Can peer education improve beliefs, knowledge, motivation and intention to engage in falls prevention amongst community-dwelling older adults?
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The aim of the study was to evaluate the effectiveness of delivering a contemporary peer-led falls prevention education presentation on community-dwelling older adults’ beliefs, knowledge, motivation and intention to engage in falls prevention strategies. A two-group quasi-experimental pre-test–post-test study using a convenience sample was conducted. A new falls prevention training package for peer educators was developed, drawing on contemporary adult learning and behaviour change principles. A 1-h presentation was delivered to community-dwelling older adults by peer educators trained with the new package (intervention group). Control group participants received an existing, 1-h falls prevention presentation by trained peer educators who had not received the adult learning and behaviour change training. Participants in both groups completed a purpose-developed questionnaire at pre-presentation, immediately post-presentation and at one-month follow-up. Participants’ levels of beliefs, knowledge, motivation and intention were compared across these three points of time. Generalised estimating equations models examined associations in the quantitative data, while deductive content analysis was used for qualitative data. Participants (control n = 99; intervention n = 133) in both groups showed significantly increased levels of beliefs and knowledge about falls prevention, and intention to engage in falls prevention strategies over time compared to baseline. The intervention group was significantly more likely to report a clear action plan to undertake falls prevention strategies compared to the control group. Peer-led falls prevention education is an effective approach for raising older adults’ beliefs, knowledge and intention to engage in falls prevention strategies.
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"We are all one together": Peer educators' views about falls prevention education for community-dwelling older adults - a qualitative studyKhong, L.; Farringdon, F.; Hill, Keith; Hill, Anne-Marie (2015)Background: Falls are common in older people. Despite strong evidence for effective falls prevention strategies, there appears to be limited translation of these strategies from research to clinical practice. Use of peers ...
Design and development of a theory-informed peer-led falls prevention education programme to translate evidence into practice: a systematic approachKhong, L.; Berlach, R.; Hill, Keith; Hill, Anne-Marie (2018)Peer-led education has been shown to be an effective approach for raising community-dwelling older adults’ beliefs, knowledge and intention to engage in falls prevention strategies in a recent intervention trial. This ...
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 ...