Evidence map›Paper›PMID 31265139›Full record

Trial reportJournal of the American Geriatrics Society2019

Evaluation of Tailored Falls Education on Older Adults' Behavior Following Hospitalization.

Chiara Naseri, Steven M McPhail, Terrence P Haines, Meg E Morris, Christopher Etherton-Beer, Ronald Shorr, Leon Flicker, Max Bulsara, Julie Netto, Den-Ching A Lee and 4 more

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 3% 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, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Optimizing Post-Acute Care Patient Safety: A Scoping Review of Multifactorial Fall Prevention Interventions for Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    Article
  8. Article
  9. Article
  10. 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

14 authors at 9 institutions in 2 countries.

Chiara NaseriSchool of Physiotherapy and Exercise Sciences, Faculty of Health Science, Curtin University, Perth, Western Australia, Australia.ORCID 0000-0001-8041-1835
Steven M McPhailSchool of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia.
Terrence P HainesFaculty of Medicine, Nursing and Health Science, Monash University, Melbourne, Victoria, Australia.
Meg E MorrisHealthscope and La Trobe Centre for Sport and Exercise Medicine Research, La Trobe University, Melbourne, Victoria, Australia.
Christopher Etherton-BeerWestern Australian Centre for Health and Ageing, University of Western Australia, Royal Perth Hospital, Perth, Western Australia, Australia.
Ronald ShorrMalcom Randall VA Medical Center, Geriatric Research Education and Clinical Center, Gainesville, Florida.
Leon FlickerWestern Australian Centre for Health and Ageing, Centre for Medical Research, University of Western Australia, Perth, Western Australia, Australia.
Max BulsaraInstitute for Health Research, The University of Notre Dame Australia, Fremantle, Western Australia, Australia.
Julie NettoSchool of Occupational Therapy and Social Work, Faculty of Health Science, Curtin University, Perth, Western Australia, Australia.
Den-Ching A LeeFaculty of Medicine, Nursing and Health Science, Monash University, Melbourne, Victoria, Australia.
Jacqueline Francis-CoadSchool of Physiotherapy, Institute for Health Research, The University of Notre Dame Australia, Fremantle, Western Australia, Australia.
Nicholas WaldronDepartment of Geriatric Rehabilitation, Armadale Health Service, Department of Health, Mount Nasura, Western Australia, Australia.
Amanda BoudvilleDepartment of Aged Care and Rehabilitation, St John of God Health Care, Midland, Western Australia, Australia.
Anne-Marie HillSchool of Physiotherapy and Exercise Sciences, Faculty of Health Science, Curtin University, Perth, Western Australia, Australia.
Curtin University · AUMonash University · AUThe University of Notre Dame Australia · AUThe University of Western Australia · AUGovernment of Western Australia Department of Health · AULa Trobe University · AUQueensland University of Technology · AUSt John of God Hospital · AUUniversity of Florida · US

Funding

CMS Nonpayment for Nosocomial Injury and Risk of Falls in HospitalsR01AG033005 · NIA · UNIVERSITY OF FLORIDA · PI SHORR, RONALD I · 2009 to 2010
$1.6M
Fall prevention in high-and low-fall hospital nursing unitsR56AG051799 · NIA · UNIVERSITY OF FLORIDA · PI SHORR, RONALD I · 2016 to 2016
$424k
National Health and Medical Research Council 1078918NIA NIH HHS R01 AG033005NIA NIH HHS R56 AG051799
6 · The paper itself

Abstract

backgroundOlder adults recently discharged from the hospital are known to be at risk of functional decline and falls. This study evaluated the effect of a tailored education program provided in the hospital on older adult engagement in fall prevention strategies within 6 months after hospital discharge.

methodsA process evaluation of a randomized controlled trial that aimed to improve older adult fall prevention behaviors after hospital discharge. Participants (n = 390) were aged 60 years and older with good cognitive function (greater than 7 of 10 Abbreviated Mental Test Score), discharged home from three hospital rehabilitation wards in Perth, Australia. The primary outcomes were engagement in fall prevention strategies, including assistance with daily activities, home modifications, and exercise. Data were analyzed using generalized linear modeling.

resultsThere were 76.4% (n = 292) of participants who completed the final interview (n = 149 intervention, n = 143 control). There were no significant differences between groups in engagement in fall prevention strategies, including receiving instrumental activity of daily living (IADL) assistance (adjusted odds ratio [AOR] = 1.3 [95% confidence interval {CI} = 0.7-2.1]; P = .3), completion of home modifications (AOR = 1.2 [95% CI = 0.7-1.9]; P = .4), and exercise (AOR = 1.3 [95% CI = 0.7-2.2]; P = .3). There was a high proportion of unmet ADL needs within both groups, and levels of participant dependency remained higher at 6 months compared to baseline levels at admission. The proportion of all participants who engaged in exercise following hospital discharge increased by 30%; however, the mean duration of exercise reduced from 3 hours per week at baseline to 1 hour per week at 6-month follow-up (SD = 1.12 hours per week).

conclusionTailored education did not increase older adult engagement in fall prevention strategies after hospital discharge compared to usual care. Further research is required to evaluate older adults' capacity to change their behaviors once they return home from hospital, which may enable a safer recovery of their independence. J Am Geriatr Soc 67:2274-2281, 2019.

Indexed as

Activities of Daily LivingHospitalizationAccidental FallsAgedAustraliaCognitive Behavioral TherapyExercise TherapyFemaleFollow-Up StudiesHumansIncidenceInpatientsMaleMiddle AgedNew ZealandPatient Education as Topicevaluation studiesfall preventionhealth behavior changehospitalizationpatient discharge

Identifiers

PMID31265139
PMCPMC7539485
OpenAlexW2955944672

What OpenQuestion holds

Textmetadata
LicenceTDM
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.