Post-Hospital Falls Prevention Intervention: A Mixed-Methods Study Academic Article uri icon

abstract

  • 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.

authors

  • Renehan, Emma
  • Meyer, Claudia
  • Elliott, Rohan A
  • Batchelor, Frances
  • Said, Catherine
  • Haines, Terry
  • Goeman, Dianne

publication date

  • 2018