Evaluating audio-visual falls prevention messages with community-dwelling older people using a World Café forum approach

Lex D de Jong, Jacqueline Francis-Coad, Chris Wortham, Terry P Haines, Dawn A Skelton, Tammy Weselman, Anne-Marie Hill, Lex D de Jong, Jacqueline Francis-Coad, Chris Wortham, Terry P Haines, Dawn A Skelton, Tammy Weselman, Anne-Marie Hill

Abstract

Background: Falls risk increases sharply with older age but many older people are unaware or underestimate their risk of falling. Increased population-based efforts to influence older people's falls prevention behavior are urgently needed. The aim of this study was to obtain a group of older people's collective perspectives on newly developed prototypes of audio-visual (AV) falls prevention messages, and evaluate changes in their falls prevention behaviour after watching and discussing these.

Methods: A mixed-method study using a community World Café forum approach.

Results: Although the forum participants (n = 38) mostly responded positively to the three AV messages and showed a significant increase in their falls prevention capability and motivation after the forum, the participants collectively felt the AV messages needed a more inspirational call to action. The forum suggested this could be achieved by means of targeting the message and increasing the personal connection. Participants further suggested several alternatives to online falls prevention information, such as printed information in places in the community, as a means to increase opportunity to seek out falls prevention information.

Conclusions: Falls prevention promotion messages need to be carefully tailored if they are to be more motivating to older people to take action to do something about their falls risk. A wider variety of revised and tailored AV messages, as one component of a community-wide falls prevention campaign, could be considered in an effort to persuade older people to take decisive action to do something about their falls risk.

Trial registration: This study was registered prospectively: NCT03154788. Registered 11 May 2017.

Keywords: Accidental falls; Community-based participatory research; Consumer health information; Health behavior; Qualitative research.

Conflict of interest statement

Anne-Marie Hill is a member of the editorial board of BMC Geriatrics. All other authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
The path to consensus during the World Café forum

