Evidence map›Paper›PMID 39789364›Full record

ArticleEuropean geriatric medicine2025

Multidisciplinary care pathways for falls prevention in older adults: visualizing the needs of primary care-based health care professionals.

Sara S Groos, Stefanie M Tan, Annemiek J Linn, Judith I Kuiper, Natasja M van Schoor, Julia C M van Weert, Nathalie van der Velde

Abstract read
In one paragraph

Article in European geriatric medicine, 2025. 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
–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

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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.

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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

7 authors.

Sara S GroosInternal Medicine, Section of Geriatric Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands. s.s.groos@amsterdamumc.nl.ORCID http://orcid.org/0000-0002-3641-6425
Stefanie M TanInternal Medicine, Section of Geriatric Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.
Annemiek J LinnAmsterdam School of Communication Research/ASCoR, University of Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0003-0912-3712
Judith I KuiperVeiligheidNL, Amsterdam, The Netherlands.
Natasja M van SchoorEpidemiology and Data Science, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-0870-0795
Julia C M van WeertAmsterdam School of Communication Research/ASCoR, University of Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-2259-5864
Nathalie van der VeldeInternal Medicine, Section of Geriatric Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-6477-6209

Funding

Ministerie van Volksgezondheid, Welzijn en Sport 333322
6 · The paper itself

Abstract

purposeMultidisciplinary care pathways for falls prevention, which include falls risk stratification, multifactorial falls risk assessment, and management of multidomain interventions, can reduce falls in older adults. However, efficient multidisciplinary falls prevention care is challenging due to issues such as poor communication and role allocation. This study aimed to identify and visualize the multidisciplinary care needs of primary care-based health care professionals (HCPs) for falls prevention in the Netherlands using the novel co-design approach of journey mapping.

methodsOnline focus groups and interviews (N = 45) were conducted with physical therapists (n = 15), district nurses (n = 9), occupational therapists (n = 7), pharmacists (n = 6), nurse practitioners (n = 5), podiatrists (n = 2), and one general practitioner. HCPs were asked about their interactions, experiences, needs, and barriers with regards to multidisciplinary falls prevention care in a primary care context. Insights were used to visualize a journey map depicting the desired future state of multidisciplinary care pathways for falls prevention.

resultsJourney mapping identified the following needs for effective multidisciplinary falls prevention care: a dedicated case manager after risk stratification, preparatory patient information before the assessment, small multidisciplinary care team for the assessment, patient involvement during intervention management, good communication between HCPs, and a reduction in workload for HCPs.

conclusionThe inclusion of a case manager program for older adults and access to resources to facilitate good communication between HCPs are important to optimize the configuration of multidisciplinary care pathways for falls prevention in actual practice.

Indexed as

Accidental FallsHealth PersonnelPatient Care TeamPrimary Health CareAgedFemaleFocus GroupsHumansMaleMiddle AgedNetherlandsRisk AssessmentFalls preventionFalls risk stratificationJourney mappingMultidisciplinary careMultifactorial falls risk assessment

Identifiers

PMID39789364
PMCPMC11850515

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