Book contents
- Falls in Older People
- Falls in Older People
- Copyright page
- Contents
- Preface
- Contributors
- Part I Epidemiology and Risk Factors for Falls
- Part II Strategies for Prevention
- Part III Implications for Practice
- 28 Strategies to Promote Uptake and Adherence to Fall Prevention Programmes
- 29 Translating Fall Prevention Research into Practice
- 30 Interventions Reduce Falls, but What Is the Cost for Better Health Outcomes?
- 31 Bringing It All Together
- Index
- References
29 - Translating Fall Prevention Research into Practice
from Part III - Implications for Practice
Published online by Cambridge University Press: 04 November 2021
Book contents
- Falls in Older People
- Falls in Older People
- Copyright page
- Contents
- Preface
- Contributors
- Part I Epidemiology and Risk Factors for Falls
- Part II Strategies for Prevention
- Part III Implications for Practice
- 28 Strategies to Promote Uptake and Adherence to Fall Prevention Programmes
- 29 Translating Fall Prevention Research into Practice
- 30 Interventions Reduce Falls, but What Is the Cost for Better Health Outcomes?
- 31 Bringing It All Together
- Index
- References
Summary
Generating a comprehensive body of high-quality evidence that demonstrates the problem of falls, identifies causal mechanisms and risk factors, and determines effective interventions for reducing falls is critical for establishing a strong foundation on which to reduce the global burden of falls. While the establishment of such an evidence base is absolutely necessary, this alone will not have an impact on incidence of falls. Assumptions should not be made about the diffusion of fall prevention evidence into clinical practices and health systems [1]. There is growing recognition that most efforts to date attempting to incorporate health research into health care practices and policies are grossly ineffective, and thereby, inefficient [2, 3]. The challenges of moving health evidence into care practices and decision-making are not unique to fall prevention. In fact, published reports have estimated that there is a 17-year time lag between established health evidence reaching clinical practice [3].
- Type
- Chapter
- Information
- Falls in Older PeopleRisk Factors, Strategies for Prevention and Implications for Practice, pp. 436 - 459Publisher: Cambridge University PressPrint publication year: 2021
References
Fixsen, D, Scott, V, Blase, K et al. When evidence is not enough: the challenge of implementing fall prevention strategies. J Safety Res. 2011;42:419–22.CrossRefGoogle Scholar
Knowledge Translation in Health Care: Moving from Evidence to Practice. 2nd Edn. Straus, SE, Tetroe, J, Graham, ID. (Eds.) UK: John Wiley & Sons; 2013.CrossRefGoogle Scholar
Balas, E, Boren, S. Managing clinical knowledge for health care improvement. In: Bemmel, J, McCray, AT. (Eds.) Yearbook of Medical Informatics: Patient Centered Systems. Stuttgart, Germany: Schattauer Verlagsgesellschaft; 2000:65–70.Google Scholar
Tirrell, G, Sri‐On, J, Lipsitz, LA et al. Evaluation of older adult patients with falls in the emergency department: discordance with national guidelines. Acad Emerg Med. 2015;22:461–7.CrossRefGoogle ScholarPubMed
Rubenstein, LZ, Solomon, DH, Roth, CP et al. Detection and management of falls and instability in vulnerable elders by community physicians. J Am Geriatr Soc. 2004;52:1527–31.Google Scholar
Salter, AE, Khan, K, Donaldson, MG et al. Community-dwelling seniors who present to the emergency department with a fall do not receive guideline care and their fall risk profile worsens significantly: a 6-month prospective study. Osteoporos Int. 2006;17:672–83.Google Scholar
Banerjee, J, Benger, J, Treml, J et al. The National Falls and Bone Health Audit: Implications for UK emergency care. Emerg Med J. 2012;29:830.CrossRefGoogle ScholarPubMed
Askari, M, Eslami, S, Rijn, M et al. Assessment of the quality of fall detection and management in primary care in the Netherlands based on the ACOVE quality indicators. Osteoporos Int. 2016;27:569–76.Google ScholarPubMed
Said, CM, Batchelor, F, Shaw, K et al. Preparing patients at high risk of falls for discharge home after rehabilitation: do we meet the guidelines? Geriatr Gerontol Int. 2016;16:570–6.Google Scholar
