Perceptions of falls and falls prevention interventions among Personal Alert Victoria clients

Ayton, Darshini; Morello, Renata; Natora, Aleksandra; Yallop, Sarah; Barker, Anna; Soh, Sze‐Ee

doi:10.1111/hsc.12626

Cited by 8 publications

(21 citation statements)

References 24 publications

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“…However, there may need to be more effort focussing on personal relevance, adaption and targeted interventions for those with poorer health if these approaches were to be successfully implemented within a PERS. 23 Alarm users in our sub-cohort admitted to hospital were frequent presenters both prior to (70% presented in the 12 months prior) and following (78% presented in the 12 months after) the index alarm event. This is much greater than rates reported for other chronic disease groups, which have reported unplanned readmission rates of approximately 28% for 90-day readmissions 24 and up to 50% at 12 months 25 but closer to another PERS study with rates of 34% at 3 months and 42% at 6 months.…”

Section: Discussionmentioning

confidence: 74%

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Exploring patterns of personal alarm system use and impacts on outcomes

et al. 2021

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Objectives: To describe the patterns of personal emergency response systems (PERS) use in a statewide cohort of older Australians. Methods: PERS data from clients enrolled in the Personal Alarm Victoria program between January 2014 and June 2017 were analysed. Alarm activation reasons were extracted, and a medical record audit was performed for a sub-cohort of patients admitted to a local hospital following an alarm event. Descriptive statistics were used. Results: There were 42,180 clients enrolled during the study (mean age 80 years, 80% female, 93% living alone). An ambulance attended 44% of the fall-related events and 81% of events coded as unwell. Activation reasons were distributed equally between a fall and feeling unwell, and a repeating pattern of activation reasons was observed. In our sub-cohort (n = 92), the majority of admissions (86%) followed an alarm activation coded as unwell. Conclusion:We demonstrated recurring patterns associated with the reasons for alarm use. K E Y W O R D S aging, emergencies, falls, personal emergency response systems 1 | INTRODUCTION Most countries are facing challenges associated with ageing populations. Globally, the number of people aged 60 years and over has tripled since 1950. 1 Providing supportive environments to assist older people to live well can help compensate for declining health and physical abilities and is a primary component of public responses to ageing. 1 Personal emergency response systems (PERS) are the most established of the technology supports for older people living alone. How to cite this article: Andrew NE, Wang Y, Teo K, et al. Exploring patterns of personal alarm system use and impacts on outcomes.

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Section: Discussionmentioning

confidence: 74%

“…Multiple component interventions, 21 including balance and functional exercise training, 22 have been shown to reduce falls. However, there may need to be more effort focussing on personal relevance, adaption and targeted interventions for those with poorer health if these approaches were to be successfully implemented within a PERS 23 …”

Section: Discussionmentioning

confidence: 99%

Exploring patterns of personal alarm system use and impacts on outcomes

et al. 2021

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“…Referring to Table 1 , studies were primarily qualitative and used semi-structured interviews. Out of the twenty papers reviewed; one study was on the evaluation of a randomised control trial using the COM-B framework [ 16 ]; one study involved the evaluation of a sustained lifestyle modification program [ 25 ]; ten studies were on behavioural analysis using the COM-B framework for health conditions [ 16 , 17 , 20 , 21 , 24 , 26 – 30 ]; and eight were on developing a PA intervention based on patient and clinician responses to questions guided by the COM-B framework [ 18 , 19 , 22 , 23 , 31 – 34 ].…”

Section: Resultsmentioning

confidence: 99%

“…[ 15 ] Falls Older adults prone to falls Qualitative Clinician interviews Patient focus groups PF, PB, CF, CB PF, PB, CF, CB PF, PB, CF, CB Ayton et al . [ 21 ] Falls Older adults prone to falls Qualitative Patient interviews Patient questionnaire PF, PB, CF PF, PB, CF PF, PB, CF Muhwava et al . [ 25 ] Pregnancy Mothers with gestational diabetes Qualitative Patient interviews Patient focus groups PF, PB PF, PB PF, PB Lucas et al .…”

Section: Resultsmentioning

confidence: 99%

Identifying the factors affecting ‘patient engagement’ in exercise rehabilitation

