Evidence map›Paper›PMID 30755449›Full record

ArticleBMJ open2019

Perspectives of healthcare professionals in England on falls interventions for people with dementia: a qualitative interview study.

Clare Burgon, Janet Darby, Kristian Pollock, Veronika van der Wardt, Tamsin Peach, Lyndsay Beck, Pip Logan, Rowan H Harwood

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 4 pooled it
6.0field-weighted citation impact, top 4% 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

10 citing papers in PubMed, 4 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
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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

8 authors at 4 institutions in 1 country.

Clare BurgonDivision of Rehabilitation and Ageing, School of Medicine, University of Nottingham, Nottingham, UK.ORCID 0000-0002-4910-9969
Janet DarbyDivision of Rehabilitation and Ageing, School of Medicine, University of Nottingham, Nottingham, UK.
Kristian PollockSchool of Health Sciences, University of Nottingham, Nottingham, UK.
Veronika van der WardtDivision of Rehabilitation and Ageing, School of Medicine, University of Nottingham, Nottingham, UK.
Tamsin PeachNottingham CityCare Partnership, Nottingham, UK.
Lyndsay BeckNottinghamshire Healthcare NHS Trust, Nottingham, UK.
Pip LoganDivision of Rehabilitation and Ageing, School of Medicine, University of Nottingham, Nottingham, UK.
Rowan H HarwoodDivision of Rehabilitation and Ageing, School of Medicine, University of Nottingham, Nottingham, UK.
University of Nottingham · GBNottingham City Council · GBNottinghamshire Healthcare NHS Foundation Trust · GBNottingham University Hospitals NHS Trust · GB

Funding

Department of Health RP-DG-0611-10013Department of Health RP-PG-0614-20007
6 · The paper itself

Abstract

objectiveTo explore the experiences of healthcare professionals working in falls prevention and memory assessment services in providing assessments and interventions for falls risk reduction in people with dementia.

designThis is a qualitative study using 19 semistructured interviews. Interviews were analysed through thematic analysis.

settingCommunity-based falls and memory assessment services in the East Midlands, UK.

participantsNurses (n=10), physiotherapists (n=5), occupational therapists (n=3) and a psychiatrist (n=1).

resultsThree substantive themes were identified: challenges posed by dementia, adaptations to make falls prevention appropriate for people with dementia and organisational barriers. Patients' poor recall, planning and increased behavioural risk associated with dementia were key problems. Healthcare professionals provided many suggestions on how to overcome these challenges, such as adapting exercise interventions by using more visual aids. Problems associated with cognitive impairment created a need for additional support, for instance longer interventions, and supervision by support workers, to enable effective intervention, yet limited resources meant this was not always achievable. Communication between mental and physical health teams could be ineffective, as services were organised as separate entities, creating a reliance on third parties to be intermediaries. Structural and organisational factors made it difficult to deliver optimal falls prevention for people living with dementia.

conclusionsHealthcare professionals experience challenges in providing falls prevention to people with dementia at the individual and organisational levels. Interventions can be adapted for people with dementia, but this requires additional resources and improved integration of services. Future research is needed to develop and test the effectiveness and cost-effectiveness of such services.

Indexed as

Health PersonnelAccidental FallsDementiaEnglandFemaleHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMaleQualitative Researchdementiaqualitative researchrehabilitation medicine

Identifiers

PMID30755449
PMCPMC6377506
OpenAlexW2912601831

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.