References

    1. Orces CH, Alamgir H. Trends in fall-related injuries among older adults treated in emergency departments in the USA. Inj Prev. 2014;20:421–423. doi: 10.1136/injuryprev-2014-041268.
    1. Olij BF, Panneman MJM, van Beeck EF, Haagsma JA, Hartholt KA, Polinder S. Fall-related healthcare use and mortality among older adults in the Netherlands, 1997–2016. Exp Gerontol. 2019;120:95–100. doi: 10.1016/j.exger.2019.03.003.
    1. Beck B, Cameron P, Lowthian J, Fitzgerald M, Judson R, Gabbe BJ. Major trauma in older persons. BJS Open. 2018;2:310–318. doi: 10.1002/bjs5.80.
    1. Hopewell S, Adedire O, Copsey BJ, Boniface GJ, Sherrington C, Clemson L, et al. Multifactorial and multiple component interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2018;2018. 10.1002/14651858.CD012221.pub2.
    1. Bergen Gwen, Stevens Mark R., Burns Elizabeth R. Falls and Fall Injuries Among Adults Aged ≥65 Years — United States, 2014. MMWR. Morbidity and Mortality Weekly Report. 2016;65(37):993–998. doi: 10.15585/mmwr.mm6537a2.
    1. Ambrose AF, Paul G, Hausdorff JM. Risk factors for falls among older adults: a review of the literature. Maturitas. 2013;75:51–61. doi: 10.1016/j.maturitas.2013.02.009.
    1. World Health Organization . WHO Global Report on Falls Prevention in Older Age. 2007.
    1. Australian Commission on Safety and Quality in Healthcare. Preventing Falls and Harm From Falls in Older People. Best Practice Guidelines for Australian Hospitals. Australian Community Care. 2009; 1–202. . Accessed 8 Feb 2018.
    1. Sherrington C, Fairhall NJ, Wallbank GK, Tiedemann A, Michaleff ZA, Howard K, Clemson L, Hopewell S, Lamb SE. Exercise for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2019;1:CD012424. 10.1002/14651858.CD012424.pub2.
    1. Nyman SR, Victor CR. Older people’s participation in and engagement with falls prevention interventions in community settings: an augment to the cochrane systematic review. Age Ageing. 2012;41:16–23. doi: 10.1093/ageing/afr103.
    1. Dorresteijn TAC, Rixt Zijlstra GA, Van Eijs YJJ, Vlaeyen JWS, Kempen GIJM. Older people’s preferences regarding programme formats for managing concerns about falls. Age Ageing. 2012;41:474–481. doi: 10.1093/ageing/afs007.
    1. Centre for Health Advancement and Centre for Epidemiology and Research . New South Wales Falls Prevention Baseline Survey 2009 Report. 2009.
    1. Clemson L, Swann M. Stepping on – the original and fully researched package, Community Based Falls Prevention Programme . Accessed 24 Apr 2019.
    1. Hughes K, Van Beurden E, Eakin E, Barnett L, Patterson E, Backhouse J, et al. Older persons’ perception of risk of falling: implications for fall-prevention campaigns. Am J Public Health. 2008;98:351–357. doi: 10.2105/AJPH.2007.115055.
    1. Dollard J, Barton C, Newbury J, Turnbull D. Older community-dwelling people’s comparative optimism about falling: a population-based telephone survey. Australas J Ageing. 2013;32:34–40. doi: 10.1111/j.1741-6612.2012.00597.x.
    1. Haines T, Day L, Hill K, Clemson L, Finch C. “Better for others than for me”: a belief that should shape our efforts to promote participation in falls prevention strategies. Arch Gerontol Geriatr. 2014;59:136–144. doi: 10.1016/j.archger.2014.03.003.
    1. Stevens JA, Ballesteros MF, Mack KA, Rudd RA, DeCaro E, Adler G. Gender differences in seeking care for falls in the aged medicare population. Am J Prev Med. 2012;43:59–62. doi: 10.1016/j.amepre.2012.03.008.
    1. Managing Innovation Marketing Consultancy Network Pty. Ltd . National Falls Prevention for Older People Initiative “Step Out with Confidence” A Study Into The Information Needs And Perceptions Of Older Australians Concerning Falls And Their Prevention. 2000.
    1. Gardiner S, Glogowska M, Stoddart C, Pendlebury S, Lasserson D, Jackson D. Older people’s experiences of falling and perceived risk of falls in the community: a narrative synthesis of qualitative research. Int J Older People Nursing. 2017;12:1–8. doi: 10.1111/opn.12151.
    1. Hill A-M, Hoffmann T, Beer C, McPhail S, Hill K, Oliver D, et al. Falls after discharge from hospital: is there a gap between older peoples’ knowledge about falls prevention strategies and the research evidence? Gerontologist. 2011;51:653–662. doi: 10.1093/geront/gnr052.
    1. Dickinson A, Machen I, Horton K, Jain D, Maddex T, Cove J. Fall prevention in the community: what older people say they need. Br J Community Nurs. 2011;16:174–180. doi: 10.12968/bjcn.2011.16.4.174.
    1. Roe B, Howell F, Riniotis K, Beech R, Crome P, Ong BN. Older people and falls: health status, quality of life, lifestyle, care networks, prevention and views on service use following a recent fall. J Clin Nurs. 2009;18:2261–2272. doi: 10.1111/j.1365-2702.2008.02747.x.
    1. Michie S, van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci. 2011;6:42. doi: 10.1186/1748-5908-6-42.
    1. Khong L, Bulsara C, Hill KD, Hill A-M. How older adults would like falls prevention information delivered: fresh insights from a world Café forum. Ageing Soc. 2017;37:1179–1196. doi: 10.1017/S0144686X16000192.
    1. Arandia G, Hargrove JL, Shubert TE, Bangdiwala SI, Linnan LA. Feasibility of assessing falls risk and promoting falls prevention in beauty salons. J Prim Prev. 2017;38:567–581. doi: 10.1007/s10935-017-0486-3.
    1. Abu Abed M, Himmel W, Vormfelde S, Koschack J. Video-assisted patient education to modify behavior: a systematic review. Patient Educ Couns. 2014;97:16–22. doi: 10.1016/j.pec.2014.06.015.
