Use of the Analytic Hierarchy Process (AHP) for examining healthcare professionals’ assessments of the relative importance of risk factors for falls in community-dwelling older people

Background: a gap exists between evidence-based medicine and clinical-practice. Every day, healthcare professionals (HCPs) combine empirical evidence and subjective experience in order to maximise the effectiveness of interventions. Consequently, it is important to understand how HCPs interpret the...

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Main Authors: Pecchia, Leandro, Bath, Peter A., Pendleton, Neil, Bracale, Marcello
Format: Article
Published: Schattauer 2011
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Online Access:https://eprints.nottingham.ac.uk/1569/
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author Pecchia, Leandro
Bath, Peter A.
Pendleton, Neil
Bracale, Marcello
author_facet Pecchia, Leandro
Bath, Peter A.
Pendleton, Neil
Bracale, Marcello
author_sort Pecchia, Leandro
building Nottingham Research Data Repository
collection Online Access
description Background: a gap exists between evidence-based medicine and clinical-practice. Every day, healthcare professionals (HCPs) combine empirical evidence and subjective experience in order to maximise the effectiveness of interventions. Consequently, it is important to understand how HCPs interpret the research evidence and apply it in everyday practice. We focused on the prevention of falls, a common cause of injury-related morbidity and mortality in later life, for which there is a wide range of known risk factors. Objectives: to use the Analytic Hierarchy Process (AHP) to investigate the opinions of HCPs in prioritizing risk factors for preventing falls. Methods: we used the AHP to develop a hierarchy of risk factors for falls based on the knowledge and experience of experts. We submitted electronic questionnaires via the web, in order to reach a wider number of respondents. With a web service, we pooled the results and weighted the coherence and the experience of respondents. Results: Overall, 232 respondents participated in the study: 32 in the technical pilot study, nine in the scientific pilot study and 191 respondents in the main study. We identified a hierarchy of 35 risk factors, organized in two categories and six sub-categories. Conclusions: The hierarchy of risk factors provides further insights into clinicians’ perceptions of risk factors for falls. This hierarchy helps understand the relative importance that clinicians place on risk factors for falls in older people and why evidence-based guidelines are not always followed. This information may be helpful in improving intervention programmes and in understanding how clinicians prioritise multiple risk factors in individual patients. The AHP method allows the opinions of HCPs to be investigated, giving appropriate weight to their coherence, background and experience.
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spelling nottingham-15692020-05-04T20:24:27Z https://eprints.nottingham.ac.uk/1569/ Use of the Analytic Hierarchy Process (AHP) for examining healthcare professionals’ assessments of the relative importance of risk factors for falls in community-dwelling older people Pecchia, Leandro Bath, Peter A. Pendleton, Neil Bracale, Marcello Background: a gap exists between evidence-based medicine and clinical-practice. Every day, healthcare professionals (HCPs) combine empirical evidence and subjective experience in order to maximise the effectiveness of interventions. Consequently, it is important to understand how HCPs interpret the research evidence and apply it in everyday practice. We focused on the prevention of falls, a common cause of injury-related morbidity and mortality in later life, for which there is a wide range of known risk factors. Objectives: to use the Analytic Hierarchy Process (AHP) to investigate the opinions of HCPs in prioritizing risk factors for preventing falls. Methods: we used the AHP to develop a hierarchy of risk factors for falls based on the knowledge and experience of experts. We submitted electronic questionnaires via the web, in order to reach a wider number of respondents. With a web service, we pooled the results and weighted the coherence and the experience of respondents. Results: Overall, 232 respondents participated in the study: 32 in the technical pilot study, nine in the scientific pilot study and 191 respondents in the main study. We identified a hierarchy of 35 risk factors, organized in two categories and six sub-categories. Conclusions: The hierarchy of risk factors provides further insights into clinicians’ perceptions of risk factors for falls. This hierarchy helps understand the relative importance that clinicians place on risk factors for falls in older people and why evidence-based guidelines are not always followed. This information may be helpful in improving intervention programmes and in understanding how clinicians prioritise multiple risk factors in individual patients. The AHP method allows the opinions of HCPs to be investigated, giving appropriate weight to their coherence, background and experience. Schattauer 2011 Article PeerReviewed Pecchia, Leandro, Bath, Peter A., Pendleton, Neil and Bracale, Marcello (2011) Use of the Analytic Hierarchy Process (AHP) for examining healthcare professionals’ assessments of the relative importance of risk factors for falls in community-dwelling older people. Methods of Information in Medicine, 50 (5). pp. 435-444. ISSN 0026-1270 risk factors for falls risk factors for falls in elderly preventing falls in the elderly Analytic Hierarchy Process (AHP) http://www.schattauer.de/de/magazine/uebersicht/zeitschriften-a-z/methods/contents/archive/issue/1455/manuscript/15343.html doi:10.3414/ME10-01-0028 doi:10.3414/ME10-01-0028
spellingShingle risk factors for falls
risk factors for falls in elderly
preventing falls in the elderly
Analytic Hierarchy Process (AHP)
Pecchia, Leandro
Bath, Peter A.
Pendleton, Neil
Bracale, Marcello
Use of the Analytic Hierarchy Process (AHP) for examining healthcare professionals’ assessments of the relative importance of risk factors for falls in community-dwelling older people
title Use of the Analytic Hierarchy Process (AHP) for examining healthcare professionals’ assessments of the relative importance of risk factors for falls in community-dwelling older people
title_full Use of the Analytic Hierarchy Process (AHP) for examining healthcare professionals’ assessments of the relative importance of risk factors for falls in community-dwelling older people
title_fullStr Use of the Analytic Hierarchy Process (AHP) for examining healthcare professionals’ assessments of the relative importance of risk factors for falls in community-dwelling older people
title_full_unstemmed Use of the Analytic Hierarchy Process (AHP) for examining healthcare professionals’ assessments of the relative importance of risk factors for falls in community-dwelling older people
title_short Use of the Analytic Hierarchy Process (AHP) for examining healthcare professionals’ assessments of the relative importance of risk factors for falls in community-dwelling older people
title_sort use of the analytic hierarchy process (ahp) for examining healthcare professionals’ assessments of the relative importance of risk factors for falls in community-dwelling older people
topic risk factors for falls
risk factors for falls in elderly
preventing falls in the elderly
Analytic Hierarchy Process (AHP)
url https://eprints.nottingham.ac.uk/1569/
https://eprints.nottingham.ac.uk/1569/
https://eprints.nottingham.ac.uk/1569/