Fall Prevention and Intervention and Activities Involvement that can Reduce Fall Incidence

Literature Evaluation Table
Student Name:
Change Topic: Fall prevention and intervention and activities involvement that can reduce fall incidence.
Criteria

Article 1

Article 2

Article 3

Article 4

Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article

Barker et al., International Journal of Nursing Studies, 10.1136/bmj.h6781

Morris et al., BMC Geriatrics, 10.1186/s12877-016-0267-5

Mikolaizak et al., Age and Ageing, 10.1093/ageing/afw190

Cockayne et al., Health Technology Assessment, 10.3310/hta21240

Article Title and Year Published

6-PACK program to decrease fall injuries in acute hospitals: cluster randomized controlled trial, 2016

Strategies to reduce the risk of falling: Cohort study analysis with 1-year follow-up in community dwelling older adults, 2016

A multidisciplinary intervention to prevent subsequent falls and health service use following fall-related paramedic care: a randomized controlled trial, 2017

Clinical effectiveness and cost-effectiveness of a multifaceted podiatry intervention for falls prevention in older people : a multicenter cohort randomized controlled trial (the Reducing Falls with Orthoses and a Multifaceted podiatry intervention trial)

Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study

How does the 6-PACK program influence the occurrence of falls and injuries?
To establish the 6-PACK program and the incidence of falls and fall injuries in acute wards

What are the mutable fall risk factors and how do they affect fall rates? Does engagement in lifestyle options lessen risk of falling for older adults?
To establish the factors that increase risk of falling and how they can be mitigated

Among older people that have received fall-related paramedic care, what is the possibility and risk of future falls?
To evaluate the impact of a fall-risk assessment and tailored fall prevention interventions for older people not transported to ED after a fall

How can podiatric interventions reduce falls?
To determine the clinical and cost-effectiveness of a multifaceted podiatry intervention for preventing falls in older people at risk of falling

Design (Type of Quantitative, or Type of Qualitative)

Cluster randomized control trial

Cohort study analysis

Randomized control trial

Multi-centered cohort randomized control trial

Setting/Sample

6 Australian hospitals over 1 year / Participants were all patients admitted to the 24 acute wards during the entire trial period

Data from 13623 community-residing elders in independent housing across 24 states over a period of 1 year was collected for the study

221 non-transported fallers from Sydney, Australia

1010 participants over 65 years across 9 NHS trusts in the UK and 1 in Ireland over 12 months

Methods: Intervention/Instruments

Wards were assigned with either usual care or nurse-led 6-PACK program

All adults assessed at baseline and a subset assessed at 1 year using the InterRAI Community Health Assessment and InterRAI Wellness Assessment tools

Intervention identified risk factors and provided appropriate services in response while control group only received fall prevention advice in written form

Participants received fall prevention leaflet with footwear advice

Analysis

Analysis was based on examining falls and fall injuries per 1000 occupied bed days

Comparison of fall risk factors against falls dependent variables using chi-square and odds ration methods

Rates of falls, injurious falls, hospitalization, and quality of life were assessed over 12 months. Data subjected to binomial regression and multivariate analysis

Incidence rate of falls per participant was primary outcome. EuroQoL-5 Dimensions were used

Key Findings

After 1831 falls and 613 fall injuries, the rates of fall and fall injuries was similar for both intervention and control wards

Problem resolution reduces fall rate for majority of measures; Physical exercise and cognitive activities associated with lower fall rates

Intervention participants that observed interventions had lower fall rates compared to non-adherers

Intervention was potentially effective and safe

Recommendations

Further research is needed to establish the effectiveness of fall prevention interventions

Findings highlight some potential interventions for reducing fall rate that need to be further explored

Delivering care to this population requires identifying individuals likely to engage in prevention interventions and providing said assistance

Further research needed to establish the effectiveness of the intervention in group sessions and high risk patients

Explanation of How the Article Supports EBP/Capstone Project

This article provides valuable insights on the roles, if any, that interventions play in mitigating fall occurrence

This article assesses the risks that contribute to fall rates, how they can be mitigated, and provides possible solutions for reducing fall incidence among older adults

This article demonstrates the importance of developing robust interventions for fall prevention among the elderly, which is valuable to the topic of study

This article provides an indication of what effective fall prevention entails

Criteria

Article 5

Article 6

Article 7

Article 8

Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article

Vlaeyen et al., International Journal of Nursing Studies, 10.1016/j.ijnurstu.2017.02.002

Wilkinson et al., International Journal of Nursing Studies, 10.1016/j.ijnurstu.2018.03.002

Elnitsky, Lind, Rugs, & Powell-Cope, International Journal of Nursing Studies, 10.1016/j.ijnurstu.2014.04.015

Franck et al., International Journal of Nursing Studies, 10.1016/j.ijnurstu.2016.12.011...