Journal article
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
Australasian Journal on Ageing, Vol.37(1), pp.54-61
2018
Abstract
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
Details
- 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 WalesStephen R Lord (Author) - University of New South WalesAnne Tiedemann (Author) - University of New South WalesPaul Simpson (Author) - Western Sydney UniversityGideon Caplan (Author) - University of New South WalesJason Bendall (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and EngineeringKirsten Howard (Author) - University of SydneyJacqueline 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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- Domestic collaboration
- Web Of Science research areas
- Geriatrics & Gerontology
- Gerontology
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