An Occupational Therapy Fall Reduction Home Visit Program for Community-Dwelling Older Adults in Hong Kong After an Emergency Department Visit for a Fall
| Autor: | Stella Wai-Chee Cheng, Chit Ming Wong, Mary Man-Lai Chu, Timothy Hudson Rainer, Hon-Kuan Tong, Albert Chau-Hung Lit, Frederick Lap-Yan Au, Henry Kwok-Kwong Fung, Kenneth N.K. Fong |
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| Rok vydání: | 2016 |
| Předmět: |
Occupational therapy
Male medicine.medical_specialty Poison control Suicide prevention Occupational safety and health law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Occupational Therapy law Acute care Secondary Prevention Medicine Humans Single-Blind Method 030212 general & internal medicine Aged business.industry Emergency department House Calls Physical therapy Hong Kong Accidental Falls Female Geriatrics and Gerontology business Emergency Service Hospital 030217 neurology & neurosurgery Fall prevention Follow-Up Studies |
| Zdroj: | Journal of the American Geriatrics Society. 65(2) |
| ISSN: | 1532-5415 |
| Popis: | Objectives To investigate the effects of an occupational therapy fall reduction home visit program for older adults admitted to the emergency department (ED) for a fall and discharged directly home. Design Single-blind, multicenter, randomized, controlled trial. Settings EDs in three acute care hospitals in Hong Kong. Participants Individuals aged 65 and older who had fallen (N = 311). Interventions After screening for eligibility, 204 consenting individuals were randomly assigned to an intervention group (IG) and received a single home visit from an occupational therapist (OT) within 2 weeks after discharge from the hospital or a control group (CG) and received a well-wishing visit from a research assistant not trained in fall prevention. Measurements Both groups were followed for 12 months through telephone calls made every 2 weeks by blinded assessors with a focus on the frequency of falls. Another blinded assessor followed up on their status with telephone calls 4, 8, and 12 months after ED discharge. Prospective fall records on hospital admissions were retrieved from electronic databases; 198 individuals were followed for 1 year on an intention-to-treat basis. Results The percentage of fallers over 1 year was 13.7% in the IG (n = 95) and 20.4% in the CG (n = 103). There were significant differences in the number of fallers (P = .03) and the number of falls (P = .02) between the two groups over 6 months. Significant differences were found in survival analysis for first fall at 6 months (log-rank test 5.052, P = .02) but not 9 or 12 months. Conclusion One OT visit after a fall was more effective than a well-wishing visit at reducing future falls at 6 months. A booster OT visit at 6 months is suggested. |
| Databáze: | OpenAIRE |
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