Fall Prevention Knowledge, Attitude, and Practices of Community Stakeholders and Older Adults

Laing, Sharon S.; Silver, Ilene F.; York, Sally; Phelan, Elizabeth A.

doi:10.4061/2011/395357

Cited by 52 publications

(51 citation statements)

References 22 publications

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“…This is in contrast to the data generated in the context of rigid trial circumstances (8, 17, 18) wherein healthy volunteer bias may result in levels of adherence (i.e., follow-through on referrals) that are unlikely to be achieved under real-world conditions. We and others have previously documented low engagement in fall prevention activities (19, 20), and so the importance of such real-world data cannot be underestimated.…”

Section: Discussionmentioning

confidence: 88%

Coordinating Care for Falls via Emergency Responders: A Feasibility Study of a Brief At-Scene Intervention

Phelan

Herbert

Fahrenbruch

et al. 2016

Front. Public Health

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Falls account for a substantial portion of 9-1-1 calls, but few studies have examined the potential for an emergency medical system role in fall prevention. We tested the feasibility and effectiveness of an emergency medical technician (EMT)-delivered, at-scene intervention to link elders calling 9-1-1 for a fall with a multifactorial fall prevention program in their community. The intervention was conducted in a single fire department in King County, Washington and consisted of a brief public health message about the preventability of falls and written fall prevention program information left at scene. Data sources included 9-1-1 reports, telephone interviews with intervention department fallers and sociodemographically comparable fallers from three other fire departments in the same county, and in-person discussions with intervention department EMTs. Interviews elicited faller recall and perceptions of the intervention, EMT perceptions of intervention feasibility, and resultant referrals. Sixteen percent of all 9-1-1 calls during the intervention period were for falls. The intervention was delivered to 49% of fallers, the majority of whom (75%) were left at scene. Their mean age (N = 92) was 80 ± 8 years; 78% were women, 39% had annual incomes under $20K, and 34% lived alone. Thirty-five percent reported that an EMT had discussed falls and fall prevention (vs. 8% of comparison group, P < 0.01); 84% reported that the information was useful. Six percent reported having made an appointment with a fall prevention program (vs. 3% of comparison group). EMTs reported that the intervention was worthwhile and did not add substantially to their workload. A brief, at-scene intervention is feasible and acceptable to fallers and EMTs. Although it activates only a small percent to seek out fall prevention programs, the public health impact of this low-cost strategy may be substantial.

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Section: Discussionmentioning

confidence: 88%

Coordinating Care for Falls via Emergency Responders: A Feasibility Study of a Brief At-Scene Intervention

Phelan

Herbert

Fahrenbruch

et al. 2016

Front. Public Health

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“…Although community service providers may wish to sponsor fall prevention programs, they often do not have adequate knowledge of best practices in fall prevention nor do they have the expertise to support program implementation (e.g., determining the cost and financing for the intervention, training instructors, and monitoring fidelity of intervention delivery). In addition, most CDC‐compiled interventions do not provide an implementation plan with details on program installation, instructor training requirements, class conduct, or program fidelity and adaptation.…”

Section: Challengesmentioning

confidence: 99%

Exercise and Fall Prevention: Narrowing the Research‐to‐Practice Gap and Enhancing Integration of Clinical and Community Practice

Eckstrom

Harmer

et al. 2016

J American Geriatrics Society

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Falls in older adults are a global public health crisis, but mounting evidence from randomized controlled trials shows that falls can be reduced through exercise. Public health authorities and healthcare professionals endorse the use of evidence‐based, exercise‐focused fall interventions, but there are major obstacles to translating and disseminating research findings into healthcare practice, including lack of evidence of the transferability of efficacy trial results to clinical and community settings, insufficient local expertise to roll out community exercise programs, and inadequate infrastructure to integrate evidence‐based programs into clinical and community practice. The practical solutions highlighted in this article can be used to address these evidence‐to‐practice challenges. Falls and their associated healthcare costs can be reduced by better integrating research on exercise intervention into clinical practice and community programs.

