Home based, tailored intervention to reduce rate of falls after stroke (FAST): randomised trial

L Clemson; K Scrivener; N Lannin; L Ada; S Day; I Lin; S Isbel; A Cusick; B Gardner; E Preston; G Heller; CM Dean; K Armson; G Bowring; K Baker; L Barton; E Borgeaud; J Campbell; M Cappellari; S Currie; L Davidson; E Dorward; N Downey; S Faux; C Griffin; A Haines; N Hokin; W Hunt; S Kramer; R Lindley; J Lo; L McCredie; A McCulloch; K Moloney; M Morton; V Mumford; R Nicks; S Pearce; M Pellegrini; F Penrose; T Philipps; K Ramos; T Ryall; R Savage; K Sewell; M Shannon; C Shiner; J Spiers; L Wales; G Wall; L Webster; K Weeks; A Winkler; G Zelma

Journal article

Home based, tailored intervention to reduce rate of falls after stroke (FAST): randomised trial

L Clemson, K Scrivener, N Lannin, L Ada, S Day, I Lin, S Isbel, A Cusick, B Gardner, E Preston, G Heller, CM Dean, K Armson, G Bowring, K Baker, L Barton, E Borgeaud, J Campbell, M Cappellari, S Currie Show all

BMJ | Published : 2026

DOI: 10.1136/bmj-2025-085519

Open access

Abstract

AbstractObjectiveTo investigate the effectiveness of a multidisciplinary, home based, tailored intervention to reduce falls after stroke.DesignTwo armed, randomised trial.SettingThree states in Australia.ParticipantsPeople within 5 years of stroke, aged >50 years, discharged from formal rehabilitation to the community, and able to walk 10 m across flat ground with or without an aid. Those with moderate-to-severe receptive aphasia or walking speed >1.4 m/s without falls in the previous year were excluded.InterventionOver 6 months, the experimental group received a habit forming functional exercise, home fall hazard reduction, and goal directed community mobility coaching; the control group re..

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