Evidence map›Paper›PMID 39109828›Full record

ArticlePhysical therapy2024

A Falls Prevention Program for People After Stroke in Guyana: An International Collaboration.

Maureen Romanow Pascal, Barbara Lawrence, Stephanie Pires, Elton Newton, Deoranie Babulall, Kelly Saroka, Megan Shaver, Mackenzie Schanzlin, Kristi Pearage

Abstract read
In one paragraph

Article in Physical therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Maureen Romanow PascalPhysical Therapy Department, Misericordia University, Dallas, Pennsylvania, USA.ORCID 0009-0006-0818-0140
Barbara LawrencePalms Rehabilitation Department, Ministry of Health, c/o Palms Geriatric Home, Brickdam, Georgetown, Guyana.
Stephanie PiresPalms Rehabilitation Department, Ministry of Health, c/o Palms Geriatric Home, Brickdam, Georgetown, Guyana.
Elton NewtonPalms Rehabilitation Department, Ministry of Health, c/o Palms Geriatric Home, Brickdam, Georgetown, Guyana.
Deoranie BabulallPalms Rehabilitation Department, Ministry of Health, c/o Palms Geriatric Home, Brickdam, Georgetown, Guyana.
Kelly SarokaPhysical Therapy Department, Misericordia University, Dallas, Pennsylvania, USA.
Megan ShaverPhysical Therapy Department, Misericordia University, Dallas, Pennsylvania, USA.
Mackenzie SchanzlinPhysical Therapy Department, Misericordia University, Dallas, Pennsylvania, USA.
Kristi PearagePhysical Therapy Department, Misericordia University, Dallas, Pennsylvania, USA.

Funding

Misericordia University Research FacDev_GUY-IRB_#014/2022Misericordia University Research Grants SRG_GUY-IRB_#014/2022
6 · The paper itself

Abstract

objectiveThe objective was to describe the social, environmental, and cultural adaptations to an existing falls program and assess acceptability and preliminary effectiveness of the program in reducing fear, reducing falls, and improving function among individuals poststroke in Guyana.

methodsA quasi-experimental pilot study with a pretest/posttest in-group design was developed through a collaboration of researchers in Guyana and the US. Participants took part in the falls prevention program for 8 weeks. Outcome measures included a 10-m walk test, the Five Times Sit to Stand Test, and subjective questionnaires for falls incidence and balance confidence at the beginning and end.

resultsTwenty participants completed the study. One participant experienced medical complications, and their data were excluded from analysis. Fifteen participants (78.9%) demonstrated improvements in comfortable and fast walking speed. Twelve participants completed the Five Times Sit to Stand Test. Eleven (91.67%) improved their time at the posttest, with 9 (81.8%) demonstrating a clinically important improvement. Nineteen participants had sustained at least 1 fall prior to the study. Only 1 participant reported a fall during the program. Initially, the majority of participants (11/19) were very concerned about falling. At the end, only 1 was very concerned about falling, and the majority (15/19) were not concerned at all. Posttest surveys of participants indicated acceptability of the program.

conclusionsThis pilot program helped reduce fall risk and improve confidence, gait speed, and community mobility of the study participants. Future research at other rehabilitation departments in Guyana would help increase the generalizability of the program. IMPACT: The program can be used clinically by physical therapists in Guyana, both in departments and as a home program. Shared knowledge and experience of researchers considering research evidence and the environmental, social, and economic conditions of people living in Guyana were important in developing an effective program.

Indexed as

Accidental FallsPostural BalanceStroke RehabilitationAgedFemaleGuyanaHumansInternational CooperationMaleMiddle AgedPilot ProjectsStrokeUnited StatesBalanceCerebrovascular AccidentGaitMobilityRehabilitationStrokeWalking

Identifiers

PMID39109828
PMCPMC11523612

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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.