Evidence map›Paper›PMID 32753856›Full record

ArticleClinical interventions in aging2020

Evaluation of an Education Strategy versus Usual Care to Implement the STEADI Algorithm in Primary Care Clinics in an Academic Medical Center.

Kelly Urban, Patricia B Wright, Amy L Hester, Geoffrey Curran, Martha Rojo, Pao-Feng Tsai

Open access · goldAbstract read
In one paragraph

Article in Clinical interventions in aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

5 citing papers in PubMed, 17 citations in OpenAlex.

  1. Observational
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  5. 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

6 authors at 2 institutions in 1 country.

Kelly UrbanCollege of Nursing, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.ORCID 0000-0003-0114-3866
Patricia B WrightCollege of Nursing, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.ORCID 0000-0003-1651-6899
Amy L HesterCollege of Nursing, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Geoffrey CurranCollege of Pharmacy, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Martha RojoCollege of Nursing, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Pao-Feng TsaiSchool of Nursing, Auburn University, Auburn, Alabama, USA.
University of Arkansas for Medical Sciences · USAuburn University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough falls are the leading cause of morbidity and mortality in the US in the older adult population, there is little information regarding implementation of evidence-based fall prevention guidelines within primary care settings. The objective of this study was to address this gap in the literature by determining the effectiveness of the use of education and written materials as implementation strategies.

methodsUsing a prospective, mixed methods, controlled before-and-after study design, we studied the effect of the Stopping Elderly Accidents, Deaths, and Injuries (STEADI) education and written materials on knowledge and intention to use in primary care clinics as well as test the screening, assessment, and intervention behaviors. This manuscript details the quantitative findings of the study, using STEADI Knowledge Test, Continuing Professional Development (CPD) Reaction Questionnaire, and EMR Reports. We compared data between the study arms (usual implementation versus education implementation) using descriptive statistics, paired

resultsIn total, data from 29 primary care staff, including physicians, APRNs, RNs, and medical assistants, were analyzed. Although we found a statistically significant difference within the education arm between immediate pretests and posttests/surveys mean scores, there was no statistically significant difference between the study arms' knowledge, intent to use STEADI, or use behaviors. The pre/immediate post education mean knowledge score increased by 1.19 (p= 0.02) and the pre/immediate post education intent to use mean increased by 0.64 (p 0.01). There was no statistically significant change between the study arms over time.

conclusionEducational strategies, particularly written materials and an online module, did not increase the long-term use of the STEADI toolkit. Implementation research is needed to identify the strategies that are most effective for promoting the adoption of STEADI in primary care.

Indexed as

Academic Medical CentersAccidental FallsAgedAlgorithmsFemaleGeriatric AssessmentHealth PromotionHumansPrimary Health CareProspective StudiesSurveys and Questionnairesimplementationprimary care providersSTEADI toolkit

Identifiers

PMID32753856
PMCPMC7345972
OpenAlexW3039401494

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.