Falls prevention in rural general practice: what stands the test of time and where to from here?

Barnett, Lisa M.; Beurden, Eric van; Eakin, Elizabeth G.; Dietrich, Uta; Beard, John; Newman, Beth

doi:10.1111/j.1467-842x.2003.tb00818.x

Cited by 8 publications

(6 citation statements)

References 27 publications

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“…pharmacists, nurses, general practitioners (GP), occupational therapists, physiotherapists and health promotion officers) and non‐health professionals (e.g. council employees) play a role in falls prevention in rural and remote areas (Table ).…”

Section: Resultsmentioning

confidence: 99%

“…Articles which evaluated the Stay on Your Feet (SOYF) programme found that common FPI in rural settings included: medication checks by GP (75%), assessment and referral by community health staff (75%) and pharmacist advice to dispose of out dated medication (72%) . Less common FPI were: pharmacist advice on preventing falls, referrals from pharmacists and GP to allied health professionals and training of pharmacy staff on providing falls‐related advice (Table ).…”

Section: Resultsmentioning

confidence: 99%

“…GP and pharmacists play a key role in falls prevention in rural and remote communities as older people seek their advice . However, many services should be involved in FPI (e.g.…”

Section: Discussionmentioning

confidence: 99%

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Falls in rural and remote community dwelling older adults: A review of the literature

Boehm

Franklin

King

2014

Australian J Rural Health

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Few studies explored falls and their prevention in rural and remote Australia. The limited literature on the topic suggests that a change in focus to one that utilises existing services and resources will be required to create sustainable outcomes. Four areas are proposed for concentrated effort to reduce the impact of fall-related injury in rural and remote Australia: integration and collaboration among health professionals, promotion of physical activity across the lifespan, community involvement and ownership of interventions, and evaluation and publication of findings.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Falls in rural and remote community dwelling older adults: A review of the literature

Boehm

Franklin

King

2014

Australian J Rural Health

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“…19 20 Apart from questions that related to their experiences with the original SOYF program, participants were asked to comment on possible messages for a new fall-prevention program. Specifically, participants were asked to listen to 3 messages and to discuss which would be the most likely to get people to change their behavior.…”

Section: Focus Groupsmentioning

confidence: 99%

Older Persons’ Perception of Risk of Falling: Implications for Fall-Prevention Campaigns

et al. 2008

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Hughes et al. | Peer Reviewed | Research and Practice | 351 RESEARCH AND PRACTICE  Objectives. We examined older people's attitudes about falls and implications for the design of fall-prevention awareness campaigns.Methods. We assessed data from (1) computer-assisted telephone surveys conducted in 2002 with Australians 60 years and older in Northern Rivers, New South Wales (site of a previous fall-prevention program; n=1601), and Wide Bay, Queensland (comparison community; n = 1601), and (2) 8 focus groups (n = 73).Results. Participants from the previous intervention site were less likely than were comparison participants to agree that falls are not preventable (odds ratio [OR]=0.76; 95% confidence interval [CI]=0.65, 0.90) and more likely to rate the prevention of falls a high priority (OR = 1.31; 95% CI = 1.09, 1.57). There was no difference between the groups for self-perceived risk of falls; more than 60% rated their risk as low. Those with a low perceived risk were more likely to be men, younger, partnered, and privately insured, and to report better health and no history of falls. Focus group data indicated that older people preferred messages that emphasized health and independence rather than falls.Conclusions. Although older people accepted traditional fall-prevention messages, most viewed them as not personally relevant. Messages that promote health and independence may be more effective. (Am J Public Health. 2008;98: 351-357.

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“…Seven studies took place in different settings; in a combination of community organization, home of the older persons, senior apartment buildings, and senior centers [ 27 , 28 , 31 , 40 , 41 , 45 , 47 , 48 ], five studies were performed at the home of the older person [ 30 , 32 , 38 , 39 , 42 ], two studies took place in a community or senior center [ 43 , 46 ], one in medical practices [ 29 ], and three studies were performed in the community in general [ 33 – 37 ], in home health agencies [ 17 ], and in an assisted living community [ 44 ]. In total, eight reports used a mixed method design [ 31 , 32 , 37 – 39 , 44 , 45 , 47 ], six had a qualitative design [ 28 – 30 , 41 , 43 , 46 ], three were quantitative descriptive [ 17 , 33 , 36 ], three were non-randomized controlled trials [ 34 , 35 , 48 ], and three reports were randomized controlled trials [ 27 , 40 , 42 ].…”

Section: Resultsmentioning

confidence: 99%

Strategies to implement multifactorial falls prevention interventions in community-dwelling older persons: a systematic review

et al. 2023

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Background One-third of the community-dwelling older persons fall annually. Guidelines recommend the use of multifactorial falls prevention interventions. However, these interventions are difficult to implement into the community. This systematic review aimed to explore strategies used to implement multifactorial falls prevention interventions into the community. Methods A systematic search in PubMed (including MEDLINE), CINAHL (EBSCO), Embase, Web of Science (core collection), and Cochrane Library was performed and updated on the 25th of August, 2022. Studies reporting on the evaluation of implementation strategies for multifactorial falls prevention interventions in the community setting were included. Two reviewers independently performed the search, screening, data extraction, and synthesis process (PRISMA flow diagram). The quality of the included reports was appraised by means of a sensitivity analysis, assessing the relevance to the research question and the methodological quality (Mixed Method Appraisal Tool). Implementation strategies were reported according to Proctor et al.’s (2013) guideline for specifying and reporting implementation strategies and the Taxonomy of Behavioral Change Methods of Kok et al. (2016). Results Twenty-three reports (eighteen studies) met the inclusion criteria, of which fourteen reports scored high and nine moderate on the sensitivity analysis. All studies combined implementation strategies, addressing different determinants. The most frequently used implementation strategies at individual level were “tailoring,” “active learning,” “personalize risk,” “individualization,” “consciousness raising,” and “participation.” At environmental level, the most often described strategies were “technical assistance,” “use of lay health workers, peer education,” “increasing stakeholder influence,” and “forming coalitions.” The included studies did not describe the implementation strategies in detail, and a variety of labels for implementation strategies were used. Twelve studies used implementation theories, models, and frameworks; no studies described neither the use of a determinant framework nor how the implementation strategy targeted influencing factors. Conclusions This review highlights gaps in the detailed description of implementation strategies and the effective use of implementation frameworks, models, and theories. The review found that studies mainly focused on implementation strategies at the level of the older person and healthcare professional, emphasizing the importance of “tailoring,” “consciousness raising,” and “participation” in the implementation process. Studies describing implementation strategies at the level of the organization, community, and policy/society show that “technical assistance,” “actively involving stakeholders,” and “forming coalitions” are important strategies. Trial registration PROSPERO CRD42020187450

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Falls prevention in rural general practice: what stands the test of time and where to from here?

Cited by 8 publications

References 27 publications

Falls in rural and remote community dwelling older adults: A review of the literature

Falls in rural and remote community dwelling older adults: A review of the literature

Older Persons’ Perception of Risk of Falling: Implications for Fall-Prevention Campaigns

Strategies to implement multifactorial falls prevention interventions in community-dwelling older persons: a systematic review

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