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Alfaro Hudak KM, Adibah N, Cutroneo E, Liotta M, Sanghera A, Weeks-Gariepy T, Strunz E, Rein DB. Older adults' knowledge and perception of fall risk and prevention: a scoping review. Age Ageing 2023; 52:afad220. [PMID: 38016017 DOI: 10.1093/ageing/afad220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Indexed: 11/30/2023] Open
Abstract
BACKGROUND Falls are a leading cause of injury and mortality among older adults. While multiple strategies are effective at reducing fall risk, uptake is low. Understanding how older adults think about fall risk and prevention activities can inform outreach initiatives and engagement. METHODS We systematically searched PubMed, SCOPUS and Google Scholar for articles published between January 2015 and April 2023. Studies were eligible if they reported on knowledge or perception of fall risk and/or prevention among community-dwelling older adults. RESULTS We included 53 studies from 20 different countries. Over half of the studies used qualitative methods, 19 used quantitative, and three used mixed methods. Most of the older adults could identify some fall risk factors and the consequences of falls. However, many older adults did not view themselves as at-risk for falls. Some older adults consider falls an inevitable part of ageing, while others believe that falls can be prevented. Cultural context may play a role in shaping these beliefs. Several studies reported on older adults' experiences and the perceived barriers and facilitators of participating in fall prevention activities. CONCLUSION Improving the accuracy of older adults' perceptions of their own fall risk and highlighting the fact that many falls are preventable are two key messages that may help motivate older adults to take action to prevent falls. Older adults cite their healthcare provider as a trusted source of prevention information, and clinicians can leverage this opportunity to inform and motivate older adult patients about fall prevention.
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Affiliation(s)
- Katelin M Alfaro Hudak
- Public Health department, NORC at the University of Chicago, Chicago, IL, USA
- Texas A&M AgriLife Research, Texas A&M University, El Paso, TX, USA
| | - Nada Adibah
- Public Health department, NORC at the University of Chicago, Chicago, IL, USA
| | - Erin Cutroneo
- Public Health department, NORC at the University of Chicago, Chicago, IL, USA
| | - Madeleine Liotta
- Public Health department, NORC at the University of Chicago, Chicago, IL, USA
| | - Anmol Sanghera
- Public Health department, NORC at the University of Chicago, Chicago, IL, USA
| | - Tracy Weeks-Gariepy
- Centers for Disease Control and Prevention (CDC) Foundation, Atlanta, GA, USA
| | - Eric Strunz
- Centers for Disease Control and Prevention (CDC) Foundation, Atlanta, GA, USA
| | - David B Rein
- Public Health department, NORC at the University of Chicago, Chicago, IL, USA
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Aloraini SM, Alothaim NK, Alsalamah NM, Aldaihan MM. Knowledge translation theories in fall prevention and balance control: A scoping review. PM R 2023; 15:1175-1193. [PMID: 35982513 DOI: 10.1002/pmrj.12888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Revised: 07/03/2022] [Accepted: 08/01/2022] [Indexed: 11/12/2022]
Abstract
Falls are a major problem all over the world. Falls may result in bone fractures, fear of falling, and reduced participation in activities of daily living and in social activities, thus, an increased cost of health care to the individual and the society. Falls occur as a result of compounding factors that combine and overwhelm an individual's ability to maintain or regain his or her balance. However, fall rates are often reported as high, suggesting the presence of a gap between clinical practices related to fall prevention and the knowledge of the best available evidence related to fall prevention. The science of knowledge translation (KT) offers a variety of theories that can facilitate the implementation of up-to-date knowledge among clinicians. Therefore, the aim of this study was to identify and review the use of knowledge translation theories, namely the Knowledge to Action Framework (KTA), Promoting Action on Research Implementation in Health Services framework (PARIHS), Consolidated Framework for Implementation Research (CFIR), and the Theoretical Domains Framework (TDF), in studies related to fall prevention and balance control. A scoping review was conducted to identify studies related to fall prevention and balance control that used one of these four KT theories. An extensive literature search was performed up to January 2021. Two independent reviewers conducted a study selection process followed by data extraction of the search results. Our results identified 16 studies that were related to the scope of our review, with three studies utilizing KTA, two studies using PARIHS, four studies using CFIR, and seven studies using the TDF. Overall, it appears that the use of KT theories is helpful to guide interventions for fall prevention and improve balance control. Future efforts are needed to facilitate the use of KT theories for guiding clinical practices related to fall prevention and balance control.
