Evaluating audio-visual falls prevention messages with community-dwelling older people using a World Café forum approach

Abstract Background Falls risk increases sharply with older age but many older people are unaware or underestimate their risk of falling. Increased population-based efforts to influence older people’s falls prevention behavior are urgently needed. The aim of this study was to obtain a group of older people’s collective perspectives on newly developed prototypes of audio-visual (AV) falls prevention messages, and evaluate changes in their falls prevention behaviour after watching and discussing these. Methods A mixed-method study using a community World Café forum approach. Results Although the forum participants (n = 38) mostly responded positively to the three AV messages and showed a significant increase in their falls prevention capability and motivation after the forum, the participants collectively felt the AV messages needed a more inspirational call to action. The forum suggested this could be achieved by means of targeting the message and increasing the personal connection. Participants further suggested several alternatives to online falls prevention information, such as printed information in places in the community, as a means to increase opportunity to seek out falls prevention information. Conclusions Falls prevention promotion messages need to be carefully tailored if they are to be more motivating to older people to take action to do something about their falls risk. A wider variety of revised and tailored AV messages, as one component of a community-wide falls prevention campaign, could be considered in an effort to persuade older people to take decisive action to do something about their falls risk. Trial registration This study was registered prospectively: NCT03154788. Registered 11 May 2017.

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217 Investigating the Delivery of Falls Prevention Interventions to Older People Following Multi-Factorial Risk Assessment: A Cross-sectional Study

Age and Ageing ◽

10.1093/ageing/afz102.48 ◽

2019 ◽

Vol 48 (Supplement_3) ◽

pp. iii1-iii16

Author(s):

Rebecca Dennehy ◽

Patrick J Barry ◽

Kieran A O'Connor ◽

Finola Cronin ◽

Spencer Turvey ◽

...

Keyword(s):

Risk Assessment ◽

Older People ◽

Waiting Times ◽

Cross Sectional Study ◽

Service Planning ◽

Community Dwelling ◽

Falls Prevention ◽

Cross Sectional ◽

Falls Risk ◽

Prevention Interventions

Abstract Background Falls are one of the most common threats to older peoples’ independence. In Ireland, approximately one in three adults aged ≥65 years fall each year. Multifactorial interventions, which include an assessment of an individual's risk of falling followed by customised interventions or referral have been shown to reduce the rate of falls among community-dwelling older people. As part of an Integrated Falls Prevention Pathway initiated in 2016, six multidisciplinary risk assessment clinics were established in Cork city and county. The aim of this study is to examine whether recommended follow-on interventions were received following a falls risk assessment in the community. Methods Routinely collected administrative data for clients who attended a falls risk assessment clinic are being collated. Data include client demographics, onward referrals, waiting times and receipt of intervention. A process map of the patient pathway following a falls risk assessment is under development and will be refined based on the study findings. Results Preliminary analysis of a two-year implementation period (April 2016-2018) indicates that following assessment, clients received an average of 2.4 onward referrals. Most referrals were made to general practice (29%, n=315), community physiotherapy (25%, n=272), and community occupational therapy (15%, n=165). Other referrals were to public health nurses (n=104, 10%) and falls prevention classes (n=60, 6%). Further analysis will identify the percentage of individuals who receive interventions, the type of interventions received, the percentage of patients who do not attend and the waiting lists. Conclusion The Integrated Falls Prevention Service is the sole example of an operational integrated falls pathway in Ireland. This research will identify potential roadblocks for providers and clients along the pathway and will identify opportunities to. The results will also be used to inform service planning and resource allocation to ensure that this model of care is sustainable.

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Effectiveness of falls prevention intervention programme in community-dwelling older people in Thailand: Randomized controlled trial

Hong Kong Physiotherapy Journal ◽

10.1142/s1013702518500014 ◽

2018 ◽

Vol 38 (01) ◽

pp. 1-11 ◽

Cited By ~ 1

Author(s):

Plaiwan Suttanon ◽

Pagamas Piriyaprasarth ◽

Kitsana Krootnark ◽

Thanyaporn Aranyavalai

Keyword(s):

Older People ◽

Exercise Programme ◽

Community Dwelling ◽

Falls Prevention ◽

Intervention Programme ◽

Prevention Intervention ◽

Falls Risk ◽

Home Based ◽

Balance Exercise ◽

Community Dwelling Older People

Background: Although there is extensive research on falls prevention, most of this knowledge is from western countries, and this may limit its usefulness when implementing in countries with different culture and healthcare systems.Objective: This study evaluated the feasibility and effectiveness of a falls prevention intervention programme for older people in Thailand.Methods: Two hundred and seventy-seven community-dwelling older people were randomized to either an intervention programme which included an education about falls risk management plus a home-based balance exercise delivered by a physiotherapist for four-month duration or control group. Falls, balance, physical activity, and other falls risk factors were measured at baseline and after programme completion.Results: About 90% of the participants in the intervention group completed the programme, with very high adherence to the exercise programme, though poor compliance with the suggestions of other falls risks management. There were no falls or injuries related to the exercise programme reported. There was no significant difference in falls rate between the two groups.Conclusion: This falls prevention program was not effective in reducing falls in community-dwelling older people in Thailand. However, the study provided encouraging evidence that home-based balance exercise could be practically implemented in older people living in communities in Thailand.

