Evidence map›Paper›PMID 37974544›Full record

ArticleJournal of the American Geriatrics Society2024

The role of community paramedicine in fall prevention: A SWOT analysis.

Carmen E Quatman, Jessica M Wiseman, Chandler Dickinson, Monica C Leach, Michelle Hislop, Deb A Kegelmeyer, Anne D Kloos, Catherine C Quatman-Yates

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

8 authors at 1 institution in 1 country.

Carmen E QuatmanDivision of Trauma, Department of Orthopaedics, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Jessica M WisemanDivision of Trauma, Department of Orthopaedics, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Chandler DickinsonDivision of Physical Therapy, School of Health and Rehabilitation Sciences, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Monica C LeachDivision of Physical Therapy, School of Health and Rehabilitation Sciences, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Michelle HislopDivision of Physical Therapy, School of Health and Rehabilitation Sciences, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Deb A KegelmeyerDivision of Physical Therapy, School of Health and Rehabilitation Sciences, The Ohio State University College of Medicine, Columbus, Ohio, USA.ORCID 0000-0002-7767-8069
Anne D KloosDivision of Physical Therapy, School of Health and Rehabilitation Sciences, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Catherine C Quatman-YatesDivision of Physical Therapy, School of Health and Rehabilitation Sciences, The Ohio State University College of Medicine, Columbus, Ohio, USA.
The Ohio State University · US

Funding

Transformative Solutions for Reducing Frequent 911 Fall Calls in the Homes of Patients with Cognitive ImpairmentsK76AG068435 · NIA · OHIO STATE UNIVERSITY · PI QUATMAN, CARMEN · 2021 to 2025
$1.2M
First Responders: An Innovative Approach to Better Predict and Prevent Falls in Older Adults in the CommunityR03AG060177 · NIA · OHIO STATE UNIVERSITY · PI QUATMAN, CARMEN · 2018 to 2019
$234k
NIA NIH HHS K76 AG068435NIA NIH HHS K76AG068435NIA NIH HHS R03 AG060177NIA NIH HHS R03AG060177
6 · The paper itself

Abstract

backgroundMillions of older US adults fall annually, leading to catastrophic injuries, over 32,000 deaths and healthcare costs of over $55 billion. This study evaluated perceived benefits and limitations of using community paramedicine for fall prevention strategies from the lens of older adults, caregivers, and healthcare providers.

methodsSemi-structured focus groups were held with individuals from three stakeholder groups: (1) community-dwelling older adults (age ≥60), (2) caregivers, and (3) healthcare providers. The Strengths-Weaknesses-Opportunities-Threats (SWOT) framework was used to quantitatively analyze stakeholder perceptions of using community paramedicine for fall prevention strategies.

resultsA total of 10 focus groups were held with 56 participants representing older adults (n = 15), caregivers (n = 16), and healthcare providers (n = 25). Community paramedicine was supported as a model of fall prevention by older adults, caregivers, and healthcare providers. Participants identified strengths such as visibility to the home environment, ability to implement home modifications, implicit trust in emergency medical services (EMS), and capacity to redirect resources toward prevention. Additionally, participants acknowledged opportunities such as providing continuity of care across the healthcare spectrum, improving quality and safety of care and potentially reducing unnecessary emergency department use. Participants endorsed weaknesses and threats such as funding, concerns of patients about stigma, and struggles with medical data integration.

conclusionsThe results of this study illuminate the opportunity to leverage community paramedicine to address a variety of perceived barriers in order to design and implement better solutions for fall prevention efforts.

Indexed as

Emergency Medical ServicesParamedicineAdultAgedCaregiversFocus GroupsHealth PersonnelHumansMiddle Agedcommunity paramedicinefall preventionhealthy aging

Identifiers

PMID37974544
PMCPMC10922653
OpenAlexW4388768583

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.