Adherence to a multifactorial fall prevention program following paramedic care: Predictors and impact on falls and health service use. Results from an RCT a priori subgroup analysis

A Stefanie Mikolaizak; Stephen R Lord; Anne Tiedemann; Paul Simpson; Gideon Caplan; Jason Bendall; Kirsten Howard; Jacqueline Close

doi:10.1111/ajag.12465

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Adherence to a multifactorial fall prevention program following paramedic care: Predictors and impact on falls and health service use. Results from an RCT a priori subgroup analysis

Journal article

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Adherence to a multifactorial fall prevention program following paramedic care: Predictors and impact on falls and health service use. Results from an RCT a priori subgroup analysis

A Stefanie Mikolaizak, Stephen R Lord, Anne Tiedemann, Paul Simpson, Gideon Caplan, Jason Bendall, Kirsten Howard and Jacqueline Close

Australasian Journal on Ageing, Vol.37(1), pp.54-61

2018

DOI: https://doi.org/10.1111/ajag.12465

Appears in UniSC Diversity and Inclusion Research Collection

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Abstract

accidental falls

attitude to health

emergency medical services

falls

geriatric health service

UniSC Diversity Area - Life Stages

Objective: To identify predictors and impact of adherence to a multifactorial fall-prevention program on falls and health service utilisation. Methods: Randomised controlled trial with a priori subgroup analysis within intervention group according to adherence. Participants were community dwelling, (≥65 years), not transported to hospital following fallrelated paramedic care. The Attitudes to Falls-Related Interventions Scale (AFRIS) was completed at baseline, adherence levels were measured (three-point scale) at six months, and falls and health service utilisation were recorded for 12 months. Multivariate logistic regression and area under the curve were calculated with 95% confidence interval (CI). Results: Attitudes to Falls-Related Interventions Scale scores (n = 85) were independent of baseline characteristics. At six months, 39 (46%) participants reported full adherence. Independent predictors of adherence were positive AFRIS (OR 4.10, 95% CI 1.48-11.39) and receiving 3+ recommendations (OR 3.36, 95% CI 1.26-9.00). Adherers experienced fewer falls (IRR 0.53, 95% CI 0.45-0.80) and fall-related health service use (emergency department presentations IRR 0.37, 95% CI 0.17-0.82) compared to non-adherers. Conclusion: Older adults who adhere to recommendations benefit, regardless of fall-risk profile

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Title: Adherence to a multifactorial fall prevention program following paramedic care: Predictors and impact on falls and health service use. Results from an RCT a priori subgroup analysis
Authors: A Stefanie Mikolaizak (Corresponding Author) - University of New South Wales
Stephen R Lord (Author) - University of New South Wales
Anne Tiedemann (Author) - University of New South Wales
Paul Simpson (Author) - Western Sydney University
Gideon Caplan (Author) - University of New South Wales
Jason Bendall (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
Kirsten Howard (Author) - University of Sydney
Jacqueline Close (Author) - University of New South Wales
Publication details: Australasian Journal on Ageing, Vol.37(1), pp.54-61
Publisher: Wiley-Blackwell Publishing Asia
Date published: 2018
DOI: 10.1111/ajag.12465
ISSN: 1440-6381
Organisation Unit: University of the Sunshine Coast, Queensland
Language: English
Record Identifier: 99450929902621
Output Type: Journal article

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Collaboration types: Domestic collaboration
Web Of Science research areas: Geriatrics & Gerontology; Gerontology

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