scholarly journals Assessing user engagement with a fall prevention game as an unsupervised exercise program for older people

2018 ◽  
Author(s):  
Jaime A. Garcia ◽  
William L. Raffe ◽  
Karla Felix Navarro
Keyword(s):  
Older People ◽  
Fall Prevention ◽  
Exercise Program ◽  
User Engagement

scholarly journals Reflections of older people about their experience of fall prevention exercise in the community- a qualitative study exploring evidence-based practice

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hilde Worum ◽  
Daniela Lillekroken ◽  
Kirsti Skavberg Roaldsen ◽  
Birgitte Ahlsen ◽  
Astrid Bergland
Keyword(s):  
Older People ◽  
Fall Prevention ◽  
Evidence Based Practice ◽  
Exercise Program ◽  
Community Dwelling ◽  
Evidence Based ◽  
Structured Interviews ◽  
Effective Interventions ◽  
Collective Negotiation ◽  
Community Dwelling Older People

Abstract Background Evidence-based practice (EBP) ensures that clinicians use effective interventions to achieve desired outcomes, thereby contributing to the best quality of care. The perspective of the participants is fundamental in EBP, as they have their own individual and meaningful rationale for participating in fall prevention. This study aims to explore community-dwelling older people reflections about their reflections about EBP in physiotherapy based on their experiences of a fall prevention exercise program. Methods We conducted semi-structured interviews with 16 community-dwelling older people (men = 7; women = 9). Data were analyzed using thematic analysis. Results The analysis revealed three themes: 1) the tension between knowing and doing, 2) the power of the therapist-participant relationship and the process of putting knowledge into action, and 3) research is interwoven with successful therapy and is an integral component of it. EBP was considered as a collective negotiation and learning process of creating knowledge for clinical practice. The negotiation between different types of knowledge must be performed in a transparent dialogue and through interactive collaboration between the persons involved. The participants appreciated that the research findings indicate that practice gives results. Conclusions EBP was understood and utilized as a seal of approval and a “guarantee of high quality” treatment, and its effects varied based on older people’s preferences, needs, and skills. The therapist’s relational competence appeared to be crucial for the negotiation of various sources of knowledge relative to the older people’s preferences.

scholarly journals Fall Prevention in Dutch Physician Practices: A Descriptive Study

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 235-235
Author(s):  
Wytske Meekes ◽  
C J Leemrijse ◽  
J C Korevaar ◽  
L A M van de Goor
Keyword(s):  
The Netherlands ◽  
Older People ◽  
Fall Prevention ◽  
Fear Of Falling ◽  
Daily Practice ◽  
Health Issues ◽  
Frail Older People ◽  
Physician Practices ◽  
Important Health ◽  
Underlying Causes

Abstract Falls are an important health threat among frail older people. Physicians are often the first to contact for health issues and can be seen as designated professionals to provide fall prevention. However, it is unknown what they exactly do and why regarding fall prevention. This study aims to describe what physicians in the Netherlands do during daily practice in regards to fall prevention. About 65 physicians (34 practices) located throughout the Netherlands were followed up for 12 months. When a physician entered specific ICPC-codes related to frailty and falls in the Hospital Information System, the physician received a pop-up asking if the patient is frail. If so, the physician subsequently completed a questionnaire. The physicians completed 1396 questionnaires. More than half (n=726) of the patients had experienced a fall in the previous year and/or had a fear of falling (FOF) and 37% of these patients received fall prevention. Physicians did not know of 20% of the patients if they had experienced a fall and of 29% of the patients if they had a FOF. The three most often treated underlying causes were mobility problems, FOF and cardiovascular risk factors. The results show that physicians are not always aware of a patient’s fall history and/or FOF and that only part of these patients receives fall prevention. Hence, it might be important to develop and implement strategies for systematic fall risk screening and fall prevention provision in the primary care setting to reduce falls among frail older people.

scholarly journals Effective, sustainable, and transferable physical exercise interventions for fall prevention among older people

2021 ◽  
Author(s):  
Daiana Campani ◽  
Silvia Caristia ◽  
Alex Amariglio ◽  
Silvia Piscone ◽  
Lidya Irene Ferrara ◽  
...  
Keyword(s):  
Physical Exercise ◽  
Older People ◽  
Fall Prevention ◽  
Exercise Interventions

scholarly journals Fall-Prone Older People's Attitudes towards the Use of Virtual Reality Technology for Fall Prevention

