Evidence map›Paper›PMID 27595748›Full record

ArticleBMC health services research2016

Experiences of general practitioners, home care nurses, physiotherapists and seniors involved in a multidisciplinary home-based fall prevention programme: a mixed method study.

Astrid E Amacher, Irina Nast, Barbara Zindel, Lukas Schmid, Valérie Krafft, Karin Niedermann

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Observational
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  11. A Pooled Analysis of Fall Incidence From Placebo-Controlled Trials of Denosumab.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2020
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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 3 institutions in 1 country.

Astrid E AmacherZurich University of Applied Sciences, Institute of Physiotherapy, Technikumstr. 71, Winterthur, 8401, Switzerland.
Irina NastZurich University of Applied Sciences, Institute of Physiotherapy, Technikumstr. 71, Winterthur, 8401, Switzerland.
Barbara ZindelSwiss League Against Rheumatism, Josefstr. 92, Zurich, 8005, Switzerland.
Lukas SchmidDepartment of Rheumatology, Central Hospital of Lucerne, 6000, Lucerne 16, Switzerland.
Valérie KrafftSwiss League Against Rheumatism, Josefstr. 92, Zurich, 8005, Switzerland.
Karin NiedermannZurich University of Applied Sciences, Institute of Physiotherapy, Technikumstr. 71, Winterthur, 8401, Switzerland. karin.niedermann@zhaw.ch.
ZHAW Zurich University of Applied Sciences · CHEuropean League Against Rheumatism · CHUniversity of Lucerne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe feasibility of effective fall prevention programmes (FPPs) for use in daily clinical practice needs to be assessed in the specific healthcare settings. The aim of this study was to explore the perceived benefits and barriers of an evidence-based, home-based pilot FPP among the involved seniors, general practitioners (GPs), home care nurses (HCNs) and physiotherapists (PTs), in order to develop tailored implementation strategies.

methodsThe study was a mixed method study using an 'exploratory sequential design'. In the initial qualitative sequence, semi-structured interviews were performed with four participants from each group and analysed using a deductive content analysis. In the successive quantitative sequence, target group specific postal surveys were conducted with all participants. The triangulation of both steps allowed merging the in-depth experiences from the interviews with the general findings from the survey.

resultsIn this evaluation study participated 17 seniors (mean age 79.7 (SD +/-6.2) years). 40 GPs, 12 HCNs and four PTs. All were satisfied with the organization and processes of the FPP. The main benefit, perceived by each target group, was the usefulness of the FPP in detecting risk of falling at the senior's home. A low number of recruiting GPs and HCNs, divergent opinions of the health professionals towards the aim of the FPP as well as no perceived need for changes by the seniors were the most important barriers to the participation of (more) seniors.

conclusionsMultidisciplinary home-based fall prevention is a useful approach to detect the risk of falling in seniors. The barriers identified need to be resolved through tailored strategies to facilitate the successful nationwide implementation of this pilot FPP.

Indexed as

Accidental FallsAgedAged, 80 and overAttitude of Health PersonnelAttitude to HealthCommunity Health NursingDelivery of Health CareEvidence-Based PracticeFeasibility StudiesFemaleGeneral PracticeGeneral PractitionersHealth Services for the AgedHome Care ServicesHumansMaleElderlyFall preventionImplementationMultidisciplinary carePhysiotherapy

Identifiers

PMID27595748
PMCPMC5011799
OpenAlexW2513374537

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.