scholarly journals Barriers and Facilitators to Older Adults Participating in Fall-Prevention Strategies After Transitioning Home from Acute Hospitalization: A Scoping Review

2020 ◽  
Vol Volume 15 ◽  
pp. 971-989
Author(s):  
Huey-Ming Tzeng ◽  
Udoka Okpalauwaekwe ◽  
Elizabeth J Lyons
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Fall Prevention ◽  
Barriers And Facilitators ◽  
Prevention Strategies ◽  
Acute Hospitalization

scholarly journals The Experience and Perception of Physiotherapists in Nigeria re: Fall Prevention in Recurrent-Faller Older Adults

2019 ◽  
Author(s):  
Perpetua Obi ◽  
Henrietha Nwankwo ◽  
Diaemeta Emofe ◽  
Isreal Adandom ◽  
Michael Kalu
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Fall Prevention ◽  
Developing World ◽  
Phenomenological Approach ◽  
Developing Nations ◽  
Prevention Strategies ◽  
Face To Face ◽  
Rehabilitation Professionals ◽  
History Of

Background: Effective fall prevention practices are essential for reducing falls among older adults. Rehabilitation professionals like physiotherapists are essential members of the fall prevention team, yet little is known about the experiences of physiotherapists practicing fall prevention in developing nations. Objective: To explore the experiences of physiotherapists in Nigeria who practice fall prevention among older adults. Method: We adopted a phenomenological approach to the traditional qualitative design in this study. We purposefully selected and conducted face-to-face interview with twelve physiotherapists who have treated at least one older adult who reported falling two or three times within last six months. Data was analyzed using thematic analysis. Results: Four themes emerged from our participants: characteristics of recurrent fallers, fall prevention practices, hindrances to fall prevention, and strategies to promote fall prevention practices. In practice, understanding the characteristics (risk factors) of older adults with a history of recurrent falls is important for effective fall prevention practices among physiotherapists. Among other characteristics, our participants believed that older adults who have patronized “traditional bone setters/healer” are at the higher risk of having multiple falls. Conclusion: This study adds to the sparse amount of literature concerning the experience of physiotherapist in fall prevention practices in the developing world. More importantly, the findings of this study will strengthen or stimulate discussion around development of fall prevention strategies specific to the developing world context.

scholarly journals INTEREST GROUP SESSION—HEALTH BEHAVIOR CHANGE: USING DATA ABOUT PATIENT CHARACTERISTICS TO IMPROVE FALL PREVENTION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S566-S566
Author(s):  
Gwen Bergen
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Fall Prevention ◽  
Fall Risk ◽  
Healthcare Providers ◽  
Patient Characteristics ◽  
Health Behavior Change ◽  
Clinical Aspects ◽  
Evidence Based ◽  
Prevention Strategies

Abstract Over one in four U.S. older adults (age 65+) reports falling each year with fall-related medical costs estimated at $50 billion. The American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons recommends that healthcare providers assess and manage their patients’ fall risk. The Centers for Disease Control and Prevention’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) initiative helps healthcare providers incorporate these guidelines by providing tools on how to screen, assess, and intervene to reduce risk. Evaluations of fall prevention have focused on the clinical process and outcomes. Understanding clinical activities is important in fall prevention but a better understanding of older adult characteristics that increase fall-risk, and attitudes that may affect their adoption of evidence-based interventions could improve the effectiveness of prevention strategies. The five presentations in this session include: 1. Demographic, health and functional characteristics of older adults with increased fall risk. 2. Caregivers of people with chronic conditions or disability as a group with increased fall risk. 3. The most effective and efficient ways of identifying older adults with increased fall risk. 4. Facilitators and barriers to older adults’ adherence to evidence-based fall interventions. 5. Applying knowledge of older adult attitudes to improving an implementation of STEADI-based fall prevention. Multifactorial fall prevention strategies such as STEADI focus on the clinical aspects of fall prevention but their success depends on understanding and incorporating older adult characteristics and attitudes. The information presented in this session can inform fall prevention strategies and improve health.

