What factors influence community-dwelling older people’s intent to undertake multifactorial fall prevention programs?

What factors influence community-dwelling older people’s intent to undertake multifactorial fall prevention programs?

Keith D Hill,1,2 Lesley Day,3 Terry P Haines4,5 1School of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, Perth, WA, Australia; 2National Ageing Research Institute, Royal Melbourne Hospital, Parkville, VIC, Australia; 3Falls Prevention Research Unit, Monash Injur...

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Autores principales: Hill KD, Day L, Haines TP
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2014
Materias:
falls prevention
falls clinics
elderly
motivation
Geriatrics
RC952-954.6
Acceso en línea:https://doaj.org/article/dfc03d2b85144eb89088cd0f285e85c6
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spelling oai:doaj.org-article:dfc03d2b85144eb89088cd0f285e85c62021-12-02T00:21:56ZWhat factors influence community-dwelling older people’s intent to undertake multifactorial fall prevention programs?1178-1998https://doaj.org/article/dfc03d2b85144eb89088cd0f285e85c62014-11-01T00:00:00Zhttps://www.dovepress.com/what-factors-influence-community-dwelling-older-peoplersquos-intent-to-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Keith D Hill,1,2 Lesley Day,3 Terry P Haines4,5 1School of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, Perth, WA, Australia; 2National Ageing Research Institute, Royal Melbourne Hospital, Parkville, VIC, Australia; 3Falls Prevention Research Unit, Monash Injury Research Institute, Monash University, VIC, Australia; 4Allied Health Research Unit, Southern Health, Cheltenham, VIC, Australia; 5Physiotherapy Department, Faculty of Medicine, Nursing, and Health Sciences, Monash University, VIC, Australia Purpose: To investigate previous, current, or planned participation in, and perceptions toward, multifactorial fall prevention programs such as those delivered through a falls clinic in the community setting, and to identify factors influencing older people’s intent to undertake these interventions.Design and methods: Community-dwelling people aged >70 years completed a telephone survey. Participants were randomly selected from an electronic residential telephone listing, but purposeful sampling was used to include equal numbers with and without common chronic health conditions associated with fall-related hospitalization. The survey included scenarios for fall prevention interventions, including assessment/multifactorial interventions, such as those delivered through a falls clinic. Participants were asked about previous exposure to, or intent to participate in, the interventions. A path model analysis was used to identify factors associated with intent to participate in assessment/multifactorial interventions.Results: Thirty of 376 participants (8.0%) reported exposure to a multifactorial falls clinic-type intervention in the past 5 years, and 16.0% expressed intention to undertake this intervention. Of the 132 participants who reported one or more falls in the past 12 months, over one-third were undecided or disagreed that a falls clinic type of intervention would be of benefit to them. Four elements from the theoretical model positively influenced intention to participate in the intervention: personal perception of intervention effectiveness, self-perceived risk of falls, self-perceived risk of injury, and inability to walk up/down steps without a handrail (P<0.05).Conclusion: Multifactorial falls clinic-type interventions are not commonly accessed or considered as intended fall prevention approaches among community-dwelling older people, even among those with falls in the past 12 months. Factors identified as influencing intention to undertake these interventions may be useful in promoting or targeting these interventions. Keywords: falls prevention, falls clinics, older adults, motivationHill KDDay LHaines TPDove Medical Pressarticlefalls preventionfalls clinicselderlymotivationGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 2045-2053 (2014)
institution DOAJ
collection DOAJ
language EN
topic falls prevention
falls clinics
elderly
motivation
Geriatrics
RC952-954.6
spellingShingle falls prevention
falls clinics
elderly
motivation
Geriatrics
RC952-954.6
Hill KD
Day L
Haines TP
What factors influence community-dwelling older people’s intent to undertake multifactorial fall prevention programs?
description Keith D Hill,1,2 Lesley Day,3 Terry P Haines4,5 1School of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, Perth, WA, Australia; 2National Ageing Research Institute, Royal Melbourne Hospital, Parkville, VIC, Australia; 3Falls Prevention Research Unit, Monash Injury Research Institute, Monash University, VIC, Australia; 4Allied Health Research Unit, Southern Health, Cheltenham, VIC, Australia; 5Physiotherapy Department, Faculty of Medicine, Nursing, and Health Sciences, Monash University, VIC, Australia Purpose: To investigate previous, current, or planned participation in, and perceptions toward, multifactorial fall prevention programs such as those delivered through a falls clinic in the community setting, and to identify factors influencing older people’s intent to undertake these interventions.Design and methods: Community-dwelling people aged >70 years completed a telephone survey. Participants were randomly selected from an electronic residential telephone listing, but purposeful sampling was used to include equal numbers with and without common chronic health conditions associated with fall-related hospitalization. The survey included scenarios for fall prevention interventions, including assessment/multifactorial interventions, such as those delivered through a falls clinic. Participants were asked about previous exposure to, or intent to participate in, the interventions. A path model analysis was used to identify factors associated with intent to participate in assessment/multifactorial interventions.Results: Thirty of 376 participants (8.0%) reported exposure to a multifactorial falls clinic-type intervention in the past 5 years, and 16.0% expressed intention to undertake this intervention. Of the 132 participants who reported one or more falls in the past 12 months, over one-third were undecided or disagreed that a falls clinic type of intervention would be of benefit to them. Four elements from the theoretical model positively influenced intention to participate in the intervention: personal perception of intervention effectiveness, self-perceived risk of falls, self-perceived risk of injury, and inability to walk up/down steps without a handrail (P<0.05).Conclusion: Multifactorial falls clinic-type interventions are not commonly accessed or considered as intended fall prevention approaches among community-dwelling older people, even among those with falls in the past 12 months. Factors identified as influencing intention to undertake these interventions may be useful in promoting or targeting these interventions. Keywords: falls prevention, falls clinics, older adults, motivation
format article
author Hill KD
Day L
Haines TP
author_facet Hill KD
Day L
Haines TP
author_sort Hill KD
title What factors influence community-dwelling older people’s intent to undertake multifactorial fall prevention programs?
title_short What factors influence community-dwelling older people’s intent to undertake multifactorial fall prevention programs?
title_full What factors influence community-dwelling older people’s intent to undertake multifactorial fall prevention programs?
title_fullStr What factors influence community-dwelling older people’s intent to undertake multifactorial fall prevention programs?
title_full_unstemmed What factors influence community-dwelling older people’s intent to undertake multifactorial fall prevention programs?
title_sort what factors influence community-dwelling older people’s intent to undertake multifactorial fall prevention programs?
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/dfc03d2b85144eb89088cd0f285e85c6
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