Day, L, Trotter, MJ, Hill, KD et al. Implementation of evidence‐based falls prevention in clinical services for high‐risk clients. J Eval Clin Pract. 2014;20:255–9.CrossRefGoogle ScholarPubMed
Lillevang-Johannsen, M, Grand, J, Lembeck, M et al. Falls in elderly patients are not treated according to national recommendations. Dan Med J. 2017;64:A5418.Google Scholar
Estabrooks, C, Derksen, L, Winther, C et al. The intellectual structure and substance of the knowledge utilization field: a longitudinal author co-citation analysis, 1945 to 2004. Implement Sci. 2008;3:49.Google Scholar
Canadian Institutes of Health Research. About Knowledge Translation. www.cihr-irsc.gc.ca/e/29418.html (accessed April 2021).Google Scholar
Eccles, MP, Armstrong, D, Baker, R et al. An implementation research agenda. Implement Sci. 2009;4:18.Google Scholar
Nilsen, P. Making sense of implementation theories, models and frameworks. Implement Sci. 2015;10:53.Google Scholar
Jones, CA, Roop, SC, Pohar, SL et al. Translating knowledge in rehabilitation: systematic review. Phys Ther. 2015;95:663–77.CrossRefGoogle ScholarPubMed
Colquhoun, HL, Letts, LJ, Law, MC et al. A scoping review of the use of theory in studies of knowledge translation. Can J Occup Ther. 2010;77:270–9.Google Scholar
Strifler, L, Cardoso, R, McGowan, J et al. Scoping review identifies significant number of knowledge translation theories, models, and frameworks with limited use. J Clin Epidemiol. 2018;100:92–102.CrossRefGoogle ScholarPubMed
Graham, ID, Logan, J, Harrison, MB et al. Lost in knowledge translation: time for a map? J Contin Educ Health Prof. 2006;26:13–24.Google Scholar
Sibley, KM, Bentley, DC, Salbach, NM et al. A theory-based multi-component intervention to increase reactive balance measurement by physiotherapists in three rehabilitation hospitals: an uncontrolled single group study. BMC Health Serv Res. 2018;18:724.Google Scholar
Sibley, KM, Salbach, NM. Applying knowledge translation theory to physical therapy research and practice in balance and gait assessment: case report. Phys Ther. 2015;95:579–87.CrossRefGoogle ScholarPubMed
Sibley, KM, Brooks, D, Gardner, P et al. Development of a theory-based intervention to increase clinical measurement of reactive balance in adults at risk of falls. J Neurol Phys Ther. 2016;40:100–6.Google Scholar
Grimshaw, JM, Eccles, MP, Lavis, JN et al. Knowledge translation of research findings. Implement Sci. 2012;7:50.Google Scholar
Proctor, E, Powell, B, Baumann, A et al. Writing implementation research grant proposals: ten key ingredients. Implement Sci. 2012;7:96.Google Scholar
Cameron, ID, Dyer, SM, Panagoda, CE et al. Interventions for preventing falls in older people in care facilities and hospitals. Cochrane Database Syst Rev. 2018;2018:CD005465.Google Scholar
Sherrington, C, Fairhall, NJ, Wallbank, GK et al. Exercise for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2019;1:CD012424.Google Scholar
Tricco, AC, Thomas, SM, Veroniki, AA et al. Comparisons of interventions for preventing falls in older adults: a systematic review and meta-analysis. J Am Med Assoc. 2017;318:1687–99.Google Scholar
National Institute for Health and Care Excellence. Falls: Assessment and Prevention of Falls in Older People. London, England: NICE; 2013.Google Scholar
Sherrington, C, Michaleff, ZA, Fairhall, N et al. Exercise to prevent falls in older adults: an updated systematic review and meta-analysis. Br J Sports Med. 2017;51:1750–8.CrossRefGoogle ScholarPubMed
Brouwers, MC, Kho, ME, Browman, GP et al. AGREE II: advancing guideline development, reporting and evaluation in health care. Can Med Assoc J. 2010;182:E839–42.Google Scholar
Burgers, JS, Fervers, B, Haugh, M et al. International assessment of the quality of clinical practice guidelines in oncology using the Appraisal of Guidelines and Research and Evaluation Instrument. J Clin Oncol. 2004;22:2000–7.Google Scholar
Levac, D, Glegg, SM, Camden, C et al. Best practice recommendations for the development, implementation, and evaluation of online knowledge translation resources in rehabilitation. Phys Ther. 2015;95:648–62.Google Scholar
Sibley, KM, Straus, SE, Webster, F et al. Moving balance and mobility evidence in to action: a primer in knowledge translation. Gait Posture. 2011;33:527–31.Google Scholar
