Evidence-based clinical practice in falls prevention: a randomised controlled trial of a falls prevention service

Abstract

Aims (OR=12.3;. We were unable to show a reduction in falls (OR=1.7;. Conclusions:A patient centered evidence-based approach is feasible and effective in increasing uptake of falls prevention advice. Long term compliance with advice needs further exploration.

Do patients accurately perceive their fall risk?

“…Previous studies have found that education during inpatient stays about patients' personal risk factors and fall prevention strategies increases the likelihood of these same patients engaging in fall prevention behaviors both during their hospitalization and postdischarge. [21][22][23] This information combined with our data suggests that the inpatient…”

Prevention of falls in the community

“…Two studies that tested multifactorial interventions found a statistical and clinical benefit. 6 7 Two others, one relying on referral to health professionals, 8 and the other on education and advice, 9 found no effect, which is consistent with previous meta-analyses of multifactorial community interventions. 10 Logan and colleagues give limited detail on the intervention except that it was based on the 2004 clinical practice guidelines for prevention of falls from the UK National Institute for Health and Clinical Excellence (NICE).…”

Falls prevention education for older adults during and after hospitalization: A systematic review and meta-analysis

“…[30][31][32][33][34][35][36][37][38] Of these studies, Banez et al (2008) 30 and McQueen (2003) 34 provided an intensive patient education programme where a face-to-face hourly group education session was conducted over eight or more weeks. The remaining studies provided brief advice or instructions; for example, home safety tips in which the duration of education was unknown or less than 20 minutes.…”