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Affiliation(s)
- Saleh M Aloraini
- Department of Physical Therapy, College of Medical Rehabilitation, Qassim University, Buraydah, Saudi Arabia
| | - Noot K Alothaim
- Department of Physical Therapy, College of Medical Rehabilitation, Qassim University, Buraydah, Saudi Arabia
| | - Norah M Alsalamah
- Department of Physical Therapy, College of Medical Rehabilitation, Qassim University, Buraydah, Saudi Arabia
| | - Mishal M Aldaihan
- Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
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Kwon J, Lee Y, Young T, Squires H, Harris J. Qualitative research to inform economic modelling: a case study in older people's views on implementing the NICE falls prevention guideline. BMC Health Serv Res 2021; 21:1020. [PMID: 34583685 PMCID: PMC8479997 DOI: 10.1186/s12913-021-07056-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2021] [Accepted: 09/13/2021] [Indexed: 11/26/2022] Open
Abstract
Background High prevalence of falls among older persons makes falls prevention a public health priority. Yet community-based falls prevention face complexity in implementation and any commissioning strategy should be subject to economic evaluation to ensure cost-effective use of healthcare resources. The study aims to capture the views of older people on implementing the National Institute for Health and Care Excellence (NICE) guideline on community-based falls prevention and explore how the qualitative data can be used to inform commissioning strategies and conceptual modelling of falls prevention economic evaluation in the local area of Sheffield. Methods Focus group and interview participants (n = 27) were recruited from Sheffield, England, and comprised falls prevention service users and eligible non-users of varying falls risks. Topics concerned key components of the NICE-recommended falls prevention pathway, including falls risk screening, multifactorial risk assessment and treatment uptake and adherence. Views on other topics concerning falls prevention were also invited. Framework analysis was applied for data analysis, involving data familiarisation, identifying themes, indexing, charting and mapping and interpretation. The qualitative data were mapped to three frameworks: (1) facilitators and barriers to implementing the NICE-recommended pathway and contextual factors; (2) intervention-related causal mechanisms for formulating commissioning strategies spanning context, priority setting, need, supply and demand; and (3) methodological and evaluative challenges for public health economic modelling. Results Two cross-component factors were identified: health motives of older persons; and professional competence. Participants highlighted the need for intersectoral approaches and prioritising the vulnerable groups. The local commissioning strategy should consider the socioeconomic, linguistic, geographical, legal and cultural contexts, priority setting challenges, supply-side mechanisms spanning provider, organisation, funding and policy (including intersectoral) and health and non-health demand motives. Methodological and evaluative challenges identified included: incorporating non-health outcomes and societal intervention costs; considering dynamic complexity; considering social determinants of health; and conducting equity analyses. Conclusions Holistic qualitative research can inform how commissioned falls prevention pathways can be feasible and effective. Qualitative data can inform commissioning strategies and conceptual modelling for economic evaluations of falls prevention and other geriatric interventions. This would improve the structural validity of quantitative models used to inform geriatric public health policies. Supplementary Information The online version contains supplementary material available at 10.1186/s12913-021-07056-1.
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Affiliation(s)
- Joseph Kwon
- School of Health and Related Research, University of Sheffield, Regent Court (ScHARR), 30 Regent Street, Sheffield, England, S1 4DA.
| | - Yujin Lee
- Warwick Medical School, University of Warwick, Gibbet Hill Road, Coventry, England, CV4 7AL
| | - Tracey Young
- School of Health and Related Research, University of Sheffield, Regent Court (ScHARR), 30 Regent Street, Sheffield, England, S1 4DA
| | - Hazel Squires
- School of Health and Related Research, University of Sheffield, Regent Court (ScHARR), 30 Regent Street, Sheffield, England, S1 4DA
| | - Janet Harris
- School of Health and Related Research, University of Sheffield, Regent Court (ScHARR), 30 Regent Street, Sheffield, England, S1 4DA
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Jansen CP, Gross M, Kramer-Gmeiner F, Blessing U, Becker C, Schwenk M. [Group-based exercise to prevent falls in community-dwelling older adults : Update of the 2009 recommendations of the German Federal Initiative to Prevent Falls]. Z Gerontol Geriatr 2021; 54:229-239. [PMID: 33825951 PMCID: PMC8096731 DOI: 10.1007/s00391-021-01876-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Accepted: 02/08/2021] [Indexed: 11/25/2022]
Abstract
Dieser Beitrag stellt eine Aktualisierung des Empfehlungspapiers der Bundesinitiative Sturzprävention für das körperliche Gruppentraining zur Sturzprävention bei älteren, zu Hause lebenden Menschen aus dem Jahre 2009 unter Berücksichtigung aktueller Evidenz dar. Das aktualisierte Empfehlungspapier zielt darauf ab, die Umsetzung ambulanter Sturzpräventionsgruppen zu fördern sowie konkrete Empfehlungen für deren Einrichtung und Durchführung auszusprechen. Die Empfehlungen beziehen sich auf die Identifikation und Ansprache der Zielgruppe für gruppenbasierte Sturzpräventionsprogramme sowie auf die Programmgestaltung und Qualitätssicherung. Hintergründe zu Finanzierung und Trainer*innen-Ausbildung werden samt einer Auflistung der in Deutschland etablierten Programme ebenfalls dargelegt.
