Evidence map›Paper›PMID 32868369›Full record

ArticleBMJ open2020

Exploring the causes and impacts of falls among ambulators with spinal cord injury using photovoice: a mixed-methods study.

Hardeep Singh, Arielle Shibi Rosen, Geoff Bostick, Anita Kaiser, Kristin E Musselman

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

14 citing papers in PubMed, 24 citations in OpenAlex.

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  10. What about Using Photovoice for Health and Safety?International journal of environmental research and public health · 2021
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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

5 authors at 2 institutions in 1 country.

Hardeep SinghRehabilitation Sciences Institute, University of Toronto Faculty of Medicine, Toronto, Ontario, Canada.ORCID 0000-0002-7429-5580
Arielle Shibi RosenKITE, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada.
Geoff BostickDepartment of Physical Therapy, University of Alberta, Edmonton, Alberta, Canada.
Anita KaiserRehabilitation Sciences Institute, University of Toronto Faculty of Medicine, Toronto, Ontario, Canada.
Kristin E MusselmanRehabilitation Sciences Institute, University of Toronto Faculty of Medicine, Toronto, Ontario, Canada Kristin.Musselman@uhn.ca.
University Health Network · CAUniversity of Alberta · CA

Funding

CIHR
6 · The paper itself

Abstract

objectivesThis study explored: (1) fall circumstances experienced by ambulators with spinal cord injury (SCI) over a 6-month period, (2) the impacts of falls-related injuries and fall risk and (3) their preferences/recommendations for fall prevention.

designA sequential explanatory mixed-methods design with two phases.

settingA Canadian SCI rehabilitation hospital and community setting.

participantsThirty-three ambulators with SCI participated in phase 1 and eight participants that fell in phase 1 participated in phase 2.

methodsIn phase 1, fall circumstances were tracked using a survey that was completed each time a participant fell during the 6-month tracking period. Phase 2 involved photovoice; participants took photographs of factors that influenced their fall risk and how their fall risk impacted their work/recreational activities. Participants discussed the photographs and topics related to fall prevention in an individual interview and a focus group.

resultsOf the 33 participants, 21 fell in 6 months. Falls commonly occurred in the home while participants were changing positions or walking. Most falls occurred in the morning or afternoon. In phase 2, interviews and focus group discussion revealed three themes: (1) falls are caused by bodily impairments (eg, impaired reactive response during slips and trips and weakness and altered sensation in legs/feet), (2) impacts of fall-related injuries and fall risk (eg, psychosocial effects of fall-related injuries, limiting community participation due to the risk of falling and activity-dependent concern of falling) and (3) approaches to fall prevention (eg, fall prevention strategies used, components of fall prevention and utility of professional fall prevention strategies/interventions).

conclusionsFall prevention interventions/strategies should focus on minimising a person's fall risk within their home as most falls occurred in the home environment. Ambulators with SCI would benefit from education and awareness about common fall circumstances that they may encounter in their daily lives.

Indexed as

Accidental FallsSpinal Cord InjuriesAgedCanadaFemaleHospitals, RehabilitationHumansMaleMiddle AgedRisk FactorsWalkingneurological injuryprotocols & guidelinesqualitative researchrehabilitation medicine

Identifiers

PMID32868369
PMCPMC7462239
OpenAlexW3082324482

What OpenQuestion holds

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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.