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Use of a multi-domain decision support tool in care homes led to lower fall rates in older people at 3 6 months.

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Philippa A Logan 1,2,3,4,*, Jane C Horne 1, Frances Allen 1, Sarah J Armstrong 1, Allan B Clark 5,6, Simon Conroy 7, Janet Darby 1, Chris Fox 5, John RF Gladman 1,3,4,8, Maureen Godfrey 1, Adam L Gordon 1,3,4,9, Lisa Irvine 10, Paul Leighton 1, Karen McCartney 1, Gail Mountain 11, Kate Robertson 1, Katie Robinson 1,8, Tracey H Sach 5, Susan Stirling 5,6, Edward CF Wilson 6, Erika J Sims 5,6

1 School of Medicine, University of Nottingham, Nottingham, UK
2 Community Rehabilitation Team, Nottingham CityCare Partnership, Nottingham, UK
3 National Institute for Health Research Applied Research Collaboration East Midlands, Leicester General Hospital, Leicester, UK
4 National Institute for Health Research Nottingham Biomedical Research Centre, Queen’s Medical Centre, Nottingham, UK
5 Norwich Clinical Trials Unit, University of East Anglia, Norwich, UK
6 Norwich Medical School, University of East Anglia, Norwich, UK
7 Department of Health Sciences, University of Leicester, Leicester, UK
8 Health Care of the Elderly Directorate, Nottingham University Hospitals, Nottingham, UK
9 Medical School, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK
10 Centre for Research in Public Health and Community Care, University of Hertfordshire, Hatfield, UK
11 Centre for Applied Dementia Studies, University of Bradford, Bradford, UK
* Corresponding author Email: Pip.Logan@nottingham.ac.uk

Declared competing interests of authors: Philippa A Logan reports membership of the Health Technology Assessment (HTA) Commissioning Committee 2015–21. Simon Conroy reports membership of HTA Elective and Emergency Specialist Care (EESC) Panel and membership of HTA Prioritisation Committee B (In hospital) 2019–23. Maureen Godfrey reports grants from the National Institute for Health Research (NIHR) Programme Grants for Applied Research (PGfAR) PrAISED (Promoting Activity, Independence and Stability in Early Dementia) study (RP-PG-0614-0007) and grants from the Stroke Association OPTIMISM (Optimising Psychoeducation for Transient Ischaemic Attack and Minor Stroke Management) study outside the submitted work. Adam L Gordon reports membership of the NIHR Research for Patient Benefit Commissioning Board from 2014 to 2019. Gail Mountain reports membership of the NIHR HTA Commissioning Committee (2011–16). Tracey H Sach reports grants from the NIHR HTA programme (NIHR129926, 16/13/02, 15/130/11, 12/67/12), grants from the NIHR PGfAR programme (RP-PG-0216-20007) and grants from NIHR Research for Patient Benefit (PB-PG-1215-20019) during the conduct of the study; and membership of the HTA Antimicrobial Resistance Themed Call Board 2013–14, HTA Efficient Study Designs – 2 Board (2015–16), HTA Efficient Study Designs Board (2014), HTA End of Life Care and Add-on Studies (2015–16), HTA Primary Care Themed Call Board (2013–14), HTA General Funding Committee (2016–17) and HTA Commissioning Funding Committee (2017–20).

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