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

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....

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Main Authors: Hill, Keith, Day, L., Haines, T.
Format: Journal Article
Published: Dove Medical Press 2014
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/8957
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author Hill, Keith
Day, L.
Haines, T.
author_facet Hill, Keith
Day, L.
Haines, T.
author_sort Hill, Keith
building Curtin Institutional Repository
collection Online Access
description 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.
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spelling curtin-20.500.11937-89572017-09-13T14:35:41Z What factors influence community-dwelling older people’s intent to undertake multifactorial fall prevention programs? Hill, Keith Day, L. Haines, T. falls clinics motivation older adults falls prevention 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. 2014 Journal Article http://hdl.handle.net/20.500.11937/8957 10.2147/CIA.S72679 Dove Medical Press fulltext
spellingShingle falls clinics
motivation
older adults
falls prevention
Hill, Keith
Day, L.
Haines, T.
What factors influence community-dwelling older people’s intent to undertake multifactorial fall prevention programs?
title 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_short 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?
topic falls clinics
motivation
older adults
falls prevention
url http://hdl.handle.net/20.500.11937/8957