Capturing the psychosocial impacts of falls from the perspectives of wheelchair users with spinal cord injury through photo-elicitation

Singh, Hardeep; Scovil, Carol Y.; Yoshida, Karen; Oosman, Sarah; Kaiser, Anita; Jaglal, Susan; Musselman, Kristin E.

doi:10.1080/09638288.2019.1709911

Cited by 18 publications

(23 citation statements)

References 42 publications

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“…The interviews explored the participants' individual experiences of fall risk and the psychosocial impact of falls. These findings were previously reported in two publications [11,13].…”

Section: Plos Onesupporting

confidence: 90%

“…Most fall-related injuries reported on the surveys were minor. However, previous research suggests that even minor or non-injurious falls can have significant psychosocial impacts on the lives of some wheelchair users with SCI [11].…”

Section: Discussionmentioning

confidence: 98%

“…The intent of photo sharing was to promote dialogue [24] about falls/fall prevention and for group members to collectively reflect on their fall prevention needs. This was followed by discussions about key themes uncovered in the previous conducted photo-elicitation interviews [11,13], and aspects of fall prevention (e.g. from your perspective what does an ideal fall prevention training/intervention look like?)…”

Section: Plos Onementioning

confidence: 99%

“…Further, the aftermath of a fall can have lasting psychosocial impacts on the individual who fell, including greater dependence on others, activity restrictions, and negative emotions (e.g. fear and anxiety) [ 3 , 9 – 11 ]. A fall not only impacts the person who experiences it, but can also have a lasting and traumatic impact on caregivers/family members/friends whom witness the fall/aftermath of a fall [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

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Perspectives of wheelchair users with spinal cord injury on fall circumstances and fall prevention: A mixed methods approach using photovoice

et al. 2020

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Introduction Wheelchair users with spinal cord injury are at a high risk of falls. However, the perspectives of wheelchair users with spinal cord injury on their fall circumstances and their preferences for fall prevention strategies/interventions remain understudied. Therefore, we aimed to: a) describe the circumstances of falls experienced by wheelchair users with spinal cord injury over a six-month period, b) explore their perspectives of why falls occurred in certain situations, and c) explore their perspectives on recommended content/structure of fall prevention strategies/interventions. Methods This sequential explanatory mixed methods study had two phases. Phase I involved tracking of falls experienced by wheelchair users with spinal cord injury over six months, in which participants completed a survey after experiencing a fall to track the number/circumstance of each fall. Data from the surveys were descriptively reported. Phase II involved a photovoice focus group discussion of the survey findings and their preferences for fall prevention strategies/interventions. Data from the focus group discussion were analyzed using a thematic analysis. Results Thirty-two participants completed phase I. More than half of the participants fell at least once in six months. Falls commonly occurred in the afternoon during a transfer, or when participants were wheeling over uneven ground. One-third of the falls caused an injury. Eleven

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“…The interviews explored the participants' individual experiences of fall risk and the psychosocial impact of falls. These findings were previously reported in two publications [11,13].…”

Section: Plos Onesupporting

confidence: 90%

Section: Discussionmentioning

confidence: 98%

Section: Plos Onementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Perspectives of wheelchair users with spinal cord injury on fall circumstances and fall prevention: A mixed methods approach using photovoice

et al. 2020

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“…Similarly to wheelchair users with SCI, 33 ambulators with SCI had varying levels of concern about falling. All participants believed that winter conditions increased their fall risk, and it was unsurprising that some ambulators with SCI limited their community participation in these conditions due to concerns that they might fall.…”

Section: Subtheme 3b: Components Of Fall Preventionmentioning

confidence: 99%

Exploring the causes and impacts of falls among ambulators with spinal cord injury using photovoice: a mixed-methods study

Singh¹,

Rosen²,

Bostick

et al. 2020

BMJ Open

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ObjectivesThis study explored: (1) fall circumstances experienced by ambulators with spinal cord injury (SCI) over a 6-month period, (2) the impacts of falls-related injuries and fall risk and (3) their preferences/recommendations for fall prevention.DesignA sequential explanatory mixed-methods design with two phases.SettingA Canadian SCI rehabilitation hospital and community setting.ParticipantsThirty-three ambulators with SCI participated in phase 1 and eight participants that fell in phase 1 participated in phase 2.MethodsIn phase 1, fall circumstances were tracked using a survey that was completed each time a participant fell during the 6-month tracking period. Phase 2 involved photovoice; participants took photographs of factors that influenced their fall risk and how their fall risk impacted their work/recreational activities. Participants discussed the photographs and topics related to fall prevention in an individual interview and a focus group.ResultsOf the 33 participants, 21 fell in 6 months. Falls commonly occurred in the home while participants were changing positions or walking. Most falls occurred in the morning or afternoon. In phase 2, interviews and focus group discussion revealed three themes: (1) falls are caused by bodily impairments (eg, impaired reactive response during slips and trips and weakness and altered sensation in legs/feet), (2) impacts of fall-related injuries and fall risk (eg, psychosocial effects of fall-related injuries, limiting community participation due to the risk of falling and activity-dependent concern of falling) and (3) approaches to fall prevention (eg, fall prevention strategies used, components of fall prevention and utility of professional fall prevention strategies/interventions).ConclusionsFall prevention interventions/strategies should focus on minimising a person’s fall risk within their home as most falls occurred in the home environment. Ambulators with SCI would benefit from education and awareness about common fall circumstances that they may encounter in their daily lives.

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Assessment of postural control after spinal cord injury or disease: A narrative review

Musselman

Unger

Lemay

2022

Diagnosis and Treatment of Spinal Cord Injury

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Capturing the psychosocial impacts of falls from the perspectives of wheelchair users with spinal cord injury through photo-elicitation

Cited by 18 publications

References 42 publications

Perspectives of wheelchair users with spinal cord injury on fall circumstances and fall prevention: A mixed methods approach using photovoice

Perspectives of wheelchair users with spinal cord injury on fall circumstances and fall prevention: A mixed methods approach using photovoice

Exploring the causes and impacts of falls among ambulators with spinal cord injury using photovoice: a mixed-methods study

Assessment of postural control after spinal cord injury or disease: A narrative review

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