","article-title":"Falls efficacy as a measure of fear of falling","volume":"45","author":"Tinetti","year":"1990","journal-title":"J. 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