Perceptions Related to Falls and Fall Prevention Among Hospitalized Adults

Background Prevention of falls during hospitalization depends in part on the behaviors of alert patients to prevent falls. Research on acutely ill patients’ intentions to behave in ways that help prevent falls and on the patients’ perceptions related to falls is limited. Objective To explore hospitalized adults’ perceptions related to risk for falling, fear of falling, expectations of outcomes of falling, and intention to engage in behaviors to prevent falls. Methods Adult, alert, acutely ill inpatients (N = 158) at risk for falling completed a survey consisting of 4 scales and 3 single items. Nurses’ assessments and patients’ perceptions of the risk for falling were compared. Results Decreased intentions to engage in behaviors to prevent falls were correlated with patients’ increased confidence in their ability to perform high-risk behaviors without help and without falling (P < .001), decreased fear of falling (P < .001), and decreased perceived likelihood of adverse outcomes if they did fall (P < .001). Although nurses’ assessments indicated a risk for falls, 55.1% of the patients did not perceive a high likelihood of falling while hospitalized. Whereas 75% of patients intended to ask for help before getting out of bed, 48% were confident that they could get out of bed without help and without falling. Conclusions Although assessments may indicate a risk for falling, acutely ill inpatients may not perceive they are likely to fall. Patients’ intentions to engage in behaviors to prevent falls vary with the patients’ fall-related perceptions of confidence, outcomes, and fear related to falling.

Download Full-text

No Access to Services: The Struggle of Injection Drug Using Women in Abusive Relationships

Inquiry@Queen's Undergraduate Research Conference Proceedings ◽

10.24908/iqurcp.7182 ◽

2017 ◽

Author(s):

Emily Macgillivray

Keyword(s):

At Risk ◽

Substance Use ◽

High Risk ◽

Risk Behaviors ◽

Service Providers ◽

Target Population ◽

Injection Drug ◽

High Risk Behaviors ◽

Marginalized Women ◽

Hiv Aids

Women who experience violence and are at risk for HIV/AIDS are a multiply marginalized population which the majority of service providers ignore or feel they do not have the resources to deal with. Furthermore, while the Canadian government issues reports on violence against women, it does not provide an analysis of the intersection between violence HIV/AIDS. Women who are at risk for HIV due to injection drug use are particularly vulnerable when in a violent relationship; most women’s shelters have zero tolerance policies for substance use leaving these women isolated. By examining how substance use increases HIV risk for women who experience violence, the high risk behaviors associated with violence, and the high risk behaviors associated with substance use, multiply marginalized women’s needs become clearer. Service providers for multiply marginalized women must always consider the ramifications of their policies, as well as the ideologies that their policies are based on so that they can effectively help their target population. To address the needs of multiply marginalized women, drastic changes need to be made to the current shelter system: shelters need to examine their ideological foundation and analyze what stigmas their current policies support. Coordinated efforts are needed between multiple service providers to address the challenges that these often forgotten women face.

Download Full-text

The interrelationships of high risk behaviors for incarcerated juveniles at risk for human immunodeficiency virus [HIV] infection

Journal of Adolescent Health ◽

10.1016/1054-139x(93)90065-w ◽

1993 ◽

Vol 14 (1) ◽

pp. 58 ◽

Cited By ~ 1

Author(s):

Robert E. Morris ◽

Charles Baker ◽

Susan Huscroft ◽

Caswell A. Evans

Keyword(s):

At Risk ◽

Human Immunodeficiency Virus ◽

High Risk ◽

Hiv Infection ◽

Risk Behaviors ◽

High Risk Behaviors ◽

Incarcerated Juveniles ◽

Immunodeficiency Virus

Download Full-text

0965 SHORTER SLEEP DURATION, INCONSISTENT BEDTIMES, SNORING, AND TROUBLE FALLING ASLEEP PREDICT INCREASED HIGH-RISK BEHAVIORS AMONG A NATIONAL SAMPLE OF AT-RISK ADOLESCENTS

SLEEP ◽

10.1093/sleepj/zsx050.964 ◽

2017 ◽

Vol 40 (suppl_1) ◽

pp. A358-A359

Author(s):

