Observational studyArchives of physical medicine and rehabilitation2025
A Role for Health Literacy in Protecting People With Limited English Proficiency Against Falling: A Retrospective, Cohort Study.
Observational study in Archives of physical medicine and rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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.
Who cites it
3 citing papers in PubMed.
- Urdu translation and cross-cultural adaptation of fall risk awareness questionnaire for older adults.BMC geriatrics · 2026Article
- Clinical Implications for Management of Falls in Hospital Patients with Communication Disability After Stroke: A Qualitative Meta-Synthesis.Journal of advanced nursing · 2026Review
- Development and validation of a fall health literacy scale for Chinese hospitals from the perspective of older adults.Frontiers in public health · 2025Observational
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveTo identify risk factors related to falls within the scope of speech-language pathology (SLP) using assessments from the Inpatient Rehabilitation Facility-Patient Assessment Instrument over a 4-month period in 4 inpatient rehabilitation facilities (IRFs).
designObservational retrospective cohort study.
settingFour IRFs as part of a larger learning health system.
participantsAdults aged ≥18 years admitted to the IRFs from October 1, 2022 to February 28, 2023 were included.
interventionN/A.
main outcome measuresOccurrence of falls.
resultsAnalyses of 631 patient records revealed that the odds of falling were almost 3 times greater in people with limited English proficiency than in English speakers (odds ratio [OR], 2.92; 95% confidence interval [CI], 1.09-6.85). People with limited English proficiency who reported poorer health literacy had 4 times higher odds of falling (OR, 3.90; 95% CI, 1.13-13.44) than English speakers who reported adequate health literacy. People with limited English proficiency who reported adequate health literacy had the same risk of falling as English speakers (OR, 0.98; 95% CI, 0.16-6.12), suggesting the protective role of health literacy for people with limited English proficiency.
conclusionsLanguage barriers have a significant effect on falls among patients in IRFs. SLPs improving health literacy and providing language support may play a crucial role in mitigating fall risk, thereby enhancing patient safety and outcomes.
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Registered trials
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