We studied the effect of automatic fall detection units on the fear of falling amongst community alarm users living in the community. A total of 55 community alarm users, at increased risk of falling were recruited: 34 received fall detectors (intervention group) and there were 21 in a control group. On intention to treat analysis, there was no significant difference between the intervention and control group on change in fear of falls (40.3 vs 37.5, difference 2.8, 95% CI –6.2 to 11.8), health-related quality of life or morale. Differences in fear of falling, between a group who wore their detector regularly (62%) and those who did not, suggest that some people may benefit from a fall detector; conversely, others may lose confidence if provided with a fall detector. Most users who wore their detectors regularly felt more confident and independent and considered that the detector improved their safety
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