A Multidisciplinary Fall Prevention Program for Elderly Persons: A Feasibility Study

Hendriks, Marc; Bleijlevens, Michel H. C.; Haastregt, Jolanda C. M. van; Bruijn, Fleur H. de; Diederiks, J.P.M.; Mulder, Wubbo J.; Ruijgrok, Joop; Stalenhoef, Paul A.; Crebolder, H. F. J. M.; Eijk, J.T.M. van

doi:10.1016/j.gerinurse.2007.10.019

Cited by 18 publications

(9 citation statements)

References 31 publications

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“… Targeting The degree to which the HLQ was appropriately targeted to the RESPOND cohort [ 16 ]. Targeting was evaluated through analysis of person-item distribution graphs [ 35 ]. The mean person location should approximate zero for a well targeted tool [ 16 ].…”

Section: Methodsmentioning

confidence: 99%

Measurement properties of the Health Literacy Questionnaire (HLQ) among older adults who present to the emergency department after a fall: a Rasch analysis

Morris

Soh

Hill

et al. 2017

BMC Health Serv Res

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BackgroundHealth literacy is an important concept associated with participation in preventive health initiatives, such as falls prevention programs. A comprehensive health literacy measurement tool, appropriate for this population, is required. The aim of this study was to evaluate the measurement properties of the Health Literacy Questionnaire (HLQ) in a cohort of older adults who presented to a hospital emergency department (ED) after a fall.MethodsOlder adults who presented to an ED after a fall had their health literacy assessed using the HLQ (n = 433). Data were collected as part of a multi-centre randomised controlled trial of a falls prevention program. Measurement properties of the HLQ were assessed using Rasch analysis.ResultsAll nine scales of the HLQ were unidimensional, with good internal consistency reliability. No item bias was found for most items (43 of 44). A degree of overall misfit to the Rasch model was evident for six of the nine HLQ scales. The majority of misfit indicated content overlap between some items and does not compromise measurement. A measurement gap was identified for this cohort at mid to high HLQ score.ConclusionsThe HLQ demonstrated good measurement properties in a cohort of older adults who presented to an ED after a fall. The summation of the HLQ items within each scale, providing unbiased information on nine separate areas of health literacy, is supported. Clinicians, researchers and policy makers may have confidence using the HLQ scale scores to gain information about health literacy in older people presenting to the ED after a fall.Trial registrationThis study was registered with the Australian New Zealand Clinical Trials Registry, number ACTRN12614000336684 (27 March 2014).

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Section: Methodsmentioning

confidence: 99%

Measurement properties of the Health Literacy Questionnaire (HLQ) among older adults who present to the emergency department after a fall: a Rasch analysis

Morris

Soh

Hill

et al. 2017

BMC Health Serv Res

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“…The adaptation process and feasibility study are described elsewhere. 10 Briefly, the adapted program consisted of structured medical and OT assessments to assess and address potential risk factors for new falls. The medical and OT assessments were described in a protocol.…”

Section: Fall-prevention Programmentioning

confidence: 99%

Lack of Effectiveness of a Multidisciplinary Fall‐Prevention Program in Elderly People at Risk: A Randomized, Controlled Trial

Hendriks

Bleijlevens

Haastregt

et al. 2008

J American Geriatrics Society

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132

143

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The multidisciplinary fall-prevention program was not effective in preventing falls and functional decline in this Dutch healthcare setting. Implementing the program in its present form in the Netherlands is not recommended. This trial shows that there can be considerable discrepancy between the "ideal" (experimental) version of a program and the implemented version of the same program. The importance of implementation research in assessing feasibility and effectiveness of such a program in a specific healthcare setting is therefore stressed.

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“…Preventive and rehabilitative strategies have been identified through a number of epidemiological and clinical studies of fall prevention in older people (Brown 1999, Gillespie et al. 2001, Hendriks et al. 2008).…”

Section: Introductionmentioning

confidence: 99%

Determinants of participation in a fall assessment and prevention programme among elderly fallers in Hong Kong: prospective cohort study

Wong¹,

Woo²,

Cheung³

et al. 2010

Journal of Advanced Nursing

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Older people with the selected characteristics were less likely to attend the fall prevention programme, thus were less likely to benefit from them. Support from family/carers may be an important element in participation. In a nursing context, in primary care practice, all of these factors should be taken into account in any future development of a fall prevention programme in Hong Kong of this nature.

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A Multidisciplinary Fall Prevention Program for Elderly Persons: A Feasibility Study

Cited by 18 publications

References 31 publications

Measurement properties of the Health Literacy Questionnaire (HLQ) among older adults who present to the emergency department after a fall: a Rasch analysis

Measurement properties of the Health Literacy Questionnaire (HLQ) among older adults who present to the emergency department after a fall: a Rasch analysis

Lack of Effectiveness of a Multidisciplinary Fall‐Prevention Program in Elderly People at Risk: A Randomized, Controlled Trial

Determinants of participation in a fall assessment and prevention programme among elderly fallers in Hong Kong: prospective cohort study

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