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Abstract
Purpose: To assess the ability to use and the usefulness of video-elicitation to study risks and potential ways to reduce transfer-related falls in long term care. Method: A qualitative research study was conducted in a long term care facility and included a purposeful sample of 16 subjects (6 residents, 6 health care providers, and 4 family members). Field observations, interviews, video-recordings of assisted transfers, and video-elicitation sessions were conducted with the participants. The interviews and video-elicitation sessions were digitally recorded, transcribed and coded independently by at least 2 analysts. The codes were organized under themes. Results: Six themes related to risks and reduction of transfer-related falls were identified – environment, behaviors, health conditions, specific activities, knowledge and awareness, and balancing values. Conclusions: We were able to implement the novel participatory video-elicitation method developed and it was useful to identify risks and risk reduction strategies. Therefore, video-elicitation may be used in future studies to inform the design and testing of interventions to reduce transfer-related falls among LTC residents.
Falls are common among long term care residents.
Visual-elicitation is a useful tool to be used in rehabilitation to assess risks and possible measures to reduce falls.
The video-elicitation sessions optimized the ability and engaged residents, health care providers, and family members on providing information and discussing risks and potential measures to reduce transfer-related falls.
Implications for Rehabilitation
Acknowledgements
We thank the valuable contributions of the participants, and the Good Samaritan Society in general for providing us access to their facility and specifically Donnie McIntosh, Tracey Neil, Brenda Thomson, Judy Good, and Tricia Hoeppner for all of their encouragement and help. We acknowledge Michelle Chan’s assistance in transcribing the interviews and video-elicitation session recordings, and would like to thank Dr Denis Brunt for reviewing and editing our manuscript.