Background: Falls have a detrimental influence on the quality of life of the elderly, as well as increase the health care cost in managing fall-related injuries. Fall incidences are expected to rise tremendously in the future as the world's elderly population expands, particularly in Southeast Asia. Since medications are one of the main factors that increase the risk of falling, much research has been conducted recently to examine the link between medications and falls. The frequency of falls among the elderly can be decreased by implementing intervention measures into practise. Objectives: The study aimed to assess the knowledge, attitude, and perception (KAP) of falls among the geriatric population in a primary care clinic setting, review the fall risk- increasing drugs (FRIDs), provide educational intervention to improve the awareness of falls and FRIDs, and lastly to analyse the effectiveness of the educational intervention. Methods: This interventional study was carried out in a primary care setting using a validated structured questionnaire to assess the KAP of falls. Elderly patients who were 65 years and above, seeking medical treatment in the primary care setting, and able to read, understand, and respond to the study questionnaire and educational interventional materials were included in the study. Results: In a total of 310 respondents, 74% of them obtained primary-level education, and 46% of them were living alone or with their partner/caregiver. The percentage of elderly patients who experienced falls in the past 12 months was 20%. Significant improvement (p<0.05) was observed in the respondents’ KAP in post-intervention. The findings revealed that the educational intervention provided is suitable to all respondents regardless of education level and prior knowledge of falls and fractures. Conclusion: The educational intervention provided to the elderly population has improved the respondents’ KAP to a certain extend. Future health policy must be crafted to address preventive measures to meet the requirements of the ageing population. Keywords: FRIDS, geriatrics, falls, educational intervention, knowledge, attitude, perspective.

Introduction Falls occur often because of complex interacting risk factors. As such, identifying the risk factors of falls and providing suitable interventions including lifestyle modification are important in elderly care. Methods This epidemiology study utilized data extracted from the MyFAIT study, a randomized controlled individually tailored multifactorial interventional trial. Community- dwelling elderly aged 65 years and above with a history of falls (fallers) or without a history of falls (non-fallers) were recruited. The demographic and clinical data of the fallers and non-fallers were compared. The fallers were then randomized to receive either interventions or standard care and followed up after 12 months. Patients with dementia, major psychiatric illness, non-ambulatory patients or inability to stand were excluded in the intervention trials. The primary outcome variable is the occurrence of falls. Chi-square tests or Fisher Exact tests were used to estimate the association between risk factors and fall history; or interventions and recurrent falls. Logistic regression was used to determine the association of independent variables and the event of falls. A p-value of <0.05 was statistically significant in all tests. Results Data extracted from 483 subjects were analysed. Among them, 268 were fallers and 215 non-fallers. Logistic regression analyses were performed to estimate the effects of influencing factors on the likelihood of having events of falls. Increasing age is found to be associated with an increased risk of falls but higher mean systolic blood pressure iii was associated with a reduced likelihood of falls in the elderly. Elderly who were diagnosed with cataracts have a 1.91-time [Odds Ratios = 1.91 (95% CI 1.10-3.31)] risk to have fall events compared with patients without cataract. In a sub-analysis of individually tailored multifactorial interventions, the results showed that fallers who received 5 types of interventions seem to have a higher risk of recurrent falls [Odd Ratio = 2.07 (95% CI 0.89-4.83)] than those receiving less or more than 5 types of interventions, but the risk is not statistically significant. Dizziness conditions (44.7%), osteoporosis (19.9%), and alcohol consumption (14.9%) were commonly found in the elderly with recurrent falls. Conclusion Multiple risk factors such as aging, low systolic blood pressure, and cataract disease were found to be associated with the risk of falls in the elderly. This study also found that dizziness, osteoporosis, and alcohol consumption and are commonly observed in patients with recurrent falls despite the implementation of fall prevention interventions. This study highlights the importance of lifestyle modification during and after the implementation of fall prevention interventions. Keywords: fall prevention interventions, elderly falls, community-dwelling elderly, lifestyle modification