Child, S, Goodwin, V, Garside, R et al. Factors influencing the implementation of fall-prevention programmes: a systematic review and synthesis of qualitative studies. Implement Sci. 2012;7:91.Google Scholar
McInnes, E, Askie, L. Evidence review on older people’s views and experiences of falls prevention strategies. Worldviews Evid Based Nurs. 2004;1:20–37.CrossRefGoogle ScholarPubMed
McPhate, L, Simek, EM, Haines, TP. Program-related factors are associated with adherence to group exercise interventions for the prevention of falls: a systematic review. J Physiother. 2013;59:81–92.Google Scholar
Meyer, C, Williams, S, Batchelor, F et al. Enhancing adoption of a home-based exercise program for mild balance dysfunction: a qualitative study. J Aging Phys Act. 2016;24:53–60.Google Scholar
Zachary, C, Casteel, C, Nocera, M et al. Barriers to senior centre implementation of falls prevention programmes. Inj Prev. 2012;18:272–6.CrossRefGoogle ScholarPubMed
Damschroder, LJ, Aron, DC, Keith, RE et al. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4:50.Google Scholar
Kirk, MA, Kelley, C, Yankey, N et al. A systematic review of the use of the Consolidated Framework for Implementation Research. Implement Sci. 2016;11:72.Google Scholar
Shaw, J, Sidhu, K, Kearney, C et al. Engaging home health care providers in a fall prevention best practice initiative. Home Health Care Serv Q. 2013;32:1–16.Google Scholar
Michie, S, Johnston, M, Abraham, C et al. Making psychological theory useful for implementing evidence based practice: a consensus approach. Qual Saf Health Care. 2005;14:26–33.Google Scholar
Cane, J, O’Connor, D, Michie, S. Validation of the theoretical domains framework for use in behaviour change and implementation research. Implement Sci. 2012;7:37.Google Scholar
Michie, S, Johnston, M, Francis, J et al. From theory to intervention: mapping theoretically derived behavioural determinants to behaviour change techniques. Appl Psychol. 2008;57:660–80.Google Scholar
Michie, S, van Stralen, MM, West, R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci. 2011;6:42.CrossRefGoogle ScholarPubMed
Atkins, L, Francis, J, Islam, R et al. A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems. Implement Sci. 2017;12:77.Google Scholar
Fervers, B, Burgers, JS, Voellinger, R et al. Guideline adaptation: an approach to enhance efficiency in guideline development and improve utilisation. BMJ Qual Saf. 2011;20:228–36.CrossRefGoogle ScholarPubMed
Hendriks, MRC, Bleijlevens, MHC, van Haastregt, JCM et al. A multidisciplinary fall prevention program for elderly persons: a feasibility study. Geriatr Nurs. 2008;29:186–96.Google Scholar
Ivers, NM, Grimshaw, JM, Jamtvedt, G et al. Growing literature, stagnant science? Systematic review, meta-regression and cumulative analysis of audit and feedback interventions in health care. J Gen Intern Med. 2014;29:1534–41.CrossRefGoogle ScholarPubMed
Forsetlund, L, Bjørndal, A, Rashidian, A et al. Continuing education meetings and workshops: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2009;2009:CD003030.Google Scholar
Goodwin, V, Jones-Hughes, T, Thompson-Coon, J et al. Implementing the evidence for preventing falls among community-dwelling older people: a systematic review. J Safety Res. 2011;42:443–51.Google Scholar
Thomas, S, Mackintosh, S. Use of the theoretical domains framework to develop an intervention to improve physical therapist management of the risk of falls after discharge. Phys Ther. 2014;94:1660–75.Google Scholar
Glasgow, RE, Vogt, TM, Boles, SM. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999;89:1322–7.Google Scholar
Roigk, P, Becker, C, Schulz, C et al. Long-term evaluation of the implementation of a large fall and fracture prevention program in long-term care facilities. BMC Geriatr. 2018;18:233.CrossRefGoogle ScholarPubMed
Li, F, Harmer, P, Stock, R et al. Implementing an evidence‐based fall prevention program in an outpatient clinical setting. J Am Geriatr Soc. 2013;61:2142–9.Google Scholar
Li, F, Harmer, P, Fitzgerald, K. Implementing an evidence-based fall prevention intervention in community senior centers. Am J Public Health. 2016;106:2026.CrossRefGoogle ScholarPubMed
Day, L, Trotter, MJ, Donaldson, A et al. Key factors influencing implementation of falls prevention exercise programs in the community. J Aging Phys Act. 2016;24:45–52.CrossRefGoogle ScholarPubMed
