1,090
Views
3
CrossRef citations to date
0
Altmetric
Original Research

Implementing Falls Prevention in Primary Care: Barriers and Facilitators

ORCID Icon, ORCID Icon, ORCID Icon, &
Pages 885-902 | Published online: 02 Jun 2022

References

  • World Health Organization. Falls, Fact sheet; 2018. Available from: https://www.who.int/news-room/fact-sheets/detail/falls. Accessed September, 2019.
  • Deandrea S, Lucenteforte E, Bravi F, et al. Risk factors for falls in community-dwelling older people: “a systematic review and meta-analysis”. Epidemiology. 2010;21(5):658–668. doi:10.1097/EDE.0b013e3181e89905
  • Gosney M, Harper A, Conroy S. Oxford Desk Reference: Geriatric Medicine. Oxford university press; 2012.
  • Tinetti ME. Where is the vision for fall prevention? J Am Geriatr Soc. 2001;49(5):676–677. doi:10.1046/j.1532-5415.2001.49132.x
  • Tinetti ME, Speechley M. Prevention of falls among the elderly. N Engl J Med. 1989;320(16):1055–1059. doi:10.1056/NEJM198904203201606
  • World Health Organization. Falls: fact sheet; 2018: 25.
  • World Health Organization. Fact sheet, Falls; 2021 Available from: https://www.who.int/news-room/fact-sheets/detail/falls#:~:text=Each%20year%20an%20estimated%20646,medical%20attention%20occur%20each%20year. Accessed May, 2021.
  • Van der Does H, Baan A, Panneman M Privé-ongevallen bij ouderen, Cijfers valongevallen in de privésfeer 2018 [Private accidents among older people, Figures on private falls in 2018: veiligheidNL; 2019.
  • Cheng MH, Chang SF. Frailty as a risk factor for falls among community dwelling people: evidence from a meta‐analysis. J Nurs Scholarsh. 2017;49(5):529–536. doi:10.1111/jnu.12322
  • Clegg A, Young J, Iliffe S, et al. Frailty in elderly people. Lancet. 2013;381(9868):752–762. doi:10.1016/S0140-6736(12)62167-9
  • Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):M146–M57. doi:10.1093/gerona/56.3.M146
  • Walston J, Hadley EC, Ferrucci L, et al. Research agenda for frailty in older adults: toward a better understanding of physiology and etiology: summary from the American Geriatrics Society/National Institute on aging research conference on frailty in older adults. J Am Geriatr Soc. 2006;54(6):991–1001. doi:10.1111/j.1532-5415.2006.00745.x
  • Eeles EM, White SV, O’Mahony SM, et al. The impact of frailty and delirium on mortality in older inpatients. Age Ageing. 2012;41(3):412–416. doi:10.1093/ageing/afs021
  • Boelens C, Hekman EE, Verkerke GJ. Risk factors for falls of older citizens. Technol Health Care. 2013;21(5):521–533. doi:10.3233/THC-130748
  • Pfortmueller C, Lindner G, Exadaktylos A. Reducing fall risk in the elderly: risk factors and fall prevention, a systematic review. Minerva Med. 2014;105(4):275–281.
  • Bandeen-Roche K, Seplaki CL, Huang J, et al. Frailty in older adults: a nationally representative profile in the United States. J Gerontol A. 2015;70(11):1427–1434. doi:10.1093/gerona/glv133
  • Terroso M, Rosa N, Marques AT, et al. Physical consequences of falls in the elderly: a literature review from 1995 to 2010. Eur Rev Aging Phys Act. 2014;11(1):51–59. doi:10.1007/s11556-013-0134-8
  • Gillespie LD, Robertson MC, Gillespie WJ, et al. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2012;(9). doi:10.1002/14651858.CD007146.pub3
  • Balzer K, Bremer M, Schramm S, et al. Falls prevention for the elderly. GMS Health Technol Assess. 2012;8:Doc01. doi:10.3205/hta000099
  • Tricco AC, Thomas SM, Veroniki AA, et al. Comparisons of interventions for preventing falls in older adults: a systematic review and meta-analysis. JAMA. 2017;318(17):1687–1699. doi:10.1001/jama.2017.15006
  • Sherrington C, Michaleff ZA, Fairhall N, et al. Exercise to prevent falls in older adults: an updated systematic review and meta-analysis. Br J Sports Med. 2017;51(24):1750–1758. doi:10.1136/bjsports-2016-096547
  • Luk JKH, Chan TY, Chan DKY. Falls prevention in the elderly: translating evidence into practice. Hong Kong Med J. 2015;21(2):165–171. doi:10.12809/hkmj144469
  • Grossman DC, Curry SJ, Owens DK; Force UPST. Interventions to prevent falls in community-dwelling older adults: US preventive services task force recommendation statement. JAMA. 2018;319(16):1696–1704. doi:10.1001/jama.2018.3097
