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Multifactorial and functional mobility assessment tools for fall risk among older adults in community, home-support, long-term and acute care settings
- Authors:
- SCOTT Vicky, et al
- Journal article citation:
- Age and Ageing, 36(2), 2007, pp.130-139.
- Publisher:
- Oxford University Press
This review focuses on studies that use prospective validation in examining the predictive value of fall assessment tools applied to people over 65. Thirty four studies reporting the testing of thirty eight tools are included, and cover community settings (14 studies, 23 tools); acute settings (12 studies, 8 tools); long term care (6 studies, 10 tools); and home support (4 studies, 4 tools). Eleven of the tools are multifactorial assessment tools covering a wide range of fall risk factors, and 27 are functional mobility assessment tools involving measures of physical activity related to gait, strength or balance. A number of tools were found to have moderate to good validity and reliability but few have been tested more than once, or in more than one setting. Thus no single tool can be recommended for implementation in all settings or with all sub-populations.
Fall assessment in older people
- Authors:
- CLOSE Jacqueline C. T., LORD Stephen R.
- Journal article citation:
- British Medical Journal, 17.9.11, 2011, pp.579-582.
- Publisher:
- British Medical Association
... Challenges such as the multifactoral nature of falls prevention and the need for further research on falls prevention initiatives are also discussed.
Perceptions and experiences of frailty interventions: quantitative and qualitative results from a survey of partners within the European Innovation Partnership on Active and Healthy Ageing (EIP-AHA)
- Authors:
- GWYTHER Holly, et al
- Journal article citation:
- Ageing and Society, 38(9), 2018, pp.1843-1867.
- Publisher:
- Cambridge University Press
The European Innovation Partnership on Active and Healthy Ageing (EIP-AHA) was launched by the European Commission in 2011 to promote innovation in ageing research. This paper explores the experiences of partners delivering frailty interventions within Europe, registering their programmes with the EIP-AHA. Data were collected using an online survey from 21 partners in seven countries. A mixed-method approach was used with inductive thematic analysis of free-text responses to improve data richness. Responses indicated that there was a lack of consistency between EIP-AHA partners in methods of defining, screening and measuring for frailty and pre-frailty. Open responses to survey questions about intervention facilitators, moderators and barriers were coded into two themes: working with stakeholders and project management. We concluded that EIP-AHA partners are providing interventions addressing physical, cognitive and wellbeing elements of frailty. However, there needs to be an increase in the proportion of interventions that consistently apply valid methods of screening and/or measuring frailty and pre-frailty. Most, but not all projects are targeting pre-frail older adults, suggesting an appropriate balance of prevention in a useful ‘intervention window’ but also a growing understanding that frailty at later stages is amenable to intervention. Findings suggest design manipulations to improve outcomes and adherence to interventions, specifically inclusion of a perceived benefit/reward for older adults, e.g. a social aspect or health-care promotion. (Edited publisher abstract)
Understanding frailty: meanings and beliefs about screening and prevention across key stakeholder groups in Europe
- Authors:
- SHAW Rachel L., et al
- Journal article citation:
- Ageing and Society, 38(6), 2018, pp.1223-1252.
- Publisher:
- Cambridge University Press
Innovative methods to manage frailty are critical to managing the needs of an ageing population. Evidence suggests there are opportunities to reverse or prevent frailty through early intervention. However, little is known about older adults’, families’ and practitioners’ beliefs about the malleability of frailty. This study examined European stakeholders’ accounts of the acceptability and feasibility of frailty screening and prevention to inform future intervention development. Semi-structured focus groups and individual interviews were conducted in three European Union countries (Italy, Poland and the United Kingdom) with key stakeholders – frail and non-frail older adults, family care-givers, and health and social care professionals. Thematic analysis identified four themes: synchronicity between the physical and the psychological in frailty, living with frailty in the social world, the need for a new kind of care, and screening for and preventing frailty. Findings emphasised the need for a holistic approach to frailty care and early intervention. Integrated care services and advocacy were important in the organisation of care. Central to all stakeholders was the significance of the psychological and social alongside the physical elements of frailty and frailty prevention. Support and care for older adults and their family care-givers needs to be accessible and co-ordinated. Interventions to prevent frailty must encompass a social dimension to help older adults maintain a sense of self while building physical and psychological resilience. (Edited publisher abstract)
Interventions in community settings that prevent or delay disablement in later life: an overview of the evidence
- Authors:
- FROST Helen, HAW Sally, FRANK John
- Journal article citation:
- Quality in Ageing and Older Adults, 13(3), 2012, pp.212-230.
- Publisher:
- Emerald
... of interventions: preventative home visits, integrated service delivery/case management and comprehensive geriatric assessment, falls prevention, exercise, nutritional needs, medication review, telecare/telehealth, social integration interventions, and vision screening. The authors discuss the findings and their implications for policies for healthy ageing. They report that the review identified areas of conflicting evidence and unknown effectiveness, partly due to lack of standardisation of outcome measures and poor research design, but that there are some promising interventions, such as integrated care delivery programmes, and there is evidence to support the implementation of exercise interventions, particularly for prevention of falls.
'The billion dollar question': embedding prevention in older people's services: 10 'high impact' changes
- Authors:
- ALLEN Kerry, GLASBY Jon
- Publisher:
- University of Birmingham. Health Services Management Centre
- Publication year:
- 2010
- Pagination:
- 19p., bibliog.
- Place of publication:
- Birmingham
... source is a recent review of the social and economic benefits of adult social care, commissioned by the Department of Health and Downing Street. This paper identifies and reviews the following 10 prevention strategies: promoting healthy lifestyles; vaccination; screening; falls prevention; housing adaptations and practical support; telecare and technology; intermediate care; reablement; partnership
Designing the home falls and accidents screening tool (HOME FAST): selecting the items
- Authors:
- MACKENZIE Lynette, BYLES Julie, HIGGINBOTHAM Nick
- Journal article citation:
- British Journal of Occupational Therapy, 63(6), June 2000, pp.260-269.
- Publisher:
- Sage
The Home Falls and Accidents Screening Tool (HOME FAST) was developed as a screening instrument for use in a community preventive care trial for older people. This article describes the first stage of the development of this screening tool. The objectives of the study were (i) to review existing home safety measures, (ii) to field test an instrument containing a pool of home safety items