Older Adults' Attitudes Toward Home Modifications for Fall Prevention

Kruse, Robin L.; Moore, Cherith; Tofle, Ruth Brent; LeMaster, Joseph W.; Aud, Myra A.; Hicks, Lanis L.; Minor, Marian A.; Canfield, Shannon M.; Mehr, David R.

doi:10.1080/02763891003757031

Cited by 29 publications

(36 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For example, to be able to live the life that they want, elderly can be willing to make adjustments in their homes and organize their lives according to the present circumstances (Barker, Morello et al, 2016, Mahler, Sarvimäki, 2010). There are indications that instead of focusing on the risk of falling, they tend to adjust to a life according to the present circumstances and to make preventative measures on their own terms (Kruse, Moore et al, 2010). The physical environment has the potential to support the elderly person, an example is that furniture can be organized so that it supports movement and that there is room for mobility aides (Mahler & Sarvimäki, 2012).…”

Section: Discussionmentioning

confidence: 99%

There is more to life than risk avoidance – elderly people’s experiences of falls, fall-injuries and compliant flooring

Gustavsson

Jernbro

Nilson

2018

International Journal of Qualitative Studies on Health and Well

View full text Add to dashboard Cite

Purpose: Falls are the most common cause of injury in all ages and are especially difficult to prevent among residential care residents. Compliant flooring that absorbs energy generated within the fall, has been proposed as a measure to prevent fall-injury, however little is known regarding the implementation aspects in clinical settings. The aim of this study is to explore the experiences of falls, the risk of fall-injury, prevention in general and specifically compliant flooring as an injury preventative measure amongst frail elderly people living in a residential care facility with compliant flooring. Through this, generate a theory that further explains the underlying barriers of active prevention amongst elderly people. Method: We used the grounded theory method and conducted semi-structured in-depth interviews with eight elderly people in residential care (data collected between February and December 2017). Results: The identified categories were Falling as a part of life, Fearing the consequences and A wish to prevent falls and injuries. Through the results it was clear that There is more to life than risk avoidance, permeated the interviews, therefore forming the grounded theory. The interviewees viewed falls as something common and normal, and were uninterested in focusing on the risk of falls. Although they wanted to prevent falls, it was often difficult to integrate preventative measures into their everyday life. They embraced the idea of an injury-reducing compliant flooring, however their main interests lay elsewhere, preferring to focus on social interaction and issues concerning daily activities. Conclusions: The theory generated in this paper proposes explanations on the obstacles of implementing fall prevention measures in an elderly frail population. The findings give insights as to why interest and compliance for active fall prevention measures are low. We conclude that complaint flooring, from the perspective of the residents, can work well in residential care.

show abstract

Section: Discussionmentioning

confidence: 99%

There is more to life than risk avoidance – elderly people’s experiences of falls, fall-injuries and compliant flooring

Gustavsson

Jernbro

Nilson

2018

International Journal of Qualitative Studies on Health and Well

View full text Add to dashboard Cite

show abstract

“…There have been relatively few studies which investigate attitudes towards home adaptation in dementia (Damme & Ray-Degges, 2016;Kruse et al, 2010;Marquardt et al, 2011). These studies conclude that home adaptations offered by health professionals are often not completed by people with dementia and their carers because they both feel that adaptations are not needed (Brodaty, Thomson, Thompson, & Fine, 2005;Kruse et al, 2010;Marquardt et al, 2011;Silverstein & Hyde, 1997).…”

Section: Introductionmentioning

confidence: 99%

“…These studies conclude that home adaptations offered by health professionals are often not completed by people with dementia and their carers because they both feel that adaptations are not needed (Brodaty, Thomson, Thompson, & Fine, 2005;Kruse et al, 2010;Marquardt et al, 2011;Silverstein & Hyde, 1997). Additionally, adaptations to assist physical difficulties were more readily accepted than those to aid cognitive or behavioural impairment (Gabriel, Faulkner, & Stirling, 2015).…”

Section: Introductionmentioning

confidence: 99%

How People with Dementia and their Carers Adapt their Homes. A Qualitative Study

2017

View full text Add to dashboard Cite

The objective was to explore the ways in which people with dementia and their carers adapt their homes, including the barriers and use of available information. Semi-structured interviews were conducted with ten people with dementia and their informal carer. The collected data were analysed using thematic analysis. Three core themes emerged: Maintaining familiarity and coping with change, Having knowledge and finding knowledge and Meeting challenges through home adaptation. The most significant barriers to making home adaptations were lack of knowledge and maintaining familiarity. Having more information and making home modifications earlier might enable individuals with dementia to adjust to their adapted environment.

