Tailored education program using home floor plans for falls prevention in discharged older patients: A pilot randomized controlled trial
Highlights • We conducted a tailored education program to prevent falls in discharged patients. • No falls occurred in the intervention group during the follow-up. • Tailored education had effect of preventing near-falls following discharge.
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Published in | Archives of gerontology and geriatrics Vol. 71; pp. 9 - 13 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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Elsevier B.V
01.07.2017
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Abstract | Highlights • We conducted a tailored education program to prevent falls in discharged patients. • No falls occurred in the intervention group during the follow-up. • Tailored education had effect of preventing near-falls following discharge. |
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AbstractList | Highlights • We conducted a tailored education program to prevent falls in discharged patients. • No falls occurred in the intervention group during the follow-up. • Tailored education had effect of preventing near-falls following discharge. To investigate the effect of a tailored education program using home floor plans on falls prevention in discharged older patients. A single-center, parallel, pragmatic, pilot randomized controlled trial with equal allocation to the intervention and control groups. Discharged hospital patients were followed-up in their home settings. All discharged orthopedic patients aged ≥65 years who experienced ≥1 fall(s) in the past year (n=60). Both groups received standard care (exercises) and the intervention group also received a tailored education program for falls prevention using home floor plans. Falls and near-falls at the participants' homes using a 1-month fall calendar during the 1-month period after discharge. The evaluators were blinded at the baseline assessment. Nine participants were withdrawn from the study, leaving 51 of 60 (85%) participants for the final analyses. No falls occurred in the intervention group (n=25) during follow-up. However, 2 participants (7.7%) fell in the control group (n=26). Near-falls were reported by 7 participants (28.0%) in the intervention group and 13 participants (50.0%) in the control group. The intervention group had 75% less near-falls compared with the control group, as assessed using a Cox proportional hazards model (hazard ratio, 0.25; 95% confidence interval, 0.09-0.75). The tailored education program using home floor plans at the hospital was effective for reducing falls and near-falls among discharged orthopedic patients. Registration of clinical trials: This study was registered with the Research Ethics Committee of University Hospital Medical Information Network (UMIN) Center (000018201). •We conducted a tailored education program to prevent falls in discharged patients.•No falls occurred in the intervention group during the follow-up.•Tailored education had effect of preventing near-falls following discharge. To investigate the effect of a tailored education program using home floor plans on falls prevention in discharged older patients. A single-center, parallel, pragmatic, pilot randomized controlled trial with equal allocation to the intervention and control groups. Discharged hospital patients were followed-up in their home settings. All discharged orthopedic patients aged ≥65 years who experienced ≥1 fall(s) in the past year (n=60). Both groups received standard care (exercises) and the intervention group also received a tailored education program for falls prevention using home floor plans. Falls and near-falls at the participants’ homes using a 1-month fall calendar during the 1-month period after discharge. The evaluators were blinded at the baseline assessment. Nine participants were withdrawn from the study, leaving 51 of 60 (85%) participants for the final analyses. No falls occurred in the intervention group (n=25) during follow-up. However, 2 participants (7.7%) fell in the control group (n=26). Near-falls were reported by 7 participants (28.0%) in the intervention group and 13 participants (50.0%) in the control group. The intervention group had 75% less near-falls compared with the control group, as assessed using a Cox proportional hazards model (hazard ratio, 0.25; 95% confidence interval, 0.09–0.75). The tailored education program using home floor plans at the hospital was effective for reducing falls and near-falls among discharged orthopedic patients. Registration of clinical trials: This study was registered with the Research Ethics Committee of University Hospital Medical Information Network (UMIN) Center (000018201). OBJECTIVETo investigate the effect of a tailored education program using home floor plans on falls prevention in discharged older patients.DESIGNA single-center, parallel, pragmatic, pilot randomized controlled trial with equal allocation to the intervention and control groups.SETTINGDischarged hospital patients were followed-up in their home settings.PARTICIPANTSAll discharged orthopedic patients aged ≥65 years who experienced ≥1 fall(s) in the past year (n=60).INTERVENTIONSBoth groups received standard care (exercises) and the intervention group also received a tailored education program for falls prevention using home floor plans.MEASUREMENTSFalls and near-falls at the participants' homes using a 1-month fall calendar during the 1-month period after discharge. The evaluators were blinded at the baseline assessment.RESULTSNine participants were withdrawn from the study, leaving 51 of 60 (85%) participants for the final analyses. No falls occurred in the intervention group (n=25) during follow-up. However, 2 participants (7.7%) fell in the control group (n=26). Near-falls were reported by 7 participants (28.0%) in the intervention group and 13 participants (50.0%) in the control group. The intervention group had 75% less near-falls compared with the control group, as assessed using a Cox proportional hazards model (hazard ratio, 0.25; 95% confidence interval, 0.09-0.75).CONCLUSIONSThe tailored education program using home floor plans at the hospital was effective for reducing falls and near-falls among discharged orthopedic patients. Registration of clinical trials: This study was registered with the Research Ethics Committee of University Hospital Medical Information Network (UMIN) Center (000018201). |
Author | Ueda, Tetsuya Higuchi, Yumi Ando, Suguru Todo, Emiko Imaoka, Masakazu Kitagawa, Tomomi |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28242580$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_1016_j_gerinurse_2021_12_002 crossref_primary_10_1186_s12877_020_01980_3 crossref_primary_10_37586_2686_8636_2_2021_148_174 crossref_primary_10_3390_ijerph191711062 crossref_primary_10_1002_14651858_CD012424_pub2 crossref_primary_10_1590_1980_265x_tce_2020_0558 crossref_primary_10_1002_14651858_CD012221_pub2 crossref_primary_10_1177_07334648221104375 crossref_primary_10_1016_j_procs_2018_10_002 crossref_primary_10_1016_j_procs_2019_12_212 crossref_primary_10_1097_NOR_0000000000000898 crossref_primary_10_1016_j_ijnurstu_2020_103564 crossref_primary_10_1186_s12891_022_05783_y crossref_primary_10_3390_ijerph19031585 crossref_primary_10_17826_cumj_1371535 |
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Keywords | Home floor plan Falls prevention Pilot randomized controlled trial Discharged patients Education |
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Snippet | Highlights • We conducted a tailored education program to prevent falls in discharged patients. • No falls occurred in the intervention group during the... •We conducted a tailored education program to prevent falls in discharged patients.•No falls occurred in the intervention group during the follow-up.•Tailored... To investigate the effect of a tailored education program using home floor plans on falls prevention in discharged older patients. A single-center, parallel,... OBJECTIVETo investigate the effect of a tailored education program using home floor plans on falls prevention in discharged older patients.DESIGNA... |
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SubjectTerms | Accidental Falls - prevention & control Aged Aged, 80 and over Discharged patients Education Exercise Therapy Falls prevention Female Home floor plan Humans Internal Medicine Male Patient Discharge Patient Education as Topic Pilot Projects Pilot randomized controlled trial |
Title | Tailored education program using home floor plans for falls prevention in discharged older patients: A pilot randomized controlled trial |
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