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Falls and falls prevention in residential care: perspectives of older people in Western Australia and Wales, UK.

Tessa Watts Orcid Logo, Jacqui Francis -Coad

Swansea University Author: Tessa Watts Orcid Logo

Abstract

Background Older people living in residential care face a 50% chance of falling annually (Nyman and Victor 2011). Reducing falls through a range of multi-factorial falls prevention interventions is a goal of most provider organisations. To be effective interventions need to be adopted and enacted in...

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Published: Birmingham University, UK RCN International Nursing Research Conference 2018 2018
URI: https://cronfa.swan.ac.uk/Record/cronfa39518
first_indexed 2018-04-19T19:35:20Z
last_indexed 2018-05-09T19:34:41Z
id cronfa39518
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spelling 2018-05-09T14:26:17.7515136 v2 39518 2018-04-19 Falls and falls prevention in residential care: perspectives of older people in Western Australia and Wales, UK. 645eba17f8610ddff17b5022bc7f279c 0000-0002-1201-5192 Tessa Watts Tessa Watts true false 2018-04-19 Background Older people living in residential care face a 50% chance of falling annually (Nyman and Victor 2011). Reducing falls through a range of multi-factorial falls prevention interventions is a goal of most provider organisations. To be effective interventions need to be adopted and enacted in people’s daily lives. However, there is limited evidence identifying what older people think and understand about falls and falls prevention or what may limit or enable adoption of interventions in residential care settings. Aim This study aimed to ascertain knowledge and awareness of falls risks and prevention strategies and opportunities, motivation and confidence to adopt falls prevention activities amongst older adults living in residential care. MethodsA cross-sectional survey with a convenience sample of people (n=70) with mental capacity aged over 65 living in residential care in Australia (n=6) and Wales (n=6) between May 2015 and October 2016. A customised questionnaire developed using health behaviour change domains (Michi et al., 2011) incorporating open and closed questions and Likert scales was administered by researchers. Data were summarised using descriptive statistics and compared using the Mann-Whitney U test. Open-ended responses were transcribed and content analysis utilised.Results Participants had limited knowledge about intrinsic falls risk factors and strategies to address these. They frequently expressed self-blame regarding falling. Almost all [n=67, (95.7%)] felt highly motivated to maintain their current functional mobility and independence in everyday tasks. Preferences for falls prevention messages favoured a positive approach promoting wellness and independence via pictorial posters or brochures [n=37 (52.9%)] and small group discussions with demonstrations [n=18 (25.7%)].Conclusions Clear, current information about evidence for falls and strategies most beneficial for falls prevention must be provided. To be meaningful falls prevention education should be co-produced and re-framed around what motivates older people using alternative formats for delivery. This should facilitate intervention uptake and longer term adherence. Conference Paper/Proceeding/Abstract RCN International Nursing Research Conference 2018 Birmingham University, UK Falls prevention, residential care, survey 16 4 2018 2018-04-16 COLLEGE NANME COLLEGE CODE Swansea University 2018-05-09T14:26:17.7515136 2018-04-19T16:33:56.3074938 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing Tessa Watts 0000-0002-1201-5192 1 Jacqui Francis -Coad 2
title Falls and falls prevention in residential care: perspectives of older people in Western Australia and Wales, UK.
spellingShingle Falls and falls prevention in residential care: perspectives of older people in Western Australia and Wales, UK.
Tessa Watts
title_short Falls and falls prevention in residential care: perspectives of older people in Western Australia and Wales, UK.
title_full Falls and falls prevention in residential care: perspectives of older people in Western Australia and Wales, UK.
title_fullStr Falls and falls prevention in residential care: perspectives of older people in Western Australia and Wales, UK.
title_full_unstemmed Falls and falls prevention in residential care: perspectives of older people in Western Australia and Wales, UK.
title_sort Falls and falls prevention in residential care: perspectives of older people in Western Australia and Wales, UK.
author_id_str_mv 645eba17f8610ddff17b5022bc7f279c
author_id_fullname_str_mv 645eba17f8610ddff17b5022bc7f279c_***_Tessa Watts
author Tessa Watts
author2 Tessa Watts
Jacqui Francis -Coad
format Conference Paper/Proceeding/Abstract
publishDate 2018
institution Swansea University
publisher RCN International Nursing Research Conference 2018
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Nursing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Nursing
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description Background Older people living in residential care face a 50% chance of falling annually (Nyman and Victor 2011). Reducing falls through a range of multi-factorial falls prevention interventions is a goal of most provider organisations. To be effective interventions need to be adopted and enacted in people’s daily lives. However, there is limited evidence identifying what older people think and understand about falls and falls prevention or what may limit or enable adoption of interventions in residential care settings. Aim This study aimed to ascertain knowledge and awareness of falls risks and prevention strategies and opportunities, motivation and confidence to adopt falls prevention activities amongst older adults living in residential care. MethodsA cross-sectional survey with a convenience sample of people (n=70) with mental capacity aged over 65 living in residential care in Australia (n=6) and Wales (n=6) between May 2015 and October 2016. A customised questionnaire developed using health behaviour change domains (Michi et al., 2011) incorporating open and closed questions and Likert scales was administered by researchers. Data were summarised using descriptive statistics and compared using the Mann-Whitney U test. Open-ended responses were transcribed and content analysis utilised.Results Participants had limited knowledge about intrinsic falls risk factors and strategies to address these. They frequently expressed self-blame regarding falling. Almost all [n=67, (95.7%)] felt highly motivated to maintain their current functional mobility and independence in everyday tasks. Preferences for falls prevention messages favoured a positive approach promoting wellness and independence via pictorial posters or brochures [n=37 (52.9%)] and small group discussions with demonstrations [n=18 (25.7%)].Conclusions Clear, current information about evidence for falls and strategies most beneficial for falls prevention must be provided. To be meaningful falls prevention education should be co-produced and re-framed around what motivates older people using alternative formats for delivery. This should facilitate intervention uptake and longer term adherence.
published_date 2018-04-16T07:25:23Z
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