Acceptability of the 6-PACK falls prevention program: A pre-implementation study in hospitals participating in a cluster randomized controlled trial

Barker, Anna; Morello, Renata; Ayton, Darshini; Brand, Caroline; Livingston, Patricia M.; Botti, Mari

doi:10.1371/journal.pone.0172005

Cited by 12 publications

(29 citation statements)

References 24 publications

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“…All participants were women in seven trials (Bischoff 2003; Chapuy 2002; Faber 2006; Irez 2011; Jarvis 2007; Kovacs 2012; Sihvonen 2004). Ten studies specifically recruited participants with cognitive impairment (Buettner 2002; Chenoweth 2009; Klages 2011; Kovacs 2013; Mador 2004; Neyens 2009; Shaw 2003; Toulotte 2003; Van de Ven 2014; Whitney 2017).…”

Section: Resultsmentioning

confidence: 99%

“…In particular, there was a high risk of performance bias for the majority of studies due to lack of blinding. Only three trials were considered at low risk of bias for all or the majority of domains (Bischoff 2003; Broe 2007; Flicker 2005), these all examined vitamin D supplementation in comparison with placebo. However, for many other types of interventions, blinding was generally not feasible (e.g.…”

Section: Resultsmentioning

confidence: 99%

“…Eight studies (9278 participants) examined vitamin D supplementation administered in some form (Bischoff 2003; Broe 2007; Chapuy 2002; Flicker 2005; Grieger 2009; Imaoka 2016; Kennedy 2015; Law 2006). Six trials (5561 participants) were individually randomised (Bischoff 2003; Broe 2007; Chapuy 2002; Flicker 2005; Grieger 2009; Imaoka 2016) and two trials (3717 participants) were cluster randomised (Kennedy 2015; Law 2006).…”

Section: Resultsmentioning

confidence: 99%

“…Six trials (5561 participants) were individually randomised (Bischoff 2003; Broe 2007; Chapuy 2002; Flicker 2005; Grieger 2009; Imaoka 2016) and two trials (3717 participants) were cluster randomised (Kennedy 2015; Law 2006). Four trials (4512 participants) tested the effect of vitamin D supplementation on falls (Bischoff 2003; Broe 2007; Flicker 2005; Law 2006), one trial (583 participants) tested the effect of vitamin D and calcium supplementation (Chapuy 2002), two trials (166 participants) tested multivitamin supplementation that included vitamin D plus calcium (Grieger 2009; Imaoka 2016), and one trial (4017 participants) tested an educational intervention aimed at increasing prescription of adequate levels of vitamin D, calcium and osteoporosis medications (Kennedy 2015). Seven of the eight studies reported serum vitamin D levels at baseline (Bischoff 2003; Broe 2007; Chapuy 2002; Flicker 2005; Grieger 2009; Imaoka 2016; Law 2006).…”

Section: Resultsmentioning

confidence: 99%

“…Two of four trials (747 participants) of vitamin D supplementation reported on adverse events (Bischoff 2003, Flicker 2005); no serious adverse events were reported. Bischoff 2003 reported two cases of increased constipation in the intervention arm and no cases of hypercalcaemia (Analysis 6.4.1: constipation RR 4.84, 95%CI 0.24 to 98.80; 122 participants).…”

Section: Resultsmentioning

confidence: 99%

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Interventions for preventing falls in older people in care facilities and hospitals

