Evidence map›Paper›PMID 30075774›Full record

ArticleBMC health services research2018

Making fall prevention routine in primary care practice: perspectives of allied health professionals.

Jeannine Liddle, Meryl Lovarini, Lindy Clemson, Lynette Mackenzie, Amy Tan, Sabrina W Pit, Roslyn Poulos, Anne Tiedemann, Catherine Sherrington, Chris Roberts and 1 more

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

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
11.4field-weighted citation impact, top 2% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

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  11. Patients' experience with a community pharmacy fall prevention service.Exploratory research in clinical and social pharmacy · 2023
    Article
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  14. Interprofessional Collaboration in Fall Prevention: Insights from a Qualitative Study.International journal of environmental research and public health · 2022
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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

11 authors at 4 institutions in 1 country.

Jeannine LiddleFaculty of Health Sciences, The University of Sydney, Cumberland Campus C42, PO Box 170, Lidcombe, NSW, 1825, Australia. jeannine.liddle@sydney.edu.au.
Meryl LovariniFaculty of Health Sciences, The University of Sydney, Cumberland Campus C42, PO Box 170, Lidcombe, NSW, 1825, Australia.
Lindy ClemsonFaculty of Health Sciences, The University of Sydney, Cumberland Campus C42, PO Box 170, Lidcombe, NSW, 1825, Australia.
Lynette MackenzieFaculty of Health Sciences, The University of Sydney, Cumberland Campus C42, PO Box 170, Lidcombe, NSW, 1825, Australia.
Amy TanFaculty of Health Sciences, The University of Sydney, Cumberland Campus C42, PO Box 170, Lidcombe, NSW, 1825, Australia.
Sabrina W PitUniversity Centre for Rural Health, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia.
Roslyn PoulosSchool of Public Health & Community Medicine, University of New South Wales, Sydney, NSW, Australia.
Anne TiedemannMusculoskeletal Health Sydney, School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Catherine SherringtonMusculoskeletal Health Sydney, School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Chris RobertsSydney Medical School - Northern, The University of Sydney, Sydney, NSW, Australia.
Karen WillisMelbourne Health, La Trobe University, Parkville, VIC, Australia.
University of Sydney · AULa Trobe University · AUNorthern Sydney Local Health District · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile there is strong evidence that fall prevention interventions can prevent falls in people aged 65 and over, translating evidence into routine practice is challenging. Research regarding how allied health professionals (AHPs) respond to this challenge is limited. As part of the Integrated Solutions for Sustainable Fall Prevention (iSOLVE) project, this study aimed to explore how AHPs were making fall prevention practice routine in primary care and the factors that influenced their fall prevention practice.

methodsIn-depth qualitative interviews were conducted with fifteen AHPs who had attended evidence-based workshops associated with the iSOLVE project. AHPs had backgrounds in physiotherapy, occupational therapy, exercise physiology and podiatry. Interviews explored how fall prevention was being incorporated into routine practice and the factors that influenced routinisation, including the project workshops. Thematic analysis was used to analyse the data.

resultsWe found fall prevention was valued in practice and recognised as complex. AHPs worked through challenges relating to clients (multi-morbidity, complex living situations, client motivation), challenges working alongside other health professionals (understanding respective roles/overlapping roles, sense of competition, communication) and challenges associated with funding systems perceived as complicated and constantly changing. Despite these challenges, AHPs were adopting strategies for integrating fall prevention routinely. The iSOLVE workshops were perceived as important in supporting existing practice and in providing strategies to enhance practice.

conclusionsPolicy makers, program managers, educators and AHPs can adopt strategies identified in this research for routinising fall prevention such as being alert that falls are common, asking every client about falls, having processes for assessing clients for fall risk, and having structured and evidence-based programs to work with clients on fall prevention. Adapting and streamlining funding systems are also important for facilitating fall prevention work.

Indexed as

Allied Health PersonnelPrimary Health CareAccidental FallsAgedCommunicationHealth BehaviorHumansInterviews as TopicOccupational TherapistsPhysical TherapistsAllied healthImplementationInter-professional collaborationQualitative methods

Identifiers

PMID30075774
PMCPMC6091062
OpenAlexW2885420834

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.