Implementation and Evaluation of a Fall Risk Screening Strategy Among Frail Older Adults for the Primary Care Setting: A Study Protocol

WMA Meekes,1 CJ Leemrijse,2 JC Korevaar,2 JMAE Henquet,3 M Nieuwenhuis,4 LAM van de Goor1 1Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, Noord-Brabant, Netherlands; 2NIVEL, Utrecht, Netherlands; 3Huisartsenpraktijk de Ypelaer, Hilvarenbeek, Noord-Brabant, Net...

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Autores principales:	Meekes WMA, Leemrijse CJ, Korevaar JC, Henquet JMAE, Nieuwenhuis M, van de Goor LAM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	preventive medicine primary care geriatric medicine risk management Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/da3608d8ea884d87bd414e9368de1b7f
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spelling	oai:doaj.org-article:da3608d8ea884d87bd414e9368de1b7f2021-12-02T11:48:30ZImplementation and Evaluation of a Fall Risk Screening Strategy Among Frail Older Adults for the Primary Care Setting: A Study Protocol1178-1998https://doaj.org/article/da3608d8ea884d87bd414e9368de1b7f2020-09-01T00:00:00Zhttps://www.dovepress.com/implementation-and-evaluation-of-a-fall-risk-screening-strategy-among--peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998WMA Meekes,1 CJ Leemrijse,2 JC Korevaar,2 JMAE Henquet,3 M Nieuwenhuis,4 LAM van de Goor1 1Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, Noord-Brabant, Netherlands; 2NIVEL, Utrecht, Netherlands; 3Huisartsenpraktijk de Ypelaer, Hilvarenbeek, Noord-Brabant, Netherlands; 4Fysiotherapie Nieuwenhuis, Best, Noord-Brabant, NetherlandsCorrespondence: WMA MeekesTranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, 5000 LE Tilburg, Postbus 90153, NetherlandsTel +31 13 466 4451Email w.m.a.meekes@tilburguniversity.eduBackground: Falls are an increasing problem among older people. There are several evidence-based interventions available to prevent falls. However, these are not always well implemented in the primary care setting. General practitioners (GPs) are often the first point of contact for health issues, making them the designated professionals for providing falls prevention. Because GPs are often unaware which patients have a high fall risk and patients themselves do not always know they have a high fall risk, this study aims to evaluate the implementation of a targeted fall risk screening strategy among independently living, frail older people in the primary care setting.Materials and Methods: The targeted fall risk screening strategy used in this study consists of tools for screening high fall risk and for identifying the underlying cause(s) of the high fall risk, an accredited training course in falls prevention for professionals, and service provision by certified physio- and exercise therapists who are able to offer evidence-based falls prevention interventions. This targeted fall risk screening strategy will be implemented in the primary care setting and evaluated at the level of the GP practice and at the level of the patient by using the RE-AIM model of Glasgow et al. In a pre-posttest design, data will be collected of the total number of frail older people who are screened, referred and enrolled for fall-preventive care. Furthermore, barriers and facilitators of the implementation of the fall risk screening strategy will be identified by conducting focus groups and interviews with the care providers and frail older patients. Additionally, the influence of the falls prevention interventions on frail older patients will be evaluated by using a pre-posttest design with a 12-month follow-up period during which data are collected regarding patients’ stability, mobility, strength, balance, self-efficacy, health status, and daily activities.Study Registration: This study is approved by the Medical Ethics Committee Brabant, the Netherlands (NL61582.028.17/ P1732) and registered at the Netherlands Trial Register, NL7917.Keywords: preventive medicine, primary care, geriatric medicine, risk managementMeekes WMALeemrijse CJKorevaar JCHenquet JMAENieuwenhuis Mvan de Goor LAMDove Medical Pressarticlepreventive medicineprimary caregeriatric medicinerisk managementGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 1625-1636 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	preventive medicine primary care geriatric medicine risk management Geriatrics RC952-954.6