Sex Differences in Perceptions toward Falls among Older Adults Living in the Community in Singapore

2020 ◽  
Vol 32 (10) ◽  
pp. 1355-1362
Author(s):  
Peter Kay Chai Tay ◽  
Angelique Chan ◽  
Pey June Tan ◽  
Chek Hooi Wong
Keyword(s):  
Older Adults ◽  
Sex Differences ◽  
Fall Prevention ◽  
Healthcare Delivery ◽  
Prevention Strategies ◽  
Perceived Susceptibility ◽  
Negative Perception

Fall prevention strategies informed by understanding sex differences in the perception of falls may be fruitful. Objectives: In the current research, we examined the consequence of having a recent fall episode on sex differences in fall perception based on the postulation that having a recent fall can lead to perceived susceptibility and attenuate male stereotypic perceptions toward falls. Methods and Results: Examining 549 older adults (337 women) living in the community, men reported higher falls efficacy, less negative perception related to the effect of a fall, and lower tendency to restrict activities to prevent falls. These sex differences were observed only among those who did not have a recent fall episode, and no significant sex differences were observed among those who fell. Discussion: The findings suggest that a recent fall episode may underlie sex differences in falls perception. The implications of sex differences in perceptions in falls for healthcare delivery and outcomes are discussed.

scholarly journals Barriers and facilitators to the implementation of social robots for older adults and people with dementia: a scoping review protocol

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Wei Qi Koh ◽  
Simone Anna Felding ◽  
Elaine Toomey ◽  
Dympna Casey
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Evidence Synthesis ◽  
Methodological Approach ◽  
Psychosocial Health ◽  
Social Robots ◽  
Barriers And Facilitators ◽  
Link Type ◽  
People With Dementia ◽  
Scoping Reviews

Abstract Background Psychosocial health issues such as depression and social isolation are an important cause of morbidity and premature mortality for older adults and people with dementia. Social robots are promising technological innovations to deliver effective psychosocial interventions to promote psychosocial wellbeing. Studies have reported positive findings regarding this technology on the psychosocial health of older adults and people with dementia. However, despite positive findings of the effects of social robots for older adults and people with dementia, little is known about factors affecting their implementation in practice. Methods This study follows Arksey and O’Malley’s approach and methodological enhancement by Levac et al. Relevant articles will be identified by searching electronic databases: MEDLINE, Embase, PsycINFO, Scopus, Web of Science, Compendex and PubMed. A two-phase screening process will be undertaken by two independent reviewers to determine articles’ inclusion. Findings will be summarised and reported thematically based on domains in the Consolidated Framework of Implementation Research (CFIR) and presented narratively. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR) will guide the reporting of findings. Discussion Reporting the protocol in advance of conducting the review will ensure that rigorous and transparent methodological approach is undertaken. The outcomes of the review include identifying variants in terminologies used to describe implementation, identifying the scope of the literature regarding the barriers and facilitators affecting the implementation of social robots and identifying research gaps to guide further empirical research in this field. This evidence synthesis constitutes part of a bigger project aimed to develop implementation guidelines for social robotics for older adults with dementia. Since the methodological process consists of reviewing and collecting data from publicly available data, this study does not require approval from a research ethics board. Scoping review registration Our protocol is registered with the Open Science Framework (https://osf.io/2x3y9/) as an open access article, under the Creative Commons Attribution Non Commercial (CC BY-NC-4.0) license, which allows others to distribute, remix, adapt and build on this work on a non-commercial basis, and license their derivative work using different terms, on the basis that the original basis is properly cited and the use is non-commercial (http://creativecommons.org/licenses/by-nc/4.0/).

scholarly journals Occupational Therapy and the Use of Technology on Older Adult Fall Prevention: A Scoping Review

