Adherence to Occupational Therapist Recommendations for Home Modifications for Falls Prevention

Cumming, Robert G.; Thomas, Margaret H.; Szonyi, George; Frampton, Gina; Salkeld, Glenn; Clemson, Lindy

doi:10.5014/ajot.55.6.641

Cited by 105 publications

(93 citation statements)

References 12 publications

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“…6 In interventions with longer duration, adherence tends to decline. [34][35][36][37] Adherence rates for the group and home exercises of the current intervention were moderate. Adherence rates for the psychosocial group activities and lectures were lower than for the physical exercise groups.…”

Section: Discussionmentioning

confidence: 91%

Effect of a Risk‐Based Multifactorial Fall Prevention Program on the Incidence of Falls

Salminen

Vahlberg

Salonoja

et al. 2009

J American Geriatrics Society

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Section: Discussionmentioning

confidence: 91%

Effect of a Risk‐Based Multifactorial Fall Prevention Program on the Incidence of Falls

Salminen

Vahlberg

Salonoja

et al. 2009

J American Geriatrics Society

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“…stroke. These main factors, according to the literature, have included: a) lack of motivation to continue [10]; b) low confidence in the programme [6]; and c) the nature of the exercise programme, or the way in which these exercises are presented to the user [18]. In particular, the repetitive movements involved in rehabilitation exercises (over a period of time) could potentially result in a reduced interest in the programme [25].…”

Section: Introductionmentioning

confidence: 99%

Investigating the long-term use of exergames in the home with elderly fallers

Uzor

Baillie

2014

Proceedings of the SIGCHI Conference on Human Factors in Computing Systems

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Rehabilitation has been shown to significantly reduce the risk of falling in older adults. However, low adherence to rehabilitation exercises in the home means that seniors often do not get the therapy that they require. We propose that the use of tailored exergames could encourage adherence to falls rehabilitation in the home, as exergames have proved successful in clinical settings. We describe the results from the first known study to investigate the longterm (12 weeks) use of exergames, designed in close collaboration with elderly users, for falls rehabilitation in the home. Our findings suggest that there is an untapped potential of exergames for home rehabilitation use, as our findings show that there was better adherence to exercise in participants who used the exergames, versus those who used standard care. Finally, we make recommendations for designers, on the design of exergames for the rehabilitation of seniors.

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“…[20][21][22] Home modifi cation, involving the removal of hazards and the incorporation of safety features in the home, can also reduce falls when properly implemented. 23,24 Hughes et al 25 demonstrated that many elderly people advocated fall prevention strategies for their peers; however, they did not think that they themselves needed it. Furthermore, not many elderly people are aware of programmes available to them.…”

Section: Fallsmentioning

confidence: 96%

Identifying Risk and Raising Awareness in Older Person Trauma

Kourouche

Curtis

Watson

et al. 2011

Journal of Trauma Nursing

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W ith the ageing of our population and increasing longevity, the incidence and complexity of trauma in older persons (65 years and older) is increasing. 1 Older persons are at greater risk of injury because of their diminishing faculties including vision, hearing, touch, and reaction times. 2,3 Compared with younger age groups, older persons also have higher mortality and morbidity rates because of increasing frailty ABSTRACT Injury among older persons is well recognized as a growing problem. We reviewed our level-1 trauma center trauma registry fi nding that the most frequent presentations among people aged older than 65 years were due to falls and motor vehicle crashes. We surveyed participants at two of our older person injury awareness seminars to identify risk factors. Participants at our out-reach programme have several injury risk factors including polypharmacy for which our programme content has been tailored. We discuss this in relation to the older person injury-prevention literature. Because implementing our out-reach seminars, older person trauma presentations to our trauma center have decreased slightly. and comorbidities. 4,5 The high rate of hospital presentation for morbidity results in high costs to the health care system because of increased lengths of stay and greater complexity of care. 6 In Australia, age-specifi c mortality rates for injury are relatively steady for both men and women from early adulthood through to the late 1960s, but rise rapidly from age 70 years onwards. 7 In 2004 to 2005, those aged 75 years and older accounted for 38% (n ϭ 3701) of all injury deaths in Australia with injury death rates highest for both sexes in this age group. 7 Age-specifi c injury hospitalization rates follow a similar pattern, although rates among males increase in the teens, peak in the early 20s, then decline until 70 years of age before increasing signifi cantly. 8 Similarly for females, hospitalization rates are relatively steady until around the age of 65 years when, due to mainly to the increasing rate of falls, they escalate signifi cantly. 8 FALLSFalls are the leading cause of injury-related mortality and hospitalized morbidity in older people in most developed countries. 4 In Australia, one in three people aged older than 65 years have at least one fall a year with 30% of these requiring medical attention. 9 Falls from standing are the only injury-related cause of death and hospitalization in which there is a signifi cantly greater number of females, compared to males. 9 ROAD TRAUMARoad trauma is also a signifi cant cause of injury-related mortality and hospitalized morbidity among older people. This is especially evident for pedestrians, with persons older than 60 years accounting for more than 30% of all pedestrian fatalities in Australia. 10 Fatality rates in older drivers are nearly double that of younger drivers. Those aged older than 85 years have nearly four times risk of being involved in a fatal crash when driving than their younger counterparts. 11 Furthermore, people aged older t...

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Adherence to Occupational Therapist Recommendations for Home Modifications for Falls Prevention

Abstract: A major barrier to adherence to home modification recommendations is that many older people do not believe that home modifications can reduce their risk of falling.

Cited by 105 publications

References 12 publications

Effect of a Risk‐Based Multifactorial Fall Prevention Program on the Incidence of Falls

Effect of a Risk‐Based Multifactorial Fall Prevention Program on the Incidence of Falls

Investigating the long-term use of exergames in the home with elderly fallers

Identifying Risk and Raising Awareness in Older Person Trauma

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