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Affiliation(s)
- Carl-Philipp Jansen
- Netzwerk Alternsforschung, Universität Heidelberg, Bergheimer Straße 20, 69115, Heidelberg, Deutschland.,Abteilung für Geriatrie und Klinik für Geriatrische Rehabilitation, Robert-Bosch-Krankenhaus Stuttgart, Stuttgart, Deutschland
| | - Michaela Gross
- Abteilung für Geriatrie und Klinik für Geriatrische Rehabilitation, Robert-Bosch-Krankenhaus Stuttgart, Stuttgart, Deutschland
| | - Franziska Kramer-Gmeiner
- Netzwerk Alternsforschung, Universität Heidelberg, Bergheimer Straße 20, 69115, Heidelberg, Deutschland
| | - Ute Blessing
- Deutscher Olympischer Sportbund e. V., Frankfurt am Main, Deutschland
| | - Clemens Becker
- Abteilung für Geriatrie und Klinik für Geriatrische Rehabilitation, Robert-Bosch-Krankenhaus Stuttgart, Stuttgart, Deutschland
| | - Michael Schwenk
- Netzwerk Alternsforschung, Universität Heidelberg, Bergheimer Straße 20, 69115, Heidelberg, Deutschland.
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Gross M, Jansen CP, Blessing U, Rapp K, Schwenk M, Becker C. Empfehlungspapier für das körperliche Training zur Sturzprävention als Einzelangebot bei älteren, zu Hause lebenden Menschen. PHYSIOSCIENCE 2020. [DOI: 10.1055/a-1275-7716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Michaela Gross
- Robert-Bosch-Krankenhaus, Abteilung für Geriatrie und Klinik für geriatrische Rehabilitation, Stuttgart, Deutschland
| | - Carl-Philipp Jansen
- Universität Heidelberg, Netzwerk AlternsfoRschung (NAR), Heidelberg, Deutschland
| | - Ute Blessing
- Deutscher Olympischer Sportbund e. V., Frankfurt am Main, Deutschland
| | - Kilian Rapp
- Robert-Bosch-Krankenhaus, Abteilung für Geriatrie und Klinik für geriatrische Rehabilitation, Stuttgart, Deutschland
| | - Michael Schwenk
- Universität Heidelberg, Netzwerk AlternsfoRschung (NAR), Heidelberg, Deutschland
| | - Clemens Becker
- Robert-Bosch-Krankenhaus, Abteilung für Geriatrie und Klinik für geriatrische Rehabilitation, Stuttgart, Deutschland
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Gross M, Jansen CP, Blessing U, Rapp K, Schwenk M, Becker C. Empfehlungspapier für das körperliche Training zur Sturzprävention als Einzelangebot bei älteren, zu Hause lebenden Menschen. PHYSIOSCIENCE 2020. [DOI: 10.1055/a-1265-1207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Michaela Gross
- Robert-Bosch-Krankenhaus, Abteilung für Geriatrie und Klinik für geriatrische Rehabilitation, Stuttgart, Deutschland
| | - Carl-Philipp Jansen
- Universität Heidelberg, Netzwerk AlternsfoRschung (NAR), Heidelberg, Deutschland
| | - Ute Blessing
- Deutscher Olympischer Sportbund e. V., Frankfurt am Main, Deutschland
| | - Kilian Rapp
- Robert-Bosch-Krankenhaus, Abteilung für Geriatrie und Klinik für geriatrische Rehabilitation, Stuttgart, Deutschland
| | - Michael Schwenk
- Universität Heidelberg, Netzwerk AlternsfoRschung (NAR), Heidelberg, Deutschland
| | - Clemens Becker
- Robert-Bosch-Krankenhaus, Abteilung für Geriatrie und Klinik für geriatrische Rehabilitation, Stuttgart, Deutschland
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