  • Shankar KN, Taylor D, Rizzo CT, et al. Exploring older adult ED fall patients’ understanding of their fall: a qualitative study. Geriatr Orthop Surg Rehabil. 2017;8(4):231–237. doi:10.1177/2151458517738440
  • Yardley L, Donovan-Hall M, Francis K, et al. Older people’s views of advice about falls prevention: a qualitative study. Health Educ Res. 2006;21(4):508–517. doi:10.1093/her/cyh077
  • Olij BF, Erasmus V, Kuiper JI, et al. Falls prevention activities among community-dwelling elderly in the Netherlands: a Delphi study. Injury. 2017;48(9):2017–2021. doi:10.1016/j.injury.2017.06.022
  • Schoon Y. Vallen, een systematische benadering bij het zoeken naar de oorzaak. Bijblijven. 2013;29(6):12–18. doi:10.1007/s12414-013-0057-3
  • Stel VS, Smit JH, Pluijm SM, et al. Consequences of falling in older men and women and risk factors for health service use and functional decline. Age Ageing. 2004;33(1):58–65. doi:10.1093/ageing/afh028
  • Mackenzie L, McIntyre A. How do general practitioners (GPs) engage in falls prevention with older people? A pilot survey of GPs in NHS England suggests a gap in routine practice to address falls prevention. Front Public Health. 2019;7. doi:10.3389/fpubh.2019.00032
  • Mueller CA, Klaaßen-Mielke R, Penner E, et al. Disclosure of new health problems and intervention planning using a geriatric assessment in a primary care setting. Croat Med J. 2010;51(6):493–500. doi:10.3325/cmj.2010.51.493
  • Vetter N, Lewis P. Reasons for poor detection of frequent falls in elderly people by general practitioners. Aging Clin Exp Res. 1995;7(6):430–432. doi:10.1007/BF03324357
  • Paul S. Falls: prevention and Management. In: Geriatric Medicine. 2018:109–119.
  • Child S, Goodwin V, Garside R, et al. Factors influencing the implementation of fall-prevention programmes: a systematic review and synthesis of qualitative studies. Implement Sci. 2012;7:7. doi:10.1186/1748-5908-7-91
  • McConville A, Hooven K. Factors influencing the implementation of falls prevention practice in primary care. J Am Assoc Nurse Pract. 2021;33(2):108–116. doi:10.1097/JXX.0000000000000360
  • Walsh K, Ford K, Morley C, et al. The development and implementation of a participatory and solution-focused framework for clinical research: a case example. Collegian. 2017;24(4):331–338. doi:10.1016/j.colegn.2016.06.003
  • Bloor R, Pearson D. Brief solution-focused organizational redesign: a model for international mental health consultancy. Int J Ment Health. 2004;33(2):44–53. doi:10.1080/00207411.2004.11043368
  • Meekes W, Leemrijse C, Korevaar J, et al. Implementation and evaluation of a fall risk screening strategy among frail older adults for the primary care setting: a study protocol. Clin Interv Aging. 2020;15:1625. doi:10.2147/CIA.S254864
  • VeiligheidNL V. Valanalyse, screeningtool valrisico voor de eerstelijnszorg: VeiligheidNL; 2015 [Fall analysis, fall risk screening tool for primary care: VeiligheidNL, 2015].
  • World Health Organization ALCU. WHO global report on falls prevention in older age: World Health Organization; 2008.
  • Federatie Medisch Specialisten. Richtlijn, Preventie van valincidenten bij ouderen; 2017 [Guideline, prevention of falls among older people, 2017.].
  • VeiligheidNL. Basiscursus valpreventie voor professionals; 2019 [Basic fall prevention course for professionals 2019]. Available from: https://www.veiligheid.nl/valpreventie/trainingen/basiscursus-valpreventie-voor-professionals. Accessed June 5, 2019.
  • The role of informal conversations in generating data, and the ethical and methodological issues. Forum Qualitative Sozialforschung/Forum: Qualitative Social Research; 2020.
  • Sanchez C. Unstructured Interviews. In: Michalos AC, editor. Encyclopedia of Quality of Life and Well-Being Research. Dordrecht: Springer Netherlands; 2014:6824–6825.
  • Zorggroep RCH T Zorgprogramma kwetsbare ouderen, Mogelijk gemaakt door de samenwerking tussen Zorggroep RCH Midden-Brabant en Thebe; 2015 [Care program for frail older people, made possible by the collaboration between Zorggroep RCH Midden-Brabant and Thebe].
  • Warnier R. TraZAG: Transmuraal zorg assessment Geriatrie Maastricht [Transmural care assessment Geriatrics Maastricht]. Tijdschr Gezondh Ethiek. 2012;22(3):93.