Hemming, K, Haines, TP, Chilton, PJ et al. The stepped wedge cluster randomised trial: rationale, design, analysis, and reporting. Br Med J. 2015;350:h391.CrossRefGoogle ScholarPubMed
Hill, A-M, McPhail, SM, Waldron, N et al. Fall rates in hospital rehabilitation units after individualised patient and staff education programmes: a pragmatic, stepped-wedge, cluster-randomised controlled trial. Lancet. 2015;385:2592–9.CrossRefGoogle ScholarPubMed
Moore, JE, Mascarenhas, A, Bain, J et al. Developing a comprehensive definition of sustainability. Implement Sci. 2017;12:110.Google Scholar
Greenhalgh, T, Robert, G, Macfarlane, F et al. Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q. 2004;82:581–629.CrossRefGoogle ScholarPubMed
Lovarini, M, Clemson, L, Dean, C. Sustainability of community-based fall prevention programs: a systematic review. J Safety Res. 2013;47:9–17.Google Scholar
Fortinsky, RH, Baker, D, Gottschalk, M et al. Extent of implementation of evidence-based fall prevention practices for older patients in home health care. J Am Geriatr Soc. 2008;56:737–43.Google Scholar
Sze, PC, Lam, PS, Chan, J et al. A primary falls prevention programme for older people in Hong Kong. Br J Community Nurs. 2005;10:166–71.Google Scholar
Lohse, GR, Leopold, SS, Theiler, S et al. Systems-based safety intervention: reducing falls with injury and total falls on an orthopaedic ward. J Bone Joint Surg Am. 2012;94:1217–22.CrossRefGoogle Scholar
Gawler, S, Skelton, DA, Dinan-Young, S et al. Reducing falls among older people in general practice: the ProAct65+ exercise intervention trial. Arch Gerontol Geriatr. 2016;67:46–54.Google Scholar
Waldron, N, Dey, I, Nagree, Y et al. A multi-faceted intervention to implement guideline care and improve quality of care for older people who present to the emergency department with falls. BMC Geriatr. 2011:11.CrossRefGoogle Scholar
Steckler, A, Goodman, RM, Kegler, MC. Mobilizing organisations for health enhancement: theories of organisational change. In: Glanz, K, Rimer, BK, Lewis, FM. (Eds.) Health Behavior and Health Education: Theory, Research, and Practice. 3rd Edn. San Francisco: Jossey-Bass; 2002:335–60.Google Scholar
Brot, C, Skjøth, T, Nielsen, K. Faldpatienter i den kliniske hverdag – rådgiv-ning fra Sundhedsstyrelsen. 2006. https://www.sst.dk/~/media/1E493E28DB284605A110EEAF1EAE0503.ashxGoogle Scholar
Australian Commission on Safety and Quality in Health Care. Preventing falls and harm from falls in older people: best practice guidelines for Australian hospitals. 2009. www.safetyandquality.gov.au/wp-content/uploads/2012/01/Guidelines-HOSP1.pdf (accessed April 2021).Google Scholar
Australian Commission on Safety and Quality in Health Care. Preventing falls and harm from falls in older people: best practice guidelines for Australian hospitals. 2009. www.safetyandquality.gov.au/wp-content/uploads/2012/01/Guidelines-COMM.pdf (accessed April 2021).Google Scholar
American Geriatrics Society, British Geriatrics Society. Panel on prevention of falls in older persons. Summary of the updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. J Am Geriatr Soc. 2011;59:148–57.Google Scholar
American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association et al. Geriatric emergency department guidelines. Ann Emerg Med. 2014;63:e7–25.Google Scholar
van Der Ploeg, E, Depla, MFIA, Shekelle, P et al. Developing quality indicators for general practice care for vulnerable elders; transfer from US to The Netherlands. Qual Saf Health Care. 2008;17:291.Google Scholar
Guideline for the prevention of falls in older persons. American Geriatrics Society, British Geriatrics Society, and American Academy of Orthopaedic Surgeons Panel on Falls Prevention. J Am Geriatr Soc. 2001;49:664–72.Google Scholar
French, S, Green, S, O’Connor, D et al. Developing theory-informed behaviour change interventions to implement evidence into practice: a systematic approach using the Theoretical Domains Framework. Implement Sci. 2012;7:38.CrossRefGoogle Scholar
Australian Government Department of Health. Don’t Fall For It. Falls Can Be Prevented! www.health.gov.au/internet/main/publishing.nsf/Content/phd-pub-injury-dontfall-cnt.htm (accessed April 2021).Google Scholar