The perspectives of healthcare practitioners on fall risk factors in older adults

Clercq, Hendrika de; Naudé, Alida; Bornman, Juan

doi:10.4102/hsag.v25i0.1495

Cited by 4 publications

(3 citation statements)

References 43 publications

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“…Outcomes linked to the body structures domain appear to be of greater importance to clinical experts than healthcare consumers. This is in agreement with research describing outcomes of significance for falls risk assessment in older adults, where body structure outcomes made up 6% of significant outcomes for consumers [13] compared to 18% for healthcare practitioners [36].…”

Section: Discussionsupporting

confidence: 90%

“The Ability to Go Out into the World Is the Most Important Thing”—A Qualitative Study of Important Exercise Outcomes for People with Lung Cancer

Bowman,

Denehy,

McDonald

et al. 2024

Current Oncology

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Whilst existing quantitative research identifies outcomes believed to be important by researchers and clinicians, it may neglect outcomes that are meaningful to patients. This study aimed to explore the outcomes of exercise that are important to people with lung cancer and their carers. Data collection involved a qualitative methodology including semi-structured interviews and focus groups. Question guide development was informed by the International Classification of Functioning (ICF) framework. Data were analyzed by two researchers with NVivo (v12) software using a conventional content analysis process, followed by directed content analysis to map outcomes to the ICF. Conduct and reporting adhered to COREQ guidelines. Fifteen participants provided data. Most participants had received their diagnoses 24 months prior to study involvement (n = 9), and one-third had completed treatment (n = 5). Important outcomes were reported by participants across all domains of the ICF: activity and participation (n = 24), body function (n = 19), body structure (n = 5), environmental factors (n = 5), and personal factors (n = 1). Additional code categories pertained to the impacts of non-cancer factors such as age, frailty, and comorbidities; identifying barriers to exercise; and individualizing outcome measures. Clinicians and researchers should consider selecting outcomes from all relevant domains of the ICF, with a focus on the activity and participation domain, in addition to non-cancer factors such as ageing, frailty, and co-morbidities. Feedback should be provided to patients following outcome measures collection and reassessment.

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Section: Discussionsupporting

confidence: 90%

“The Ability to Go Out into the World Is the Most Important Thing”—A Qualitative Study of Important Exercise Outcomes for People with Lung Cancer

Bowman,

Denehy,

McDonald

et al. 2024

Current Oncology

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“…Despite national guidelines on fall prevention, there are no published data indicating their implementation in clinical practice (Kalu et al, 2019 ). In addition, there is a lack of preventative initiatives and educational programmes offered to the public in South Africa (Kalula et al, 2016 ), a concern given the potential role of various healthcare professionals in identifying individuals at risk of falling or with a fear of falling (De Clercq et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Cultural adaptation and Sepedi translation of the Activities-specific Balance Confidence scale

Prinsloo,

Joubert

2024

South African Journal of Communication Disorders

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Background: The Activities-specific Balance Confidence (ABC) scale is a widely used measure to identify older adults with balance difficulties. However, its applicability in the diverse South African context is hindered by cross-cultural and linguistic differences. Limited research exists on the use of the ABC scale in native South African languages.Objectives: This study aimed to translate and culturally adapt the ABC scale into Sepedi, evaluate its reliability and determine self-perceived balance confidence among elderly individuals in a rural community.Method: The ABC scale was translated and culturally adapted into Sepedi. Two trained raters administered the Sepedi version of the ABC (ABC-S) scale to 32 individuals aged between 60 and 88 years. Test-retest reliability and inter-rater reliability were determined, with one rater re-administering the scale 2 weeks later.Results: Ten items from the original ABC scale were modified because of cultural, semantic or contextual inappropriateness. The ABC-S scale demonstrated very good intra- and inter-rater reproducibility, with an average intraclass correlation coefficient (ICC) of 0.85 and 0.81, respectively. The self-perceived balance confidence among elderly Sepedi individuals, as evaluated by the ABC-S scale, was high, with an average score of 81.3 and a range of 58.1 to 95.9.Conclusion: The ABC-S scale is a reliable measurement tool to investigate balance confidence in Sepedi-speaking older adults.Contribution: The ABC-S scale is a valuable screening tool for the identification of balance difficulties in Sepedi-speaking older adults as well as research settings.

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“…Furthermore, they primarily concentrated on the perceptions of health care professionals, while responsibility for effective fall prevention management lies not with providers in health care, but also in social care sectors ( 3 , 20 ). Nevertheless, many studies on the implementation of FPIs are still concentrating on single care settings or provider groups ( 21 , 22 ).…”

Section: Introductionmentioning

confidence: 99%

Contextual determinants influencing the implementation of fall prevention in the community: a scoping review

Scherpenseel

Velde

Veenhof

et al. 2023

Front. Health Serv.

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BackgroundSuccessful implementation of multifactorial fall prevention interventions (FPIs) is essential to reduce increasing fall rates in community-dwelling older adults. However, implementation often fails due to the complex context of the community involving multiple stakeholders within and across settings, sectors, and organizations. As there is a need for a better understanding of the occurring context-related challenges, the current scoping review purposes to identify what contextual determinants (i.e., barriers and facilitators) influence the implementation of FPIs in the community.MethodsA scoping review was performed using the Arksey and O'Malley framework. First, electronic databases (Pubmed, CINAHL, SPORTDiscus, PsycINFO) were searched. Studies that identified contextual determinants that influence the implementation of FPIs in the community were included. Second, to both validate the findings from the literature and identify complementary determinants, health and social care professionals were consulted during consensus meetings (CMs) in four districts in the region of Utrecht, the Netherlands. Data were analyzed following a directed qualitative content analysis approach, according to the 39 constructs of the Consolidated Framework for Implementation Research.ResultsFourteen relevant studies were included and 35 health and social care professionals (such as general practitioners, practice nurses, and physical therapists) were consulted during four CMs. Directed qualitative content analysis of the included studies yielded determinants within 35 unique constructs operating as barriers and/or facilitators. The majority of the constructs (n = 21) were identified in both the studies and CMs, such as “networks and communications”, “formally appointed internal implementation leaders”, “available resources” and “patient needs and resources”. The other constructs (n = 14) were identified only in the .DiscussionFindings in this review show that a wide array of contextual determinants are essential in achieving successful implementation of FPIs in the community. However, some determinants are considered important to address, regardless of the context where the implementation occurs. Such as accounting for time constraints and financial limitations, and considering the needs of older adults. Also, broad cross-sector collaboration and coordination are required in multifactorial FPIs. Additional context analysis is always an essential part of implementation efforts, as contexts may differ greatly, requiring a locally tailored approach.

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The perspectives of healthcare practitioners on fall risk factors in older adults

Cited by 4 publications

References 43 publications

“The Ability to Go Out into the World Is the Most Important Thing”—A Qualitative Study of Important Exercise Outcomes for People with Lung Cancer

“The Ability to Go Out into the World Is the Most Important Thing”—A Qualitative Study of Important Exercise Outcomes for People with Lung Cancer

Cultural adaptation and Sepedi translation of the Activities-specific Balance Confidence scale

Contextual determinants influencing the implementation of fall prevention in the community: a scoping review

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