2021 ◽  
Vol 18 (2) ◽  
pp. 702
Author(s):  
María del Carmen Miranda-Duro ◽  
Laura Nieto-Riveiro ◽  
Patricia Concheiro-Moscoso ◽  
Betania Groba ◽  
Thais Pousada ◽  
...  
Keyword(s):  
Older Adults ◽  
Occupational Therapy ◽  
Scoping Review ◽  
Fall Prevention ◽  
Fall Risk ◽  
Daily Living ◽  
Web Of Science ◽  
Research Question ◽  
Use Of Technology ◽  
Falls In Older Adults

Introduction: Falls are the second leading cause of accidental or non-intentional deaths worldwide and are the most common problem as people age. The primary purpose of addressing falls is to detect, prevent, treat, and reduce their incidence and consequences. Previous studies identified that multifactorial programs, an interprofessional team, and assistive technology are required to address falls in older adults effectively. Accordingly, the research question is as follows: what are the scope, type of studies, and approaches and strategies to fall risk using technology in the existing occupational therapy literature regarding interventions to address the effects of falls in older adults on daily living? Methods: This scoping review was carried out in January 2020 through Biblioteca Virtual de Salud España, C.I.N.A.H.L., Cochrane Plus, OTSeeker, PubMed, Scopus, and Web of Science. Results: Twelve papers were included. We analyzed the year and journal of publication, authors’ affiliation, and design of the study, and thematic categories. There were three themes: participants’ characteristics, type of intervention, and fall approach and type of technology used. Discussion and Conclusions: The literature obtained is scarce. It is considered to still be an emerging theme, especially when considering the use of technology for occupational therapy.

Anxiety symptoms during hospitalization of elderly are associated with increased risk of post-discharge falls

2016 ◽  
Vol 28 (6) ◽  
pp. 951-958 ◽  
Author(s):  
Maayan Agmon ◽  
Anna Zisberg ◽  
Orly Tonkikh ◽  
Gary Sinoff ◽  
Efrat Shadmi
Keyword(s):  
Older Adults ◽  
Fall Prevention ◽  
Functional Decline ◽  
Anxiety Symptoms ◽  
Prevention Strategies ◽  
Post Discharge ◽  
Medical Centers ◽  
Increased Risk ◽  
The Relationship

ABSTRACTBackground:The aim of this study was to test the association between anxiety at the time of hospitalization and falls occurring within one month of discharge, and to offer potential mechanisms for this association.Methods:One-month, prospective cohort study of 556 older adults in two medical centers in Israel. Anxiety and functional decline were assessed during hospitalization and falls were assessed one month post-discharge.Results:A total of 72 (12.9%) participants reported at least one fall during the 30-day post-discharge period. Controlling for demographics, functional decline and pre-morbid functional status, the odds of falls between discharge, and 1-month follow-up were almost twice as high among patients with anxiety symptoms (OR = 1.89, 95% CI: 1.04-3.48) compared with those who screened negative for anxiety. After accounting for in-hospital functional decline, the relationship between anxiety symptoms and falls decreased by 11% (from OR = 2.13 to 1.89), indicating that the relationship between anxiety and falls was partially mediated by functional decline during hospitalization.Conclusions:Anxiety at time of hospitalization is associated with falls 30-days post-discharge, controlling for several well-known confounders. This relationship is partially mediated by functional decline. Identifying patients with anxiety for inclusion in targeted rehabilitation interventions may be an important component of fall prevention strategies.

scholarly journals Evidence to Improve Physical Activity among Medically Underserved Older adults: A Scoping Review

2018 ◽  
Vol 59 (4) ◽  
pp. e279-e293 ◽  
Author(s):  
Yi-Ling Hu ◽  
Kristin Junge ◽  
An Nguyen ◽  
Kelsey Hiegel ◽  
Emily Somerville ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Scoping Review ◽  
Intervention Studies ◽  
Included Study ◽  
Barriers And Facilitators ◽  
Medically Underserved ◽  
Cochrane Library ◽  
Level Of Evidence ◽  
Race Ethnicity

