Design and development of a theory-informed peer-led falls prevention education programme to translate evidence into practice: a systematic approach

Objective: Falls are a significant problem for many older patients after hospital discharge. The purpose of this study was to evaluate the fidelity and impact of a tailored patient fall prevention education programme from the perspective of the educators who delivered the programme. Design: Qualitative sequential design. Setting: Three rehabilitation hospitals in Western Australia. Method: Three experienced physiotherapists trained as ‘educators’ to deliver a tailored fall prevention education programme to 195 older patients prior to hospital discharge, together with monthly telephone follow-up for 3 months after discharge. Educator–patient interactions were recorded in a standardised educator diary. Post-intervention, educators participated in a mini-focus group, providing their perspectives regarding education delivery and its impact on patient abilities to engage in fall prevention strategies. Data were analysed using deductive content analysis. Results: Educators followed up 184 (94%) patients, identifying multiple barriers and enablers affecting patient engagement in planned fall prevention strategies. Key barriers included unresolved medical conditions, reluctance to accept assistance on discharge, delays in assistive service provision, patient beliefs and perceptions about falls and, in some cases, patients’ absolving responsibility for recovery. Enablers were related to programme design, the completion of hospital discharge processes and support networks following discharge. Conclusion: Educators identified several barriers and enablers to programme delivery, receipt and enactment by older patients that contributed to the fidelity of the education programme. The consistent need for more patient support to enable improved enactment of plans and assist with safe recovery long after discharge warrants further attention at policy and health system levels.

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Peering into ‘spaces for change’: empowerment, subversion and resistance in a gendered violence prevention education programme in Kenya

Sex Education ◽

10.1080/14681811.2016.1165658 ◽

2016 ◽

Vol 16 (6) ◽

pp. 663-677 ◽

Cited By ~ 4

Author(s):

Mary Cobbett-Ondiek

Keyword(s):

Violence Prevention ◽

Education Programme ◽

Gendered Violence ◽

Prevention Education

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98 Falls among Hospitalized Patients in Hospital Sungai Buloh

Age and Ageing ◽

10.1093/ageing/afz164.98 ◽

2019 ◽

Vol 48 (Supplement_4) ◽

pp. iv18-iv27

Author(s):

Nordiana Nordin ◽

Linda Osman ◽

Chiat Fong Liew ◽

Nadiah Sa'at ◽

Siti Mallissa Mohd Shariff ◽

...

Keyword(s):

High Risk ◽

Night Shift ◽

Education Programme ◽

High Risk Group ◽

Falls Prevention ◽

Risk Category ◽

Age Group ◽

Patient Falls ◽

Inpatient Falls ◽

Minimal Data

Abstract Introduction There is very minimal data documented on inpatient falls and characteristics in Malaysia. In 2017, Falls Incident Report Form (HSB-MED-FORM-017 Pin.1/18) is made mandatory to be filled up in Hospital Sungai Buloh (HSB), following each incident of falls in order to get a better and concrete data on the characteristic of falls. Objectives To capture data on incidence of inpatient falls in HSB in the year 2018. Method This is a prospective, observational study of all in-patient falls in the 783 bedded hospitals in the year 2018. Data were collected, documented and subsequently analyzed via SPSS Ver 23. Result The falls rate is 0.89 per 1000 bed days. There are a total of 123 fallers (including Paediatrics). 37/113 (33%) were above 65 years old, and 82 were males. 43 (38%) fell on night shift. 84 (74%) fell in the 4 bedded area. 60% of the fallers were in the high risk group of Morse fall score (MFS), of which 49/71(69%) fell at bedside (p<0.007). 25/64 (39%) with high MFS fell despite bed railing was up (p<0.05). There was no association between age group and location of falls. 32/33 (97%) of those attempting to get out of bed, also fell at bedside (p<0.001). Majority fallers [31(27.2%)] were on anti-hypertensives. 23.9% were on 2 or more high risk falls drugs. There was no association between medications with age or MFS. 59/113 (52.2%) had no injuries, 18% sustained lacerations. 1 case sustained an intracranial bleed and succumbed. Conclusion Accidental fall is a common problem in adults. In this study, the majority of fallers are in the younger age group. We confirmed a higher incidence of falls in those classified in the high risk category. These possibly explains the correct usage of MFS in all admissions, hence an effective falls prevention and education programme.

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Retraction: ‘Osteoporosis prevention education programme for women’ by Chan, M. F. and Ko, C.Y.

Journal of Advanced Nursing ◽

10.1111/jan.12687 ◽

2015 ◽

Vol 71 (7) ◽

pp. 1738-1738

Keyword(s):

Education Programme ◽

Osteoporosis Prevention ◽

Prevention Education

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CaPSCA: Evaluation of a Brief Cancer Prevention Education Programme to Promote Balanced Diet in French School Children

Journal of Cancer Education ◽

10.1007/s13187-014-0773-0 ◽

2014 ◽

Vol 30 (4) ◽

pp. 759-765 ◽

Cited By ~ 3

Author(s):

Laura J. Rennie ◽

Cécile Bazillier-Bruneau ◽

Jacques Rouëssé

Keyword(s):

Cancer Prevention ◽

School Children ◽

Education Programme ◽

Prevention Education ◽

Balanced Diet ◽

French School

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Sensory-Specific Balance Training in Older Adults: Effect on Position, Movement, and Velocity Sense at the Ankle

Physical Therapy ◽

10.2522/ptj.20060262 ◽

2007 ◽

Vol 87 (5) ◽

pp. 560-568 ◽

Cited By ~ 34

Author(s):

Kelly P Westlake ◽

Yushiao Wu ◽

Elsie G Culham

Keyword(s):

Exercise Intervention ◽

Position Sense ◽

Joint Position Sense ◽

Exercise Group ◽

Passive Movement ◽

Falls Prevention ◽

Prevention Education ◽

Education Group ◽

Age Related ◽

Balance Exercise

Background and Purpose Age-related changes in proprioception contribute to impairments in postural control and increased fall risk in older adults. The purpose of this randomized controlled trial was to examine the effects of balance exercises on proprioception. Subjects The participants were 36 older people and 24 younger people who were healthy. Methods Older participants were randomly assigned to a balance exercise group (n=17) or a falls prevention education group (n=19). Baseline, postintervention, and 8-week follow-up measurements of 3 proprioceptive measures (threshold to perception of passive movement, passive joint position sense, and velocity discrimination) were obtained at the ankle. For comparative purposes, younger participants underwent a one-time assessment of the 3 proprioceptive measures. Results Postintervention improvements in velocity discrimination were found in the balance exercise group when compared with values at baseline and in the falls prevention education group. Age-related differences found at baseline were reduced in the balance exercise group after intervention. Improvements were not maintained at the 8-week follow-up. Threshold to perception of passive movement and passive joint position sense did not change as a function of the exercise intervention. Discussion and Conclusion The results suggest that short-term improvements in velocity sense, but not movement and position sense, may be achieved following a balance exercise intervention.

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