  • Gobbens RJ, Van assen MA, Luijkx KG, et al. The Tilburg frailty indicator: psychometric properties. J Am Med Dir Assoc. 2010;11(5):344–355. doi:10.1016/j.jamda.2009.11.003
  • Zijlstra GAR, van Haastregt JCM, Du Moulin MF, et al. Effects of the implementation of an evidence-based program to manage concerns about falls in older adults. Gerontologist. 2013;53(5):839–849. doi:10.1093/geront/gns142
  • Zijlstra GAR, van Haastregt JCM, Kempen GIJM. ‘Zicht op Evenwicht’: een effectieve interventie om bezorgdheid om te vallen en gerelateerd vermijdingsgedrag bij ouderen te verminderen. Tijdschr Gerontol Geriatr. 2012;43(4):164–174. doi:10.1007/s12439-012-0026-9
  • Faber MJ, Bosscher RJ, Chin A, et al. Effects of exercise programs on falls and mobility in frail and pre-frail older adults: a multicenter randomized controlled trial. Arch Phys Med Rehabil. 2006;87(7):885–896. doi:10.1016/j.apmr.2006.04.005
  • Weerdesteyn V, Rijken H, Geurts ACH, et al. A five-week exercise program can reduce falls and improve obstacle avoidance in the elderly. Gerontology. 2006;52(3):131–141. doi:10.1159/000091822
  • Campbell AJ, Robertson MC, Gardner MM, et al. Falls prevention over 2 years: a randomized controlled trial in women 80 years and older. Age Ageing. 1999;28(6):513–518. doi:10.1093/ageing/28.6.513
  • Campbell AJ, Robertson MC, Gardner MM, et al. Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women. BMJ. 1997;315(7115):1065–1069. doi:10.1136/bmj.315.7115.1065
  • Robertson MC, Devlin N, Gardner MM, et al. Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 1: randomised controlled trial. BMJ. 2001;322(7288):697–701. doi:10.1136/bmj.322.7288.697
  • Robertson MC, Gardner MM, Devlin N, et al. Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 2: controlled trial in multiple centres. BMJ. 2001;322(7288):701–704. doi:10.1136/bmj.322.7288.701
  • Loketgezondleven. Interventieszoeken[Search interventions]; 2019.
  • MOVISIE N, NISB, NJi, RIVM Dutch recognition system for interventions. Criteria for joint quality assessment 2013–2018; 2013.
  • Atkins L, Francis J, Islam R, et al. A guide to using the theoretical domains framework of behaviour change to investigate implementation problems. Implement Sci. 2017;12(1):77. doi:10.1186/s13012-017-0605-9
  • Huijg JM, Gebhardt WA, Dusseldorp E, et al. Measuring determinants of implementation behavior: psychometric properties of a questionnaire based on the theoretical domains framework. Implement Sci. 2014;9(1):33. doi:10.1186/1748-5908-9-33
  • ATLAS.ti Scientific Software Development GmbH [ATLAS.ti version 8 Windows]. (2019). Retrieved from https://atlasti.com.
  • Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277–1288. doi:10.1177/1049732305276687
  • van Staa A, de Vries K. Directed content analysis: een meer deductieve dan inductieve aanpak bij kwalitatieve analyse. Kwalon. 2014;19(3). doi:10.5117/2014.019.003.046
  • Vlaeyen E, Stas J, Leysens G, et al. Implementation of fall prevention in residential care facilities: a systematic review of barriers and facilitators. Int J Nurs Stud. 2017;70:110–121. doi:10.1016/j.ijnurstu.2017.02.002
  • Casey CM, Parker EM, Winkler G, et al. Lessons learned from implementing CDC’s STEADI falls prevention algorithm in primary care. Gerontologist. 2017;57(4):787–796. doi:10.1093/geront/gnw074
  • Abrahamson KA, Fox RL, Doebbeling BN. Facilitators and barriers to clinical practice guideline use among nurses. Am J Nurs. 2012;112(7):26–35. doi:10.1097/01.NAJ.0000415957.46932.bf
  • Dierick‐van Daele AT, Metsemakers JF, Derckx EW, et al. Nurse practitioners substituting for general practitioners: randomized controlled trial. J Adv Nurs. 2009;65(2):391–401. doi:10.1111/j.1365-2648.2008.04888.x
  • Helmink JH, Meis JJ, de Weerdt I, et al. Development and implementation of a lifestyle intervention to promote physical activity and healthy diet in the Dutch general practice setting: the BeweegKuur programme. Int J Behav Nutr Phys Act. 2010;7(1):1–10. doi:10.1186/1479-5868-7-49
  • Finnegan S, Bruce J, Seers K. What enables older people to continue with their falls prevention exercises? A qualitative systematic review. BMJ open. 2019;9(4):e026074.
  • Arkkukangas M, Söderlund A, Eriksson S, et al. One-year adherence to the Otago exercise program with or without motivational interviewing in community-dwelling older adults. J Aging Phys Act. 2018;26(3):390–395. doi:10.1123/japa.2017-0009
  • Kiyoshi-Teo H, Northup-Snyder K, Cohen DJ, et al. Feasibility of motivational interviewing to engage older inpatients in fall prevention: a pilot randomized controlled trial. J Gerontol Nurs. 2019;45(9):19–29. doi:10.3928/00989134-20190813-03
  • Frost H, Campbell P, Maxwell M, et al. Effectiveness of motivational interviewing on adult behaviour change in health and social care settings: a systematic review of reviews. PLoS One. 2018;13(10):e0204890.