Tailored Education for Older Patients to Facilitate Engagement in Falls Prevention Strategies after Hospital Discharge: A Pilot Randomized Controlled Trial
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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’ self-perceived risk and knowledge about falls and falls prevention strategies after receiving the education. Methods: A pilot randomized controlled trial (n = 50): baseline and outcome assessments conducted by blinded researchers. Participants: hospital inpatients 60 years or older, discharged to the community. Participants were randomized into two groups. The intervention was a tailored education package consisting of multimedia falls prevention information with trained health professional follow-up, delivered in addition to usual care. Outcome measures were engagement in falls prevention behaviors in the month after discharge measured at one month after discharge with a structured survey, and participants’ knowledge, confidence and motivation levels before and after receiving the education. The feasibility of providing the intervention was examined and falls outcomes (falls, fall-related injuries) were also collected.Results: Forty-eight patients (98%) provided follow-up data. The complete package was provided to 21 (84%) intervention group participants. Participants in the intervention group were significantly more likely to plan how to safely restart functional activities [Adjusted odds ratio 3.80, 95% CI (1.07, 13.52), p = 0.04] and more likely to complete other targeted behaviors such as completing their own home exercise program [Adjusted odds ratio 2.76, 95% CI (0.72, 10.50), p = 0.14] than the control group. The intervention group was significantly more knowledgeable, confident and motivated to engage in falls prevention strategies after receiving the education than the control group. There were 23 falls (n = 5 intervention; n = 18 control) and falls rates were 5.4/1000 patient days (intervention); 18.7/1000 patient days (control). Conclusion: This tailored education was received positively by older people, resulted in increased engagement in falls prevention strategies after discharge and is feasible to deliver to older hospital patients.
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Evaluation of the effect of patient education on rates of falls in older hospital patients: Description of a randomised controlled trialHill, Anne-Marie; Hill, Keith; Brauer, S.; Oliver, D.; Hoffmann, T.; Beer, C.; McPhail, S.; Haines, T. (2009)Background. Accidental falls by older patients in hospital are one of the most commonly reported adverse events. Falls after discharge are also common. These falls have enormous physical, psychological and social consequences ...
Reducing falls after hospital discharge: A protocol for a randomised controlled trial evaluating an individualised multimodal falls education programme for older adultsHill, Anne-Marie; Etherton-Beer, C.; McPhail, S.; Morris, M.; Flicker, L.; Shorr, R.; Bulsara, M.; Lee, D.; Francis-Coad, J.; Waldron, N.; Boudville, A.; Haines, T. (2017)Introduction: Older adults frequently fall after discharge from hospital. Older people may have low self-perceived risk of falls and poor knowledge about falls prevention. The primary aim of the study is to evaluate the ...
Falls After Discharge From Hospital: Is There a Gap Between Older Peoples’ Knowledge About Falls Prevention Strategies and the Research Evidence?Hill, A.; Hoffman, T.; Beer, C.; McPhail, S.; Hill, Keith; Oliver, D.; Brauer, S.; Haines, T. (2011)Purpose: The aim of this study was to examine whether older people are prepared to engage in appropriate falls prevention strategies after discharge from hospital. Design and Methods: We used a semi-structured interview ...