Hiroko Kiyoshi-Teo1, Kathlynn Northrup-Snyder2, Deborah J Cohen3, Nathan Dieckmann2, Sydnee Stoyles2, Kerri Winters-Stone2, Elizabeth Eckstrom4. 1. School of Nursing, Oregon Health & Science University, Portland, OR, United States. Electronic address: kiyoshi@ohsu.edu. 2. School of Nursing, Oregon Health & Science University, Portland, OR, United States. 3. Department of Family Medicine, Oregon Health & Science University, Portland, OR, United States. 4. School of Medicine, Oregon Health & Science University, Portland, OR, United States; Division of General Internal Medicine & Geriatrics, Oregon Health & Science University, Portland, OR, United States.
Abstract
PURPOSE: To identify associations among patient fall risk factors, perceptions, and daily activities to improve patient engagement with fall prevention among hospitalized older adults. BACKGROUND: The risk of falling increases for older patients but few researchers have reported patient-centered measures on this topic. METHODS: Surveys and chart reviews of inpatients aged ≥ 65 with Morse Falls Scale scores of ≥ 45. Measurements included validated tools and the modified Fall Behavioral Scale-Inpatient (FaB-I). RESULTS: A fall within 3 months before hospitalization was associated with an increased level of importance to preventing falls and higher FaB-I score (more fall prevention behaviors) but decreased level of confidence related to preventing falls (p < 0.05). Perception measures (concern: r = 0.52; patient activation: r = 0.46) were positively associated with FaB-I (p < 0.001). CONCLUSIONS: Addressing patient-centered measures such as perceptions of and daily activities for fall prevention could add value to existing fall prevention programs.
PURPOSE: To identify associations among patient fall risk factors, perceptions, and daily activities to improve patient engagement with fall prevention among hospitalized older adults. BACKGROUND: The risk of falling increases for older patients but few researchers have reported patient-centered measures on this topic. METHODS: Surveys and chart reviews of inpatients aged ≥ 65 with Morse Falls Scale scores of ≥ 45. Measurements included validated tools and the modified Fall Behavioral Scale-Inpatient (FaB-I). RESULTS: A fall within 3 months before hospitalization was associated with an increased level of importance to preventing falls and higher FaB-I score (more fall prevention behaviors) but decreased level of confidence related to preventing falls (p < 0.05). Perception measures (concern: r = 0.52; patient activation: r = 0.46) were positively associated with FaB-I (p < 0.001). CONCLUSIONS: Addressing patient-centered measures such as perceptions of and daily activities for fall prevention could add value to existing fall prevention programs.