Effects of a Multicomponent Program on Fall Incidence, Fear of Falling, and Quality of Life among Older Adult Nursing Home Residents

Bastami, Mohammadreza; Azadi, Arman

doi:10.4235/agmr.20.0044

Cited by 6 publications

(4 citation statements)

References 24 publications

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“…Besides, the improvement of mobility and motor power at the right leg could predict odds of reducing readmission by 84%, respectively. This finding was supported by Bastami and Azadi ( 2020 ), who reported that lower mobility increased the probability of having readmission in stroke patients. 90% of the older adults had fallen at least once in the six months, and 38% reported a high level of fear of falling.…”

Section: Discussionsupporting

confidence: 67%

Development of a Readiness for Hospital Discharge assessment tool in Thai patients with stroke

2022

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Background: The transition from hospital to home among patients with stroke is quite challenging. If the patients are not ready for hospital discharge, their condition may worsen, which also causes a high rate of readmission. Although instruments to measure readiness for hospital discharge exist, none of them fit with the Thailand context. Objective: This study aimed to develop a Readiness for Hospital Discharge assessment tool in Thai patients with stroke. Methods: The study was conducted from February to September 2020, which consisted of several steps: 1) conducting an extensive literature review, 2) content validity with five experts, 3) pilot testing with 30 samples, and 4) field testing with 348 participants. Content validity index (CVI) was used to measure the content validity, Cronbach’s alpha and inter-item correlation to evaluate reliability, and multiple logistic regression analysis to measure the construct validity. Results: The findings showed good validity and reliability, with I-CVI of 0.85, Cronbach’s alpha of 0.94, and corrected item-total correlation ranging from 0.43 to 0.86. The construct validity was demonstrated through the results of regression analysis showing that the nine variables include level of consciousness (OR = 0.544; CI 95% = 0.311 - 0.951), verbal response (OR = 0.445; 95% CI 0.272- 0.729), motor power right leg (OR = 0.165; 95% CI 0.56- 0.485), visual field (OR = 0.188; 95% CI 0.60-0.587), dysphagia (OR = 0.618; 95% CI 0.410-0.932), mobility (OR = 0.376; 95% CI 0.190 - 0.741), self-feeding (OR = 0.098; 95% CI 0.036 -0.265), bathing (OR = 0.099; 95% CI 0.026-0.378), and bladder control (OR = 0.589; 95% CI 0.355-0.977) that significantly influenced the hospital readmission within 30 days in patients with stroke. Conclusion: The Readiness for Hospital Discharge assessment tool is valid and reliable. Healthcare providers, especially nurses, can use this tool to assess discharge conditions for patients with stroke with greater accuracy in predicting hospital readmission.

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Section: Discussionsupporting

confidence: 67%

Development of a Readiness for Hospital Discharge assessment tool in Thai patients with stroke

2022

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“…This can be achieved by the use of aids (S5, S6) or changes to their homes, like adding devices including handrails or removing objects with risk potential for falls like loose or unsecure carpets (S7‐S11). Research shows that changes in the close environment can have a positive impact on FoF (Tölking et al, 2020), primarily in combination with other interventions (Bastami & Azadi, 2020; Chase et al, 2012; van Haastregt et al, 2013). However, not all studies show positive effects of home modification on older peoples' FoF (Carlsson et al, 2017; Pighills et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

Fear of falling from the perspective of affected persons—A systematic review and qualitative meta‐summary using Sandelowski and Barroso's method

Baltes

Herber

Meyer

et al. 2022

Int J Older People Nursing

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Background Fear of falling (FoF) affects a large number of older people, whether they have a history of falls or not. This has an impact on their lives. FoF is a potentially modifiable factor, which has been identified as one of the most important threats to older people's autonomy. Objectives To gain a comprehensive understanding of the phenomenon, we conducted a systematic review and meta‐summary. The available evidence from qualitative research exploring how people experience FoF and how FoF affects daily living was aggregated. Methods We followed the approach by Sandelowski and Barroso (2007) as a method to aggregate knowledge based on an exhaustive literature search. We searched the databases CINAHL, MEDLINE, PsycINFO and SSCI systematically for relevant articles as well as grey literature until September 2020. Out of the included studies, findings were extracted, edited, grouped and abstracted into meta‐findings. Finally, the manifest frequency effect size of each abstracted meta‐finding was calculated. Results Out of 2978 identified studies, 15 met our inclusion criteria, which were published between 1993 and 2017 and included a total of 276 participants. We extracted 578 findings, and the abstraction process resulted in 183 meta‐findings. We identified three main topics: ‘Triggers and reasons for FoF identified by affected people’, ‘Consequences attributed to FoF’ and ‘Strategies to manage FoF in daily life’. Conclusion Our findings demonstrate that FoF has a far‐reaching impact on the lives of those affected. With the aggregation of the existing qualitative data with the application of the frequency effect size, we were able to identify three areas of particular importance to those affected: (1) controlling the risk, (2) creating a safe environment and (3) staying independent. Implications for practice these three areas of particular importance to those affected should be taken into account when revisiting or creating new interventions to prevent or reduce FoF.

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“…Previous research has addressed physical function indicators as variables related to the fear of falling. For example, older adults engaged in exercise programs that improve lower-body muscle strength are more likely to have a low fear of falling 27,28 . Falls occur because of physical movement of the body.…”

Section: Aims and Hypotheses Of This Studymentioning

confidence: 99%

Physically confident older adults are not afraid to fall, but only if they have positive images of older people: a cross-sectional study in Japan

Shimizu,

Sato,

Ogawa

et al. 2024

JGG

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Effects of a Multicomponent Program on Fall Incidence, Fear of Falling, and Quality of Life among Older Adult Nursing Home Residents

Cited by 6 publications

References 24 publications

Development of a Readiness for Hospital Discharge assessment tool in Thai patients with stroke

Development of a Readiness for Hospital Discharge assessment tool in Thai patients with stroke

Fear of falling from the perspective of affected persons—A systematic review and qualitative meta‐summary using Sandelowski and Barroso's method

Physically confident older adults are not afraid to fall, but only if they have positive images of older people: a cross-sectional study in Japan

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