Trial reportPloS one2017
Barriers and enablers to the implementation of the 6-PACK falls prevention program: A pre-implementation study in hospitals participating in a cluster randomised controlled trial.
Trial report in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.
- Pooled it
- Interventions for preventing falls in older people in care facilities and hospitals.The Cochrane database of systematic reviews · 2018Pooled it
- Health care professional perspectives on vision screening in older adults who attend hospital following a fall: a focus group study.European geriatric medicine · 2026Article
- Experience and Influence of Lifestyle RedesignCanadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2026Article
- Intervention to systematize fall risk assessment and prevention in older hospitalized adults: a mixed methods study.BMC geriatrics · 2025Article
- Streamlining Patient Fall Prevention and Management Through Human-Centered AI-Based Decision Support Systems.Risk management and healthcare policy · 2025Review
- The knowledge, attitude, and practice toward fall prevention of parturients in the obstetric inpatient wards: a comparative cross-sectional study between nurses and parturients.Frontiers in public health · 2025Article
- Interprofessional approach to fall prevention in hospital care.Revista da Escola de Enfermagem da U S P · 2024Article
- Enabling primary healthcare service development with patient participation: a qualitative study of the internal facilitator role in Norway.Primary health care research & development · 2023Article
- Implementation fidelity of a multifactorial in-hospital fall prevention program and its association with unit systems factors: a single center, cross-sectional study.BMC health services research · 2023Article
- Use of co-design methodology in the development of cardiovascular disease secondary prevention interventions: A scoping review.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Interprofessional education to implement patient falls education in hospitals: Lessons learned.Nursing open · 2023Article
- Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: A cross-sectional survey.Journal of advanced nursing · 2022Article
- Patient-level and organizational-level factors influencing in-hospital falls.Journal of advanced nursing · 2022Observational
- Implementing Patient Falls Education in Hospitals: A Mixed-Methods Trial.Healthcare (Basel, Switzerland) · 2022Article
- Implementation and initial evaluation of falls risk reduction resources in a rural Native American Community.Injury epidemiology · 2021Article
- Use of interactive voice response technology to address barriers to fistula care in Nigeria and Uganda.mHealth · 2020Article
- Feasibility and usefulness of a leadership intervention to implement evidence-based falls prevention practices in residential care in Canada.Pilot and feasibility studies · 2019Article
- Identifying Barriers to Physical Activity Among African American Women with Asthma.Cogent medicine · 2019Article
- Development of a complex intervention to improve participation of nursing home residents with joint contractures: a mixed-method study.BMC geriatrics · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Evidence for effective falls prevention interventions in acute wards is limited. One reason for this may be suboptimal program implementation. This study aimed to identify perceived barriers and enablers of the implementation of the 6-PACK falls prevention program to inform the implementation in a randomised controlled trial. Strategies to optimise successful implementation of 6-PACK were also sought. A mixed-methods approach was applied in 24 acute wards from 6 Australian hospitals. Participants were nurses working on participating wards and senior hospital staff including Nurse Unit Managers; senior physicians; Directors of Nursing; and senior personnel involved in quality and safety or falls prevention. Information on barriers and enablers of 6-PACK implementation was obtained through surveys, focus groups and interviews. Questions reflected the COM-B framework that includes three behaviour change constructs of: capability, opportunity and motivation. Focus group and interview data were analysed thematically, and survey data descriptively. The survey response rate was 60% (420/702), and 12 focus groups (n = 96 nurses) and 24 interviews with senior staff were conducted. Capability barriers included beliefs that falls could not be prevented; and limited knowledge on falls prevention in patients with complex care needs (e.g. cognitive impairment). Capability enablers included education and training, particularly face to face case study based approaches. Lack of resources was identified as an opportunity barrier. Leadership, champions and using data to drive practice change were recognised as opportunity enablers. Motivation barriers included complacency and lack of ownership in falls prevention efforts. Motivation enablers included senior staff articulating clear goals and a commitment to falls prevention; and use of reminders, audits and feedback. The information gained from this study suggests that regular practical face-to-face education and training for nurses; provision of equipment; audit, reminders and feedback; leadership and champions; and the provision of falls data is key to successful falls prevention program implementation in acute hospitals.
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Registered trials
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.