SM Strayer ◽

S Lee ◽

L Hale ◽

LM Berger ◽

OM Buxton

Keyword(s):

At Risk ◽

High Risk ◽

Risk Behaviors ◽

Sleep Duration ◽

National Sample ◽

High Risk Behaviors ◽

Falling Asleep ◽

At Risk Adolescents

Download Full-text

Exposure to Adverse Childhood Experiences and High-Risk Behaviors in Native-Born Adolescents Versus Immigrant Adolescents at a Regional Center for Homeless and At-Risk Youth

10.1542/peds.147.3_meetingabstract.200-a ◽

2021 ◽

Author(s):

Ideen Tabatabai ◽

Marti Baum

Keyword(s):

At Risk ◽

High Risk ◽

Risk Behaviors ◽

Adverse Childhood Experiences ◽

At Risk Youth ◽

High Risk Behaviors ◽

Childhood Experiences ◽

Immigrant Adolescents ◽

Regional Center ◽

Adverse Childhood

Download Full-text

Comparing the Efficacy of Mindfulness-Based Group Training and Emotion Regulation Skills in Externalizing Syndromes in Adolescents with a Tendency for Risky Behaviors

10.32592/ajnpp.2021.8.3.102 ◽

2020 ◽

Keyword(s):

At Risk ◽

Emotion Regulation ◽

High Risk ◽

Risk Behaviors ◽

Risky Behaviors ◽

Analysis Of Covariance ◽

Control Group ◽

Group Training ◽

High Risk Behaviors ◽

Post Test

Background: Mindfulness-based interventions can focus on the present to free people from unpleasant events of the past and worries about the future, thereby reducing their involvement in high-risk behaviors. Objectives: The present study aimed to assess the effectiveness of mindfulness and emotion regulation training in the reduction of emotion dysregulation in externalization symptoms in adolescents with a tendency for high-risk Behaviors. Materials and Methods: This experimental study was conducted on 74 at-risk high school adolescents in the 15th district of Tehran in 2019. They were randomly assigned to three groups of mindfulness, emotion regulation, and control groups. With a pre-test and post-test control group design, subjects in the intervention groups underwent sessions of mindfulness and emotion regulation training, while the control group did not receive any intervention. All groups were evaluated in pre-test and post-test using Child Behavior Checklist (CBCL). The data were analyzed in SPSS software (version 18) using multivariate analysis of covariance (MANCOVA) test. Results: Based on the results, there were no significant mean differences among groups in the pretest. Nonetheless, the scores of externalization syndrome in the subscale of lawless behavior (2η=0.19; P<0.01; F=6.31 (53.2)) and aggressive behavior (18/18 0=2nd; P<0.01; F=5.68 (53.2) significantly reduced in two groups of mindfulness and emotion regulation, compared to those obtained in the control group. Conclusion: Mindfulness-based group training and emotion regulation could be regarded as useful interventions for at-risk adolescents by emotion regulation and reduction of the possibility of risky behaviors.

Download Full-text

The SRM Approach to Family Assessment

European Journal of Psychological Assessment ◽

10.1027/1015-5759.21.4.216 ◽

2005 ◽

Vol 21 (4) ◽

pp. 216-225 ◽

Cited By ~ 21

Author(s):

William L. Cook

Keyword(s):

High Risk ◽

Risk Behaviors ◽

Social Relations ◽

Family Relationships ◽

Family Dynamics ◽

Family Assessment ◽

High Risk Behaviors ◽

Analysis Group ◽

The Social ◽

Direction Of Effects

Abstract. In family systems, it is possible for one to put oneself at risk by eliciting aversive, high-risk behaviors from others ( Cook, Kenny, & Goldstein, 1991 ). Consequently, it is desirable that family assessments should clarify the direction of effects when evaluating family dynamics. In this paper a new method of family assessment will be presented that identifies bidirectional influence processes in family relationships. Based on the Social Relations Model (SRM: Kenny & La Voie, 1984 ), the SRM Family Assessment provides information about the give and take of family dynamics at three levels of analysis: group, individual, and dyad. The method will be briefly illustrated by the assessment of a family from the PIER Program, a randomized clinical trial of an intervention to prevent the onset of psychosis in high-risk young people.

Download Full-text