Evidence map›Paper›PMID 26039594›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2015

What factors influence older adults to discuss falls with their health-care providers?

Den-Ching A Lee, Lesley Day, Keith Hill, Lindy Clemson, Fiona McDermott, Terry P Haines

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Dysmobility syndrome: current perspectives.Clinical interventions in aging · 2017
    Pooled it
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  11. Case finding for urinary incontinence and falls in older adults at community pharmacies.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Den-Ching A LeeAllied Health Research Unit, Kingston Centre, Monash Health, Cheltenham, Vic., Australia.
Lesley DayMonash Injury Research Institute, Monash University, Clayton, Vic., Australia.
Keith HillFaculty of Health Sciences, School of Physiotherapy, Curtin University, Bentley, WA, Australia.
Lindy ClemsonOccupational Therapy Department, Faculty of Health Sciences, The University of Sydney, Lidcombe, NSW, Australia.
Fiona McDermottSocial Work Department, Faculty of Medicine, Nursing and Health Sciences, Monash University, Caulfield East, Vic., Australia.
Terry P HainesAllied Health Research Unit, Kingston Centre, Monash Health, Cheltenham, Vic., Australia.
Monash Health · AUCurtin University · AUMonash Medical Centre · AUMonash University · AUThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify from the older adults' perspective, the factors associated with discussion about falls with their general practitioners and other health professionals and the factors associated with initiation of these discussions. We explored the content of and barriers to discussion about falls.

methodsA prospective cohort study where a baseline cross-sectional survey was followed by a survey 1 year later. Survey domains were drawn from constructs of behavioural change models. Data from 245 older community dwellers in Victoria, Australia, in the follow-up survey were used for this study. Survey format consisted of yes and no responses, Likert scale and open/closed-ended responses.

resultsFew older adults talked with and initiated a talk with their health-care providers about falls in the follow-up period. Multiple regression showed anxiety or depression [OR = 2.78, 95% CI (1.21-6.41)], chronic medical conditions such as diabetes [OR = 2.71, 95% CI (1.19-6.17)] and having a self-reported fall in the last 12 months [OR = 4.26, 95% CI (2.16-8.41)] were associated with discussion of falls with general practitioners. Higher perception of risk of sustaining a serious injury from falling [OR = 1.49 (1.03-2.13)] was associated with discussion about falls with other health professionals. Participants discussed various topics of falls with their health-care providers. Different barriers to discussion about falls were identified.

conclusionHealth-care providers should routinely discuss falls prevention with older adults. Dissemination of evidence-based advice and followed up with referral during consultations, particularly in general practitioners could advance falls prevention practice. The results could help to develop a conceptual framework to predict the likelihood of falls discussion.

Indexed as

General PractitionersAccidental FallsAccident PreventionAgedAged, 80 and overAge FactorsAgingCross-Sectional StudiesFollow-Up StudiesHumansIndependent LivingProspective StudiesVictoriabarriersdiscussionsfalls preventionhealth-care providersolder adults

Identifiers

PMID26039594
PMCPMC5060806
OpenAlexW2072995595

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.