OBJECTIVES: To compare the effectiveness of a digital video disc (DVD) with that of a written workbook delivering falls prevention education to older hospital patients on self-perceived risk of falls, perception of falls epidemiology, knowledge of prevention strategies, and motivation and confidence to engage in self-protective strategies. To compare the effect of receiving either education approach versus no education on patients' perception of falls epidemiology. DESIGN: Randomized trial (DVD vs workbook) with additional quasi-experimental control group. SETTINGS: Geriatric, medical, and orthopedic wards in Perth and Brisbane, Australia. PARTICIPANTS: One hundred (n=51 DVD, n=49 workbook) hospital inpatients aged 60 and older receiving an intervention (mean age 75.3+/-10.1) and 122 in the control group (mean age 79.3+/-8.3). INTERVENTION: Participants randomly assigned to receive identical educational material on falls prevention delivered on a DVD or in a workbook. Control group received usual care. MEASUREMENTS: Custom-designed survey addressing elements of the Health Belief Model of health behavior change. RESULTS: Participants randomized to DVD delivery had a higher self-perceived risk of falling (P=.04) and higher levels of confidence (P=.03) and motivation (P=.04) to engage in self-protective strategies than participants who received the workbook. A higher proportion of participants who received either form of the education provided "desired" responses than of control group participants across all knowledge items (P<.001). CONCLUSION: Delivery of falls prevention education on a DVD compared to a written workbook is more likely to achieve important changes in parameters likely to affect successful uptake of falls prevention messages in the hospital setting.
RCT Entities:
OBJECTIVES: To compare the effectiveness of a digital video disc (DVD) with that of a written workbook delivering falls prevention education to older hospital patients on self-perceived risk of falls, perception of falls epidemiology, knowledge of prevention strategies, and motivation and confidence to engage in self-protective strategies. To compare the effect of receiving either education approach versus no education on patients' perception of falls epidemiology. DESIGN: Randomized trial (DVD vs workbook) with additional quasi-experimental control group. SETTINGS: Geriatric, medical, and orthopedic wards in Perth and Brisbane, Australia. PARTICIPANTS: One hundred (n=51 DVD, n=49 workbook) hospital inpatients aged 60 and older receiving an intervention (mean age 75.3+/-10.1) and 122 in the control group (mean age 79.3+/-8.3). INTERVENTION: Participants randomly assigned to receive identical educational material on falls prevention delivered on a DVD or in a workbook. Control group received usual care. MEASUREMENTS: Custom-designed survey addressing elements of the Health Belief Model of health behavior change. RESULTS:Participants randomized to DVD delivery had a higher self-perceived risk of falling (P=.04) and higher levels of confidence (P=.03) and motivation (P=.04) to engage in self-protective strategies than participants who received the workbook. A higher proportion of participants who received either form of the education provided "desired" responses than of control group participants across all knowledge items (P<.001). CONCLUSION: Delivery of falls prevention education on a DVD compared to a written workbook is more likely to achieve important changes in parameters likely to affect successful uptake of falls prevention messages in the hospital setting.
Authors: Anne-Marie Hill; Steven M McPhail; Terry P Haines; Meg E Morris; Christopher Etherton-Beer; Ronald Shorr; Leon Flicker; Max Bulsara; Nicholas Waldron; Den-Ching A Lee; Jacqueline Francis-Coad; Amanda Boudville Journal: J Gerontol A Biol Sci Med Sci Date: 2019-08-16 Impact factor: 6.053
Authors: Sally Hopewell; David J Keene; Peter Heine; Ioana R Marian; Melina Dritsaki; Lucy Cureton; Susan J Dutton; Helen Dakin; Andrew Carr; Willie Hamilton; Zara Hansen; Anju Jaggi; Chris Littlewood; Karen Barker; Alastair Gray; Sarah E Lamb Journal: Health Technol Assess Date: 2021-08 Impact factor: 4.106
Authors: Chiara Naseri; Steven M McPhail; Terry P Haines; Meg E Morris; Ronald Shorr; Christopher Etherton-Beer; Julie Netto; Leon Flicker; Max Bulsara; Den-Ching A Lee; Jacqueline Francis-Coad; Nicholas Waldron; Amanda Boudville; Anne-Marie Hill Journal: Health Soc Care Community Date: 2020-04-26
Authors: Lesley Day; Caroline F Finch; Keith D Hill; Terry P Haines; Lindy Clemson; Margaret Thomas; Catherine Thompson Journal: Inj Prev Date: 2010-12-24 Impact factor: 2.399