show abstract

“…Moreover, the little amount of qualitative research that examines older adults' views and attitudes with fall prevention interventions has been conducted in countries outside of the United States (Calhoun et al, 2011). Due to a paucity of information on what promotes participation and follow through in fall prevention interventions, little is known on how to improve adherence in fall prevention interventions (Bunn, Dickinson, Barnett-Page, McInnes, & Horton, 2008;Kruse et al, 2010).…”

Section: Factors That Impact Adherencementioning

confidence: 99%

“…In addition to social support, maintaining autonomy and independence was a critical factor for adherence in fall prevention interventions (Kruse et al, 2010). While home modifications can be effective in decreasing falls, some studies have found that older adults are unwilling to follow recommendations to improve safety (Kruse, et al, 2010). Various researchers have sought to find out older adults' attitudes toward fall risks and potential home modification.…”

Section: Factors That Impact Adherencementioning

confidence: 99%

Participants' Perceptions of Factors in Preventing Falls

Bains

Fok

Marcelo

et al.

View full text Add to dashboard Cite

We would like to sincerely thank our advisor, Dr. Kitsum Li, for her invaluable guidance, expertise, support, and insight throughout our master's thesis process. Implementing this program evaluation would not have been possible without her help. This thesis also could not have occurred without the collaboration with and trust from Debbie and Ellen, who allowed us to work with their organization. Rajvinder Bains-I would like to thank my incredible family and friends for their continuous support and love. Thank you for always keeping a smile on my face, even in the most stressful of times. Thank you to my superhero, my dad. My dad encouraged me to work hard and strive for success in all aspects of life. Dad, you are forever in my heart and your memories have continuously encouraged me the last few years. I also would like to thank my amazing DUC MSOT cohort. Thank you guys for inspiring me! I am so blessed to call you all my friends and peers. Jaclyn, Nadine, and Tamara it has been an absolute privilege to call you three my thesis partners. You three are the most intelligent, motivating, and beautiful partners I could ever ask for. Thank you for a wonderful journey! Jaclyn Fok-I would like to give a huge thank you to my outstanding parents and wonderful brother. I would not be where I am today if it had not been for your unconditional support, constant encouragement, and unceasing prayers throughout my journey in OT school. I love you! Another big thank you to my wonderful OT cohort, mentors, mentees, and tutorees who constantly inspire me to work to the best of my abilities and become the best OT I can be. I cannot thank you all enough for the times we studied till the delirious hours of the morning, supported each other during intense midterm and finals weeks, partnered in countless group projects, and shared laughs over OT jokes. I am also extremely thankful for my fantastic thesis vii teammates Raj, Nadine, and Tamara. Your incredible dedication to your OT education and professional development were such an inspiration, and it was an honor working alongside you for the past two years! Nadine Marcelo-My deepest gratitude goes to my supportive family. Mom,Dad, Ate, Jb, Juan, and Bowser, I would not be where I am today without you all. Mom and Dad, my "work hard, party harder" parents, I cannot begin to express my gratitude and feelings for your unconditional love, support, and humor. Without you two, none of this would be possible. Both have instilled many admirable qualities in me and provided me a good foundation. You both have always been a great role model of resilience, strength, and character. I am also blessed to have my sister. Ate, not only do you let me talk your ear off about the role of OT, but you also put up with my "burara" tendencies and continue to give me good personal and professional advice. Thank you to my friends from all parts of my life. I am profoundly grateful for your support and understanding for the times I've missed when I needed to focus on school. You've all helped me stay sane thr...

show abstract

Older Adults' Attitudes Toward Home Modifications for Fall Prevention

Cited by 29 publications

References 26 publications

There is more to life than risk avoidance – elderly people’s experiences of falls, fall-injuries and compliant flooring

There is more to life than risk avoidance – elderly people’s experiences of falls, fall-injuries and compliant flooring

How People with Dementia and their Carers Adapt their Homes. A Qualitative Study

Participants' Perceptions of Factors in Preventing Falls

Contact Info

Product

Resources

About