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Falls prevention interventions for community-dwelling older persons with cognitive impairment: a systematic review

International Psychogeriatrics ◽

10.1017/s1041610212001573 ◽

2012 ◽

Vol 25 (2) ◽

pp. 215-227 ◽

Cited By ~ 34

Author(s):

Heidi Winter ◽

Kerrianne Watt ◽

Nancye May Peel

Keyword(s):

Systematic Review ◽

Cognitive Impairment ◽

Older People ◽

Large Body ◽

Community Dwelling ◽

Falls Prevention ◽

Original Research ◽

Cognitively Impaired ◽

Falls Risk ◽

Prevention Interventions

ABSTRACTBackground:Globally, falls in older people are a leading cause of injury-related mortality and morbidity. Cognitive impairment is a well-known risk factor for falls in this population group. While there is now a large body of evidence to support effective interventions for falls reduction across care settings, very little is known about interventions in the vulnerable, but increasing population of cognitively impaired community-dwelling older people. Therefore, the purpose of this systematic review is to investigate interventions designed to reduce falls in community-dwelling, cognitively impaired older adults.Methods:A literature search of databases was conducted to identify original research published in English, which met predefined inclusion and exclusion criteria for effective (non-pharmacological) falls prevention interventions in cognitively impaired community-dwelling people over 65 years of age. Data from the selected papers were extracted into data extraction tables and analyzed according to study characteristics, measures, results, and quality.Results:The review identified 11 studies providing data from 1,928 participants. Interventions included exercise, health assessment and management of risk, multi-component and cognitive behavioral programs, and hip protectors as falls risk reduction strategies. Seven of the selected studies showed an intervention effect in decreasing falls risk; however, only two of these showed a significant improvement in physical performance measures specifically in a cognitively impaired group.Conclusions:The diversity of interventions, study designs, populations, and quality of the studies, which met inclusion criteria, resulted in conflicting evidence and inconclusive results for falls prevention interventions in this highly complex population.

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Association of dietary approaches to stop hypertension eating style and risk of sarcopenia

Scientific Reports ◽

10.1038/s41598-020-76452-0 ◽

2020 ◽

Vol 10 (1) ◽

Author(s):

Sanaz Soltani ◽

Rezvan Hashemi ◽

Ramin Heshmat ◽

Ahmadreza Dorosty Motlagh ◽

Ahmad Esmaillzadeh

Keyword(s):

Older People ◽

Population Based ◽

Community Dwelling ◽

Muscle Performance ◽

Limited Attention ◽

Dash Score ◽

Cross Sectional ◽

Dash Diet ◽

European Working ◽

Study Participants

Abstract The association between habitual intake of the “dietary approaches to stop hypertension” (DASH) eating plan and sarcopenia has received limited attention. The present study aimed to investigate the association between adherence to DASH dietary pattern and sarcopenia and its components including muscle mass, muscle strength, and muscle performance among community-dwelling older adults population. This population-based cross-sectional study was performed in 2011 among 300 older people (150 men and 150 women) aged ≥ 55 years, who were selected using cluster random sampling method. Dietary intake of study participants were examined by the use of a Block-format 117-item food frequency questionnaire (FFQ). The DASH score was constructed based on eight main foods and nutrients emphasized or minimized in the DASH diet. All components of sarcopenia was measured using standard protocols and sarcopenia was defined based on both former and new European Working Group on Sarcopenia in Older People (EWGSOP) guidelines. Mean age and BMI of study participants were 66.7 ± 7.7 years and 27.3 ± 4.2 kg/m2, respectively. Totally, 31 individuals meet the criteria of EWGSOP2-sarcopenia. We found no significant association between adherence to the DASH diet and EWGSOP2-sarcopenia either before (OR 1.08; 95% CI 0.45–2.54) or after adjustment for potential confounders (OR 1.04; 95% CI 0.39–2.75). The same findings were obtained in the gender-stratified analyses (men: OR 2.29; 95% CI 0.39–13.29 and women: 0.75; 95% CI 0.23–2.45). In conclusion, we found that adherence to the DASH-style diet was not significantly associated with odds of sarcopenia. Future prospective studies are required to confirm these findings.

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