Teo

Zheng

Bird

2022

BMC Sports Sci Med Rehabil

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Background Despite the proven benefits of exercise rehabilitation for numerous health conditions, musculoskeletal injuries and recovery from surgery, patient adherence to such programs is reported to often be less than 35%. Increasing patient engagement therefore has the potential to improve patient health outcomes, benefiting the patient, their carers and the services that support them. The aims of this review were to identify the factors that contribute to ‘patient’ engagement in prescribed exercise rehabilitation using the COM-B (capability, opportunity, motivation-behaviour) framework of behavioural analysis. Methods Five electronic databases (PubMed, Embase, Cochrane, Web of Science, and ClinicalTrials.gov) were searched. ‘COM-B’ was the key word searched for specifically within titles and abstracts, combined with either ‘physical activity’ OR ‘exercise’ included using the ‘AND’ operation. Records were then filtered and excluded following full-text screening based on the predetermined eligibility criteria. Results Twenty studies were included in the review. The main COM-B themes highlighted for improving patient engagement were: capability—improving patient knowledge and cognitive skills for behavioural regulation, such as ‘action planning’ and ‘action control’, which could also benefit time-management; opportunity—a balanced life situation that enabled time to be devoted to the exercise program, social support, easily accessible and affordable resources and services; and motivation—increasing patient levels of self-efficacy and autonomous motivation, which were noted to be influenced by levels of perceived ‘capability’, additionally ‘motivation’ was noted to be influenced by patients perceiving the benefits of the exercise, and adherence to the program was promoted by ‘goal-setting’. Other issues in the ‘capability’ domain included a fear and/or dislike of exercise. Conclusion Patient engagement behavior has been shown to be influenced by both external (opportunity) and intrapersonal variables (capability and motivation). Those prescribing exercises within a rehabilitation program need to discuss these factors with their patients and co-design the exercise rehabilitation program in partnership with the patient, since this is likely to improve patient engagement, and thereby result in superior health outcomes. Furthermore, these factors need to be a consideration in clinical trials, if the findings from such trials are to translate into mainstream healthcare settings.

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“…Ayton and colleagues also reported on the perceptions of falls and fall prevention interventions among Personal Alert Victoria clients. Usage of a semi-structured telephone interview (n = 12) and a client survey with open and closed-ended questions (n = 46) [Ayton et al 2018] explored falls experience, risk factors, participation in falls prevention interventions, and access to health and other services. Barriers included poor health, time restrictions, and poor health literacy.…”

Section: Introduction / Review Of the Literaturementioning

confidence: 99%

A Survey for Ascertaining Details Related to Falls on Stairs or Escalators

Hilton¹

2021

ash

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Introduction: The Australian Institute of Health and Welfare, publication titled; ‘Injury in Australia: falls’ states that in 2017–18, 42% of hospitalized injury cases were due to falls, and 40% of injury deaths were due to falls. In Melbourne City, at various stations, there are extremely long escalators, and alarmingly, one sign previously displayed states there are approximately 2-3 falls/ week on train station escalators.Objectives: The aim of the survey was to ascertain the percentage of people who’ve fallen downstairs and escalators.Methods: Distribution of a general convenience survey [n=125] was performed to ascertain the percentage of people who’ve fallen downstairs and escalators. Additional questions related to rain, high-risk footwear, poor lighting, and how many falls they have had. Following that, regardless of whether or not they’d had a fall, questions then focused on whether they had a fear of falling and whether they felt uncomfortable around crowds on stairs or escalators.Results and Discussion: Completed survey forms were eighty-two in total. 29% of people had fallen, with 16% of those people indicating rain, 16% in either high heels or thongs, while 25% indicated poor visibility. Of those who had fallen, the estimate of the number of falls down stairs or escalators ranged from 1–20, with the average being three falls. 39% of respondents, irrespective of whether or not they had fallen, had fear, while 43% felt uncomfortable around crowds.Conclusion: Falls downstairs or escalators are relatively common, in addition to a large percentage of people having fear or feeling uncomfortable.

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Perceptions of falls and falls prevention interventions among Personal Alert Victoria clients

Cited by 8 publications

References 24 publications

Exploring patterns of personal alarm system use and impacts on outcomes

Exploring patterns of personal alarm system use and impacts on outcomes

Identifying the factors affecting ‘patient engagement’ in exercise rehabilitation

A Survey for Ascertaining Details Related to Falls on Stairs or Escalators

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