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- Publisher Website: 10.1111/jgs.14527
- Scopus: eid_2-s2.0-85003481186
- PMID: 27858951
- WOS: WOS:000397006700023
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Article: An Occupational Therapy Fall Reduction Home Visit Program for Community-Dwelling Older Adults in Hong Kong After an Emergency Department Visit for a Fall
Title | An Occupational Therapy Fall Reduction Home Visit Program for Community-Dwelling Older Adults in Hong Kong After an Emergency Department Visit for a Fall |
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Authors | |
Keywords | falls reduction home visit older adults emergency department occupational therapy |
Issue Date | 2017 |
Citation | Journal of the American Geriatrics Society, 2017, v. 65, n. 2, p. 364-372 How to Cite? |
Abstract | © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society 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. |
Persistent Identifier | http://hdl.handle.net/10722/292981 |
ISSN | 2023 Impact Factor: 4.3 2023 SCImago Journal Rankings: 1.872 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Chu, Mary Man Lai | - |
dc.contributor.author | Fong, Kenneth Nai Kuen | - |
dc.contributor.author | Lit, Albert Chau Hung | - |
dc.contributor.author | Rainer, Timothy Hudson | - |
dc.contributor.author | Cheng, Stella Wai Chee | - |
dc.contributor.author | Au, Frederick Lap Yan | - |
dc.contributor.author | Fung, Henry Kwok Kwong | - |
dc.contributor.author | Wong, Chit Ming | - |
dc.contributor.author | