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

Khong, Linda; Berlach, Richard G.; Hill, Anne-Marie

doi:10.1080/14635240.2018.1479650

Cited by 5 publications

(4 citation statements)

References 39 publications

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“…Quantitative data were collected from patients using a survey that included demographic data and self-reported responses to seven items on a five-point Likert scale. The survey was based on an instrument by Khong et al [ 29 ] and evaluated patient knowledge about falls, self-perceived risk of falls, falls behaviour change, as well as patient views on the learning experience ( Supplementary File S1 ). Eligible patients completed the pre-test survey at the bedside with a researcher (H.H.…”

Section: Methodsmentioning

confidence: 99%

Implementing Patient Falls Education in Hospitals: A Mixed-Methods Trial

et al. 2022

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Patient education is key to preventing hospital falls yet is inconsistently implemented by health professionals. A mixed methods study was conducted involving a ward-based evaluation of patients receiving education from health professionals using a scripted conversation guide with a falls prevention brochure, followed by semi-structured qualitative interviews with a purposive sample of health professionals involved in delivering the intervention. Over five weeks, 37 patients consented to surveys (intervention n = 27; control n = 10). The quantitative evaluation showed that falls prevention education was not systematically implemented in the trial ward. Seven individual interviews were conducted with health professionals to understand the reasons why implementation failed. Perceived barriers included time constraints, limited interprofessional collaboration, and a lack of staff input into designing the research project and patient interventions. Perceived enablers included support from senior staff, consistent reinforcement of falls education by health professionals, and fostering patient empowerment and engagement. Recommended strategies to enhance implementation included ensuring processes were in place supporting health professional accountability, the inclusion of stakeholder input in designing the falls intervention and implementation processes, as well as leadership engagement in falls prevention education. Although health professionals play a key role in delivering evidence-based falls prevention education in hospitals, implementation can be compromised by staff capacity, capability, and opportunities for co-design with patients and researchers. Organisational buy-in to practice change facilitates the implementation of evidence-based falls prevention activities.

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Section: Methodsmentioning

confidence: 99%

Implementing Patient Falls Education in Hospitals: A Mixed-Methods Trial

et al. 2022

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“…The TDF complements and expands the COM-B model to identify and evaluate techniques of behavior change for application or later implementation. The COM-B and TDF approaches have been applied in a wide range of healthcare research such as smoking cessation behavior, health professionals’ adherence to low back pain guidelines, and falls prevention program [47–49]. In the current study, the COM-B model is mapped against the TDF domains (Table 1) to aid interpretation of findings.…”

Section: Methodsmentioning

confidence: 99%

Lower limb chronic edema management program: Perspectives of disengaged patients on challenges, enablers and barriers to program attendance and adherence

Khong

Buckley

Johnson

et al. 2019

Preprint

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Background27 Chronic edema (CO) is a progressive, physically disfiguring and currently incurable 28 condition. A multifaceted program has been recommended to manage the swelling. However, 29 there is little evidence investigating patients' perspectives following the program, particularly 30 for those who have poor adherence or are disengaged. 31 Aim 32 To investigate the perceived challenges faced by disengaged participants with lower limb CO 33 by identifying their enablers and barriers to participating in a Physiotherapy CO program. 34 Method 35 An exploratory qualitative approach was used. A purposive sampling strategy was adopted to 36 recruit participants. Those with more than three months swelling and who had low adherence 37 or attendance (disengaged) to the CO program were invited to participate. Semi-structured 38 interviews with six participants from a CO clinic in a tertiary hospital were conducted. Data 39 was thematically analyzed and findings in terms of enablers and barriers were subsequently 40 reflected in the light of a theoretical framework. Results42 All six participants were morbidly obese (BMI 47 ± 4 kg/m 2 ) with multiple chronic 43 comorbidities. Enablers and barriers detected included physical, psychological and social 3 44 factors that interplay to present multidimensional challenges that influence the participants' 45 adjustment to managing their CO. For the disengaged participants in this study, their under-46 managed lower limb CO was a progression towards being housebound and having a 47 gradually increasing level of disability. 48 Conclusion 49 Chronic edema, if left unmanaged, can have a profound debilitating impact on the individual 50 permanently. Understanding the challenges faced by patients with lower limb CO has 51 implications for developing a more patient-centered multidisciplinary approach to clinical 52 practice and suggests the need for further research. 4 53 Mentality plays a big part in it. You've got to have confidence in the people 54 who are doing things for you. You've got to look at it as an optimist, if 55 you're going to look at it as a pessimist then you are not going to get better. 56 You have to feel like you can keep going (P2). 57 Introduction 58 Chronic edema (CO) has been defined as swelling in the tissue that persists beyond three 59 months, and is considered a progressive, physically disfiguring and incurable condition [1, 2]. 60 Primary CO can occur with congenital malformation or secondary to other diseases including 61 obesity, venous disease or cancer treatment [1-3]. Regardless of the etiology, CO has been 62 deemed to be a clinical manifestation of lymphatic system failure [4, 5]. Hence, current 63 opinion recommends CO, rather than "lymphedema", as a more encompassing term to be 64 used for edema arising from lymphatic origins [6, 7]. 65 Chronic edema is under-recognized and under-managed globally [8]. This has been 66 postulated as due to a lack of published diagnostic and epidemiological data [7, 9, 10]. 67 Hence, there is little published ...

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“…Based on the sociological approach, which we have analyzed in the previous section, the fear of culturalism is something that all societies and educational systems face, regardless of ideological orientation and social culture. From the various studies that have been done in the past on migration and schooling, it is evident that all countries, even those with educational systems that are more receptive towards migrants in their schools, such as the U.K., Australia, and Germany, the issue of preserving cultural identity and the national integration of migrants is common (Dryden- Peterson, 2010, 2016; Khong et al, 2018; Matras et al, 2020; Morrice, 2013; Örücü et al, 2021; Shotte, 2006, 2007). These are two important issues that determine educational policy regarding the reception of migrants in schools.…”

Section: Introductionmentioning

confidence: 99%

Understanding school leaders and educators’ attitudes towards youth migrants: An experimental analysis

Arar

Saiti

Anysiadou

et al. 2022

Equity in Education & Society

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Due to the global economic and political crises in various regions of the world in recent years, the flow of migrants from countries with deeper structural problems to more developed countries has increased dramatically. At national level, education is the basis on which the values, philosophy, ideology, and culture of a nation are determined. Behavior is analyzed from both psychological and sociological perspectives. The purpose of the paper is, through an experimental analysis of Greek school leaders and educators in the upper level of secondary education, to investigate their attitudes towards young immigrants that attend Greek high schools and determine whether or not their behavior is being influenced by psychological or sociological aspects of the migration phenomenon. The experimental results are in accordance with both sociological and psychological perspectives for the chosen behaviors of school educators. It is clear that familiarity, experience and the exercise of educational policy are critical factors influencing teachers' attitudes towards young immigrants. No difference in behavior has been found except for a slightly more positive attitude towards emigration. In view of the above, recognizing the importance of more cohesive and socially protective educational policies and practices would have far-reaching consequences.

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

Abstract: Hill (2018) Design and development of a theory-informed peer-led falls prevention education programme to translate evidence into practice: a systematic approach,

Cited by 5 publications

References 39 publications

Implementing Patient Falls Education in Hospitals: A Mixed-Methods Trial

Implementing Patient Falls Education in Hospitals: A Mixed-Methods Trial

Lower limb chronic edema management program: Perspectives of disengaged patients on challenges, enablers and barriers to program attendance and adherence

Understanding school leaders and educators’ attitudes towards youth migrants: An experimental analysis

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