A Trial Evaluating Community Pharmacist-led Older Adult Fall Prevention Program

INTERVENTION: The fall prevention intervention administered by the community pharmacists involves screening, fall education, and medication review. A tabletop Flipchart will aid pharmacist education sessions, and participants will receive a booklet with information on fall prevention. These materials were created and validated specifically for this trial. A medication review form will be developed to aid pharmacists during the medication review session. If needed for any intervention, pharmacists will make a referral to the primary healthcare provider using a standardised referral form. Participants will also receive a fall calendar for them to take note of any falls at home. At baseline, eligible participants will have to answer 4 self‐administered questionnaires (demographic questionnaire, Fall Risk Assessment Questionnaire, Health‐Related Quality of Life Questionnaire and Perspective of Fall Prevention Engagement Questionnaire). Participants will then be screened for fall risk with CDC‐3 screening questions and given fall education by the study pharmacists. This should take approximately 30 minutes. Within one week, participants must bring their medications for review by pharmacists. This medication review session would take approximately 20 minutes. During the medication review, pharmacist can discuss and further educate participants on their medications in relation to falls. The intervention will be administered only at baseline. The intervention will be administered individually and in‐person in rural and urban community pharmacies nationwide. The intervention will be delivered by registered pharmacists working in the community pharmacy setting who will be specifically trained in fall prevention and data‐gathering techniques using a validated training module. T CONDITION: Falls; ; Falls Public Health ‐ Health promotion/education PRIMARY OUTCOME: Knowledge score assessed by Fall Risk Assessment Questionnaires (FRAQ) scores[Baseline, 1‐month (primary timepoint) and 6‐month after intervention commencement] SECONDARY OUTCOME: Health‐related Quality of Life assessed by EQ‐5D‐5L instrument [Baseline, 1‐month, and 6‐month after intervention commencement] Number of fall assessed by participant reporting and fall calendar[Baseline, 1‐month, 3‐month and 6‐month after intervention commencement] Perspective on fall prevention engagement assessed by a set of 7 validated questions from published study (Khong et al., 2017) https://doi.org/10.1007/s10433‐016‐0408‐ X[Baseline, 1‐month, and 6‐month after intervention commencement] INCLUSION CRITERIA: 1) Older adults aged 60 years and above 2) Consuming four or more chronic medications per day 3) Willingness to document self‐reporting of falls at home (monthly calendar) 4) Capable of providing own consent