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“…The study with American seniors showed that they become aware in relation to the practice of preventing falls from the moment they realize the risk, that is, when they start to fall frequently (30) . However, the group of Brazilian seniors studied here may be considered in situation of greater vulnerability compared with the American seniors, as the Brazilians only recognized themselves as susceptible to falls and fractures upon reflection on risks and causes after the concreteness of fracture.…”

Section: Discussionmentioning

confidence: 99%

The elderly recognizing themselves as vulnerable to falls in the concreteness of the femoral fracture

Carvalho

Bocchi

2017

Rev. Bras. Enferm.

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RESUMO Objetivos: compreender a experiência de idosos com quedas seguidas de fraturas do fêmur e elaborar modelo teórico desse processo de vivência. Método: pesquisa qualitativa com saturação teórica mediante análise da nona entrevista não diretiva de idosos que vivenciaram tal experiência. As entrevistas foram audiogravadas, transcritas e analisadas segundo a Teoria Fundamentada nos Dados. Resultados: emergiram três categorias (subprocessos): avaliando sinais e sintomas de fratura após a queda; sentindo-se triste e inseguro com a nova condição; e descobrindo-se suscetível a fraturas. Do realinhamento dessas categorias (subprocessos), foi possível abstrair a categoria central (processo), reconhecendo-se vulnerável a quedas na concretude da fratura. Conclusão: o modelo teórico à luz do Interacionismo Simbólico sinaliza a implementação de programa continuado de prevenção de quedas, com estratégias de ensino que estimulem o idoso a refl etir sobre a concretude de contextos nos quais haja risco de ocorrências do agravo à sua saúde. Descritores: Idoso; Acidentes por Quedas; Fraturas do Fêmur; Cuidado; Vulnerabilidade. RESUMEN Objetivos: conocer la experiencia de ancianos con caídas seguidas por las fracturas del fémur y elaborar un modelo teórico de la experiencia de este proceso. Método: investigación cualitativa con la saturación teórica, mediante el análisis de la novena entrevista no directiva de ancianos que experimentaron esta experiencia. Las entrevistas fueron audio grabadas, transcritas y analizadas según la Teoría Fundamentada en los Datos. Resultados: surgieron tres categorías (sub): la evaluación de los signos y síntomas de la fractura después de la caída; sentirse triste e inseguro con la nueva condición; y descubrirse susceptible a las fracturas. Después de la realineación de estas categorías (subproceso), fue posible abstraer la categoría central (proceso), reconociéndose vulnerable a caídas en la realidad de la fractura. Conclusión: el modelo teórico a la luz de la interacción simbólica señala la aplicación del programa continuo de prevención de caídas, con estrategias de enseñanza que fomentan los ancianos a refl exionar sobre los contextos concretos en los que existe un riesgo de daño a su salud. Descriptores: Anciano; Accidentes por Caídas; Fracturas Femorales; Cuidado; Vulnerabilidad.The elderly recognizing themselves as vulnerable to falls in the concreteness of the femoral fracture Idoso reconhecendo-se vulnerável a quedas na concretude da fratura do fêmurEl anciano reconociéndose vulnerable a caídas en la realidad de la fractura femoral

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Fall Prevention Knowledge, Attitude, and Practices of Community Stakeholders and Older Adults

Cited by 52 publications

References 22 publications

Coordinating Care for Falls via Emergency Responders: A Feasibility Study of a Brief At-Scene Intervention

Coordinating Care for Falls via Emergency Responders: A Feasibility Study of a Brief At-Scene Intervention

Exercise and Fall Prevention: Narrowing the Research‐to‐Practice Gap and Enhancing Integration of Clinical and Community Practice

The elderly recognizing themselves as vulnerable to falls in the concreteness of the femoral fracture

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