Patient education to prevent falls among older hospital inpatients: a randomized controlled trial
MetadataShow full item record
Background: Falls are a common adverse event during hospitalization of older adults, and few interventions have been shown to prevent them. Methods: This study was a 3-group randomized trial to evaluate the efficacy of 2 forms of multimedia patient education compared with usual care for the prevention of in-hospital falls. Older hospital patients (n=1206) admitted to a mixture of acute (orthopedic, respiratory, and medical) and subacute (geriatric and neurorehabilitation) hospital wards at 2 Australian hospitals were recruited between January 2008 and April 2009. The interventions were a multimedia patient education program based on the health-belief model combined with trained health professional follow-up (complete program), multimedia patient education materials alone (materials only), and usual care (control). Falls data were collected by blinded research assistants by reviewing hospital incident reports, hand searching medical records, and conducting weekly patient interviews. Results: Rates of falls per 1000 patient-days did not differ significantly between groups (control, 9.27; materials only, 8.61; and complete program, 7.63). However, there was a significant interaction between the intervention and presence of cognitive impairment. Falls were less frequent among cognitively intact patients in the complete program group (4.01 per 1000 patient-days) than among cognitively intact patients in the materials-only group (8.18 per 1000 patient-days) (adjusted hazard ratio, 0.51; 95% confidence interval, 0.28-0.93]) and control group (8.72 per 1000 patient-days) (adjusted hazard ratio, 0.43; 95% confidence interval, 0.24-0.78). Conclusion: Multimedia patient education with trained health professional follow-up reduced falls among patients with intact cognitive function admitted to a range of hospital wards.
Showing items related by title, author, creator and subject.
Fall rates in hospital rehabilitation units after individualised patient and staff education programmes: A pragmatic, stepped-wedge, cluster-randomised controlled trialHill, Anne-Marie; McPhail, S.; Waldron, N.; Etherton-Beer, C.; Ingram, K.; Flicker, L.; Bulsara, M.; Haines, T. (2015)Background Falls are the most frequent adverse events that are reported in hospitals. We examined the effectiveness of individualised falls-prevention education for patients, supported by training and feedback for staff, ...
Falls after Hospital Discharge: A Randomized Clinical Trial of Individualized Multimodal Falls Prevention EducationHill, Anne-Marie ; McPhail, S.M.; Haines, T.P.; Morris, M.E.; Etherton-Beer, C.; Shorr, R.; Flicker, L.; Bulsara, M.; Waldron, N.; Lee, D.C.A.; Francis-Coad, J.; Boudville, A.; Newman, A. (2019)Background: Older people are at high risk of falls after hospital discharge. The study aimed to evaluate the effect of providing individualized falls prevention education in addition to usual care on falls rates in older ...
Tailored Education for Older Patients to Facilitate Engagement in Falls Prevention Strategies after Hospital Discharge: A Pilot Randomized Controlled TrialHill, Anne-Marie; Etherton-Beer, C.; Haines, T. (2013)Background: The aims of the study were to evaluate the effect of providing tailored falls prevention education in hospital on: i) engagement in targeted falls prevention behaviors in the month after discharge: ii) patients’ ...