spellingShingle	preventive medicine primary care geriatric medicine risk management Geriatrics RC952-954.6 Meekes WMA Leemrijse CJ Korevaar JC Henquet JMAE Nieuwenhuis M van de Goor LAM Implementation and Evaluation of a Fall Risk Screening Strategy Among Frail Older Adults for the Primary Care Setting: A Study Protocol
description	WMA Meekes,1 CJ Leemrijse,2 JC Korevaar,2 JMAE Henquet,3 M Nieuwenhuis,4 LAM van de Goor1 1Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, Noord-Brabant, Netherlands; 2NIVEL, Utrecht, Netherlands; 3Huisartsenpraktijk de Ypelaer, Hilvarenbeek, Noord-Brabant, Netherlands; 4Fysiotherapie Nieuwenhuis, Best, Noord-Brabant, NetherlandsCorrespondence: WMA MeekesTranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, 5000 LE Tilburg, Postbus 90153, NetherlandsTel +31 13 466 4451Email w.m.a.meekes@tilburguniversity.eduBackground: Falls are an increasing problem among older people. There are several evidence-based interventions available to prevent falls. However, these are not always well implemented in the primary care setting. General practitioners (GPs) are often the first point of contact for health issues, making them the designated professionals for providing falls prevention. Because GPs are often unaware which patients have a high fall risk and patients themselves do not always know they have a high fall risk, this study aims to evaluate the implementation of a targeted fall risk screening strategy among independently living, frail older people in the primary care setting.Materials and Methods: The targeted fall risk screening strategy used in this study consists of tools for screening high fall risk and for identifying the underlying cause(s) of the high fall risk, an accredited training course in falls prevention for professionals, and service provision by certified physio- and exercise therapists who are able to offer evidence-based falls prevention interventions. This targeted fall risk screening strategy will be implemented in the primary care setting and evaluated at the level of the GP practice and at the level of the patient by using the RE-AIM model of Glasgow et al. In a pre-posttest design, data will be collected of the total number of frail older people who are screened, referred and enrolled for fall-preventive care. Furthermore, barriers and facilitators of the implementation of the fall risk screening strategy will be identified by conducting focus groups and interviews with the care providers and frail older patients. Additionally, the influence of the falls prevention interventions on frail older patients will be evaluated by using a pre-posttest design with a 12-month follow-up period during which data are collected regarding patients’ stability, mobility, strength, balance, self-efficacy, health status, and daily activities.Study Registration: This study is approved by the Medical Ethics Committee Brabant, the Netherlands (NL61582.028.17/ P1732) and registered at the Netherlands Trial Register, NL7917.Keywords: preventive medicine, primary care, geriatric medicine, risk management
format	article
author	Meekes WMA Leemrijse CJ Korevaar JC Henquet JMAE Nieuwenhuis M van de Goor LAM
author_facet	Meekes WMA Leemrijse CJ Korevaar JC Henquet JMAE Nieuwenhuis M van de Goor LAM
author_sort	Meekes WMA
title	Implementation and Evaluation of a Fall Risk Screening Strategy Among Frail Older Adults for the Primary Care Setting: A Study Protocol
title_short	Implementation and Evaluation of a Fall Risk Screening Strategy Among Frail Older Adults for the Primary Care Setting: A Study Protocol
title_full	Implementation and Evaluation of a Fall Risk Screening Strategy Among Frail Older Adults for the Primary Care Setting: A Study Protocol
title_fullStr	Implementation and Evaluation of a Fall Risk Screening Strategy Among Frail Older Adults for the Primary Care Setting: A Study Protocol
title_full_unstemmed	Implementation and Evaluation of a Fall Risk Screening Strategy Among Frail Older Adults for the Primary Care Setting: A Study Protocol
title_sort	implementation and evaluation of a fall risk screening strategy among frail older adults for the primary care setting: a study protocol
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/da3608d8ea884d87bd414e9368de1b7f
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Implementation and Evaluation of a Fall Risk Screening Strategy Among Frail Older Adults for the Primary Care Setting: A Study Protocol

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