The Effect of a Standing Intervention on Falls in Long Term Care: a Secondary Analysis of a Randomized Controlled Trial


  • Molly Gallibois University of New Brunswick
  • Grant Handrigan Université de Moncton
  • Linda Caissie Saint-Thomas University
  • Kendra Cooling University of New Brunswick; Université de Moncton
  • Jeffrey Hébert University of New Brunswick; Murdoch University
  • Pamala Jarrett Horizon Health Network; Dalhousie University
  • Chris McGibbon University of New Brunswick
  • Emily Read University of New Brunswick
  • Martin Sénéchal University of New Brunswick
  • Danielle R. Bouchard University of New Brunswick



Clinical Trial, Falls, Sedentary Behaviour, Frailty



Older adults in long term care (LTC) spend over 90% of their day engaging in sedentary behaviour. Sedentary behaviour may exacerbate functional decline and frailty, increasing the risk for falls. The purpose of this study is to explore the impact of a 22-week standing intervention on falls among LTC residents at 12-month follow-up.


This was a planned secondary analysis of the Stand if You Can randomized controlled trial. The original trial randomized 95 participants (n = 47 control; n = 48 intervention) to either a sitting control or a supervised standing intervention group (100 minutes/week) for 22 weeks. Falls data were available to be collected over 12 months post-intervention for 89 par-ticipants. The primary outcome was a hazard of fall (Yes/No) during the 12-month follow-up period.


A total of 89 participants (average age 86 years ± 8.05; 71.9% female) were followed for 12-months post-intervention. Par-ticipants in the intervention group (n=44) had a significantly greater hazard ratio of falls (2.01; 95% CI = 1.11 to 3.63) than the control group (n=45) when accounting for the history of falls, frailty status, cognition level, and sex.


Participants who received a standing intervention over 22 weeks were twice as likely to fall 12 months after the inter-vention compared with the control group. However, the prevalence of falls did not surpass what would be typically observed in LTC facilities. It is imperative that future stud-ies describe in detail the context in which falls happen and collect more characteristics of participants in the follow-up period to truly understand the association between standing more and the risk of falls.


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How to Cite

Gallibois M, Handrigan G, Caissie L, Cooling K, Hébert J, Jarrett P, McGibbon C, Read E, Sénéchal M, Bouchard DR. The Effect of a Standing Intervention on Falls in Long Term Care: a Secondary Analysis of a Randomized Controlled Trial. Can Geriatr J [Internet]. 2023 Jun. 1 [cited 2023 Sep. 27];26(2):247-52. Available from:



Original Research