Posthospital Falls Prevention Intervention: A Mixed-Methods Study

in Journal of Aging and Physical Activity
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Objective: Posthospital discharge shows increased risk for falls in older people. This pilot study was created to determine feasibility and acceptability of a community-delivered posthospital multifactorial program. Method: This mixed-method study used randomized controlled design (quantitative component) and interviews (qualitative component). People aged ≥65 years, hospitalized for a fall, underwent assessment for quality of life and falls-related outcomes, followed by interviews, randomization into intervention (exercise, medication review, and education) or control group, and follow-up at 6 months. Results: Thirteen people commenced, with 10 people assessed at 6 months. Participants were complex with high degrees of frailty, multimorbidity, polypharmacy, and falls risk. Interview data related to intervention, impacts on quality of life, and fall-related outcomes. Conclusion: Preliminary findings suggest suitability of a multifactorial program for older people posthospital discharge following a fall. A social component would be a useful addition to falls prevention strategies, utilizing existing community nursing organizations.

Renehan and Meyer are with Bolton Clarke Research Institute, Bentleigh, Victoria, Australia. Renehan is also with Beyond Blue, Hawthorn, Victoria, Australia. Meyer is also with the Centre for Health Communication and Participation, La Trobe University, Bundoora, Victoria, Australia. Elliott and Said are with Pharmacy Dept., Austin Health, Heidelberg, Victoria, Australia. Elliott is also with the Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Parkville, Victoria, Australia. Batchelor is with National Ageing Research Institute, Parkville, Victoria, Australia. Said is also with Physiotherapy Dept., The University of Melbourne, Parkville, Victoria, Australia. Haines is with the School of Primary and Allied Health Care, Monash University, Frankston, Victoria, Australia. Goeman is with the School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia; the Kolling Institute of Medical Research, Northern Clinical School, The University of Sydney, St Leonards, New South Wales, Australia; and the Dept. of Nursing, Health Sciences and Medicine, Central Clinical School, Monash University, Clayton, Victoria, Australia.

Address author correspondence to Claudia Meyer at cmeyer@boltonclarke.com.au.
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