Cameron

Dyer²,

Panagoda

et al. 2018

Cochrane Database of Systematic Reviews

357

370

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Background Falls in care facilities and hospitals are common events that cause considerable morbidity and mortality for older people. This is an update of a review first published in 2010 and updated in 2012. Objectives To assess the effects of interventions designed to reduce the incidence of falls in older people in care facilities and hospitals. Search methods We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (August 2017); Cochrane Central Register of Controlled Trials (2017, Issue 8); and MEDLINE, Embase, CINAHL and trial registers to August 2017. Selection criteria Randomised controlled trials of interventions for preventing falls in older people in residential or nursing care facilities, or hospitals. Data collection and analysis One review author screened abstracts; two review authors screened full‐text articles for inclusion. Two review authors independently performed study selection, 'Risk of bias' assessment and data extraction. We calculated rate ratios (RaR) with 95% confidence intervals (CIs) for rate of falls and risk ratios (RRs) and 95% CIs for outcomes such as risk of falling (number of people falling). We pooled results where appropriate. We used GRADE to assess the quality of evidence. Main results Thirty‐five new trials (77,869 participants) were included in this update. Overall, we included 95 trials (138,164 participants), 71 (40,374 participants; mean age 84 years; 75% women) in care facilities and 24 (97,790 participants; mean age 78 years; 52% women) in hospitals. The majority of trials were at high risk of bias in one or more domains, mostly relating to lack of blinding. With few exceptions, the quality of evidence for individual interventions in either setting was generally rated as low or very low. Risk of fracture and adverse events were generally poorly reported and, where reported, the evidence was very low‐quality, which means that we are uncertain of the estimates. Only the falls outcomes for the main comparisons are reported here. Care facilities Seventeen trials compared exercise with control (typically usual care alone). We are uncertain of the effect of exercise on rate of falls (RaR 0.93, 95% CI 0.72 to 1.20; 2002 participants, 10 studies; I² = 76%; very low‐quality evidence). Exercise may make little or no difference to the risk of falling (RR 1.02, 95% CI 0.88 to 1.18; 2090 participants, 10 studies; I² = 23%; low‐quality evidence). There is low‐quality evidence that general medication review (tested in 12 trials) may make little or no difference to the rate of falls (RaR 0.93, 95% CI 0.64 to 1.35; 2409 participants, 6 studies; I² = 93%) or the risk of falling (RR 0.93, 95% CI 0.80 to 1.09; 5139 participants, 6 studies; I² = 48%). There is moderate‐quality evidence that vitamin D supplementation (4512 particip...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Interventions for preventing falls in older people in care facilities and hospitals

Cameron

Dyer²,

Panagoda

et al. 2018

Cochrane Database of Systematic Reviews

357

370

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Knowledge translation theories in fall prevention and balance control: A scoping review

Aloraini

Alothaim

Alsalamah

et al. 2022

PM&R

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Falls are a major problem all over the world. Falls may result in bone fractures, fear of falling, and reduced participation in activities of daily living and in social activities, thus, an increased cost of health care to the individual and the society. Falls occur as a result of compounding factors that combine and overwhelm an individual's ability to maintain or regain his or her balance. However, fall rates are often reported as high, suggesting the presence of a gap between clinical practices related to fall prevention and the knowledge of the best available evidence related to fall prevention. The science of knowledge translation (KT) offers a variety of theories that can facilitate the implementation of up‐to‐date knowledge among clinicians. Therefore, the aim of this study was to identify and review the use of knowledge translation theories, namely the Knowledge to Action Framework (KTA), Promoting Action on Research Implementation in Health Services framework (PARIHS), Consolidated Framework for Implementation Research (CFIR), and the Theoretical Domains Framework (TDF), in studies related to fall prevention and balance control. A scoping review was conducted to identify studies related to fall prevention and balance control that used one of these four KT theories. An extensive literature search was performed up to January 2021. Two independent reviewers conducted a study selection process followed by data extraction of the search results. Our results identified 16 studies that were related to the scope of our review, with three studies utilizing KTA, two studies using PARIHS, four studies using CFIR, and seven studies using the TDF. Overall, it appears that the use of KT theories is helpful to guide interventions for fall prevention and improve balance control. Future efforts are needed to facilitate the use of KT theories for guiding clinical practices related to fall prevention and balance control.

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Optimizing Function and Physical Activity in Hospitalized Older Adults to Prevent Functional Decline and Falls

Resnick

Boltz

2019

Clinics in Geriatric Medicine

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Acceptability of the 6-PACK falls prevention program: A pre-implementation study in hospitals participating in a cluster randomized controlled trial

Cited by 12 publications

References 24 publications

Interventions for preventing falls in older people in care facilities and hospitals

Interventions for preventing falls in older people in care facilities and hospitals

Knowledge translation theories in fall prevention and balance control: A scoping review

Optimizing Function and Physical Activity in Hospitalized Older Adults to Prevent Functional Decline and Falls

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