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Centre for Policy on Ageing | |
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Falls prevention education for older adults during and after hospitalization
— a systematic review and meta-analysis | | Author(s) | Den-Ching A Lee, Elizabeth Pritchard, Fiona McDermott, Terry P Haines |
| Journal title | Health Education Journal, vol 73, no 6, September 2014 |
| Publisher | Sage, September 2014 |
| Pages | pp 530-544 |
| Source | hej.sagepub.com |
| Keywords | Falls ; Preventative medicine ; Patients ; Admission [hospitals] ; Discharge [hospitals] ; Literature reviews. |
| Annotation | The effectiveness of patient education in reducing falls, promoting behavioural change and the uptake of prevention activities in older adults during and after hospitalisation is assessed in this systematic review and meta-analysis. A systematic search of five health science databases was performed up to November 2012. Studies that investigated patient education as a single intervention or in a multifactorial falls prevention programme in the hospital and/or post-discharge community settings, were eligible for inclusion. Standard meta-analysis methods were used to assess the effectiveness of patient education compared to usual care. Tests for heterogeneity, subgroup meta-analyses and a priori subgroup meta-analyses were performed for primary outcomes, where appropriate. Primary outcomes were incidence of falls, falls-related injury and healthcare use due to falls. Secondary outcomes were mechanisms of behavioural change in falls prevention. Qualitative data were analysed by narrative review. Falls prevention programmes that contained patient education were effective in reducing fall rates amongst hospital inpatients and post-discharge populations (risk ratio [RR] 0.77, 95% confidence interval [CI] 0.69 to 0.87), and in reducing the proportion of patients who became fallers in hospital (RR 0.78, 95% CI 0.7 to 0.87). Patient education generally increased knowledge about falls and awareness of prevention strategies. The uptake of strategies may be dependent on the activities being targeted. alls prevention education should be recommended for older adults while in hospital and following discharge. Falls education programmes should consider the use of intensive face-to-face patient education with multimedia materials in preference to provision of written information alone or brief amounts of interpersonal contact. (RH). |
| Accession Number | CPA-151522231 A |
| Classmark | OLF: LK2: LF: LD:QKH: LD:QKJ: 64A |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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