    1. Ruiter RAC, Kessels LTE, Peters GJY, Kok G. Sixty years of fear appeal research: current state of the evidence. Int J Psychol. 2014;49:63–70. doi: 10.1002/ijop.12042.
    1. Wakefield MA, Loken B, Hornik RC. Use of mass media campaigns to change health behaviour. Lancet. 2010;376:1261–1271. doi: 10.1016/S0140-6736(10)60809-4.
    1. Lankford T, Wallace J, Brown D, Soares J, Epping JN, Fridinger F. Analysis of physical activity mass media campaign design. J Phys Act Health. 2014;11:1065–1069. doi: 10.1123/jpah.2012-0303.
    1. de Jong LD, Lavender AP, Wortham C, Skelton DA, Haines TP, Hill A. Exploring purpose-designed audio-visual falls prevention messages on older people’s capability and motivation to prevent falls. Health Soc Care Community. 2019;27:e471–e482. doi: 10.1111/hsc.12747.
    1. Creswell JW, Plano Clark VL. Designing and Conducting Mixed Methods Research. 2. Thousand Oaks: Sage Publications, Inc; 2011. Choosing a Mixed Method Design; pp. 53–106.
    1. Steier F, Brown J, Mesquita da Silva F. The World Café in Action Research Settings. In: The SAGE handbook of action research. 3. London: SAGE Publications; 2015. pp. 211–219.
    1. Fouché C, Light G. An invitation to dialogue: “the world cafe” in social work research. Qual Soc Work. 2011;10:28–48. doi: 10.1177/1473325010376016.
    1. Burford B, Hesketh A, Wakeling J, Bagnall G, Colthart I, Illing J, et al. Asking the right questions and getting meaningful responses: 12 tips on developing and administering a questionnaire survey for healthcare professionals. Med Teach. 2016;2009(31):207–211.
    1. Hill A-M, McPhail S, Hoffmann T, Hill K, Oliver D, Beer C, et al. A randomized trial comparing digital video disc with written delivery of falls prevention education for older patients in hospital. J Am Geriatr Soc. 2009;57:1458–1463. doi: 10.1111/j.1532-5415.2009.02346.x.
    1. Flesch R. A new readability yardstick. J Appl Psychol. 1948;32:221–233. doi: 10.1037/h0057532.
    1. Kincaid JP, Fishburne RP, Rogers RL, Chissom BS. Derivation of New Readability Formulas (Automated Readability Index, Fog Count and Flesch Reading Ease Formula) for Navy Enlisted Personnel. Tech Train. 1975;Research B February:1–40. doi:ERIC #:ED108134.
    1. Hartley J. Some thoughts on Likert-type scales. Int J Clin Heal Psychol. 2014;14:83–86. doi: 10.1016/S1697-2600(14)70040-7.
    1. Light RJ. Measures of response agreement for qualitative data: some generalizations and alternatives. Psychol Bull. 1971;76:365–377. doi: 10.1037/h0031643.
    1. Brown J, Isaacs D. The world Café: shaping our futures through conversations that matter. San Francisco: Berrett-Koehler Publishers, Inc; 2005.
    1. Braun V, Clarke V. Succesfull qualitative research: a practical guide for beginners. 1. London: SAGE Publications; 2013.
    1. Michie S, Atkins L, West R. The behaviour change wheel. A guide to designing interventions. 1. Great Britain: Silverback Publishing; 2014.
    1. Polit D, Beck C. Essentials of nursing research. Appraising evidence for nursing practice. 8th edition. Philadelphia: Wolters Kluwer, Lippincott Williams & Wilkins; 2014.
    1. Franco MR, Tong A, Howard K, Sherrington C, Ferreira PH, Pinto RZ, et al. Older people’s perspectives on participation in physical activity: a systematic review and thematic synthesis of qualitative literature. Br J Sports Med. 2015;49:1268–1276. doi: 10.1136/bjsports-2014-094015.
    1. John-Leader F, Van Beurden E, Barnett L, Hughes K, Newman B, Sternberg J, et al. Multimedia campaign on a shoestring: promoting ‘stay active – stay independent’ among seniors. Heal Promot J Aust. 2008;19:22–28. doi: 10.1071/HE08022.
    1. De Jong L, Peters A, Gawler S, Chalmers N, Henderson C, Hooper J, et al. The appeal of the functional fitness MOT to older adults and health professionals in an outpatient setting: a mixed-method feasibility study. Clin Interv Aging. 2018;13:1815–1829. doi: 10.2147/CIA.S173481.
    1. Francis-Coad Jacqueline, Watts Tessa, Etherton-Beer Christopher, Panes Gerwyn, Griffiths Howard, Anderson Michelle, Williams Tracy, Griffiths Beth, Nobre Debbie, Hill Anne-Marie. Evaluation of older people's knowledge, awareness, motivation and perceptions about falls and falls prevention in residential aged care homes: a tale of two cities. Ageing and Society. 2018;39(11):2541–2559. doi: 10.1017/S0144686X18000697.
    1. Pettersson B, Wiklund M, Janols R, Lindgren H, Lundin-Olsson L, Skelton DA, Sandlund M. ‘Managing pieces of a personal puzzle’ — Older people’s experiences of self-management falls prevention exercise guided by a digital program or a booklet. BMC Geriatr. 2019;19(1):43. 10.1186/s12877-019-1063-9.
    1. Perrin A, Duggan M. Americans’ Internet access: 2000–2015. Pew Research Center. 2015; June:1–13. . Accessed 26 Apr 2019.
    1. Mesfin Gebremariam, Grønli Tor-Morten, Midekso Dida, Ghinea Gheorghita. Towards end-user development of REST client applications on smartphones. Computer Standards & Interfaces. 2016;44:205–219. doi: 10.1016/j.csi.2015.08.004.
    1. Mc Grath M, Clancy K, Kenny A. An exploration of strategies used by older people to obtain information about health- and social care services in the community. Health Expect. 2016;19:1150–1159. doi: 10.1111/hex.12408.
    1. Robinson MN, Tansil KA, Elder RW, Soler RE, Labre MP, Mercer SL, et al. Mass media health communication campaigns combined with health-related product distribution: a community guide systematic review. Am J Prev Med. 2014;47:360–371. doi: 10.1016/j.amepre.2014.05.034.

Source: PubMed

Спонсоры и соавторы

Заболевания

Медикаментозные вмешательства

Подписаться