Gerontology ◽  
2017 ◽  
Vol 63 (6) ◽  
pp. 590-598 ◽  
Author(s):  
Kim Dockx ◽  
Lisa Alcock ◽  
Esther Bekkers ◽  
Pieter Ginis ◽  
Miriam Reelick ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Older People ◽  
Fall Prevention ◽  
User Satisfaction ◽  
Treadmill Training ◽  
Control Group ◽  
Virtual Reality Technology ◽  
Positive Attitudes ◽  
People’S Attitudes ◽  
Attitudinal Changes

Background: Virtual reality (VR) technology is a relatively new rehabilitation tool that can deliver a combination of cognitive and motor training for fall prevention. The attitudes of older people to such training are currently unclear. Objective: This study aimed to investigate: (1) the attitudes of fall-prone older people towards fall prevention exercise with and without VR; (2) attitudinal changes after intervention with and without VR; and (3) user satisfaction following fall prevention exercise with and without VR. Methods: A total of 281 fall-prone older people were randomly assigned to an experimental group receiving treadmill training augmented by VR (TT+VR, n = 144) or a control group receiving treadmill training alone (TT, n = 137). Two questionnaires were used to measure (1) attitudes towards fall prevention exercise with and without VR (AQ); and (2) user satisfaction (USQ). AQ was evaluated at baseline and after intervention. USQ was measured after intervention only. Results: The AQ revealed that most participants had positive attitudes towards fall prevention exercise at baseline (82.2%) and after intervention (80.6%; p = 0.144). In contrast, only 53.6% were enthusiastic about fall prevention exercise with VR at baseline. These attitudes positively changed after intervention (83.1%; p < 0.001), and 99.2% indicated that they enjoyed TT+VR. Correlation analyses showed that postintervention attitudes were strongly related to user satisfaction (USQ: r = 0.503; p < 0.001). Conclusions: Older people's attitudes towards fall prevention exercise with VR were positively influenced by their experience. From the perspective of the user, VR is an attractive training mode, and thus improving service provision for older people is important.

scholarly journals Acceptability of fall prevention strategies for older people with vision impairment

2018 ◽  
Vol 9 (1) ◽  
pp. 1-9
Author(s):  
Lisa Dillon ◽  
Patricia Duffy ◽  
Anne Tiedemann ◽  
Lisa Keay
Keyword(s):  
Older People ◽  
Fall Prevention ◽  
Vision Impairment ◽  
Prevention Strategies

scholarly journals Views, experiences and attitudes of community-living older people towards the FIT-at-Home fall prevention programme: A qualitative interview study

2021 ◽  
Vol 8 (1) ◽  
pp. 37-47
Author(s):  
Christian Müller ◽  
Sindy Lautenschläger ◽  
Christine Dörge
Keyword(s):  
Older People ◽  
Fall Prevention ◽  
Mode Of Delivery ◽  
Prevention Programme ◽  
Community Living ◽  
Home Modification ◽  
Qualitative Interview Study ◽  
Home Intervention ◽  
People’S Perceptions ◽  
At Home

Abstract Background For older people, poor balance and strength as well as environmental hazards are a major risk factor for falls. A lifestyle-integrated home-based physical exercise training and home modification intervention were developed for older people at risk of falling. Aim This study aimed to examine older people's perceptions of the FIT-at-Home fall prevention intervention in order to further develop the intervention's content, procedures and mode of delivery. Methods We conducted semi-structured interviews with individuals who participated in the falls prevention programme using the problem-centred interview method. The interviews were analysed in a deductive-inductive approach following Mayring's qualitative content analysis. Results Seven themes emerging from the data described different facets of older people's perceptions towards the intervention. Findings suggested that the participants accepted the FIT-at-Home intervention. Overall, the individuals regard the intervention as feasible and practicable. From the older people's view, it was an advantage that the exercises could be implemented at any time without additional aids or equipment in-house and it was not necessary to visit the occupational therapy practice. Older people's experiences showed that feelings of success have a positive effect on the willingness to exercise. A perceived barrier influencing the implementation of exercises among older people was their own laziness, their general state of health and illnesses, their daily mood or meteor sensitivity. Conclusion The FIT-at-Home intervention comprising balance and strength exercises and home modification is feasible and acceptable for community-living older people. Older people's feedback will help us to further refine the intervention.

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