AbstractBackground and ObjectivesParticipation in leisure physical activity (PA) and engagement in PA interventions among older adults is influenced by socioeconomic status (SES), race/ethnicity, and environment. However, studies of PA for medically underserved older adults have not yet been systematically evaluated. The objective of this study is to map the nature and extent of research conducted on PA participation, interventions, and components of effective leisure PA programs for medically underserved older adults.Research Design and MethodsThe five-stage approach was used to conduct this scoping review. We searched PubMed, CINAHL, and Cochrane Library for peer-reviewed studies published between 2006 and 2016. Data extracted from selected studies included study population, study type, purpose of intent, evidence level, barriers to PA participation, and components of PA intervention.ResultsThree hundred and ninety-two articles were identified, and 60 studies were included in the final data charting. Existing literature showed that most studies remained descriptive in nature, and few intervention studies have achieved a high level of evidence. Among 21 intervention studies, only 4 were explicitly conducted for older adults. Culturally adapted materials, race/ethnicity-specific barriers and facilitators, and form of intervention were important components for intervention programs.Discussion and ImplicationsFindings indicate that more studies are needed to reduce health disparities related to PA participation for medically underserved older adults. Intervention components such as race/ethnicity-relevant barriers and facilitators and culturally sensitive materials are also needed for PA interventions targeting underserved older adults in order to provide evidence for best practices.

scholarly journals Barriers and Facilitators to the Implementation of Social Robots for Older Adults and People with Dementia: A Scoping Review Protocol

2020 ◽  
Author(s):  
Wei Qi Koh ◽  
Simone Anna Felding ◽  
Elaine Toomey ◽  
Dympna Casey
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Evidence Synthesis ◽  
Methodological Approach ◽  
Psychosocial Health ◽  
Social Robots ◽  
Barriers And Facilitators ◽  
Screening Process ◽  
People With Dementia ◽  
Scoping Reviews

Abstract Background Psychosocial health issues such as depression and social isolation are an important cause of morbidity and premature mortality for older adults and people with dementia. Social robots are promising technological innovations to deliver effective psychosocial interventions to promote psychosocial wellbeing. Studies have reported positive findings regarding this technology on the psychosocial health of older adults and people with dementia. However, despite positive findings of the effects of social robots for older adults and people with dementia, little is known about factors affecting their implementation in practice.Methods This study follows Arksey and O’Malley’s approach and methodological enhancement by Levac et al (2010). Relevant articles will be identified by searching electronic databases: MEDLINE, EMBASE, PsycINFO, Scopus, Web of Science, Compendex and PubMed A two-phase screening process will be undertaken by two independent reviewers to determine articles’ inclusion. Findings will be summarized and reported thematically based on domains in the Consolidated Framework of Implementation Research (CFIR) and presented narratively. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR) will guide the reporting of findings.Discussion Reporting the protocol in advance of conducting the review will ensure a rigorous and transparent methodological approach is undertaken. The outcomes of the review include identifying variants in terminologies used to describe implementation, identifying the scope of the literature regarding the barriers and facilitators affecting the implementation of social robots, and identify research gaps to guide further empirical research in this field. This evidence synthesis constitutes part of a bigger project aimed to develop implementation guidelines for social robotics for older adults with dementia. Since the methodological process consists of reviewing and collecting data from publicly available data, this study does not require approval from a research ethics board.Scoping Review Registration Our protocol is registered with the Open Science Framework (https://osf.io/2x3y9/) as an open access article, under the Creative Commons Attribution Non Commercial (CC BY-NC-4.0) license, which allows others to distribute, remix, adapt and build on this work on a non-commercial basis, and license their derivative work using different terms, on the basis that the original basis is properly cited and the use is non-commercial (http://creativecommons.org/licenses/by-nc/4.0/).

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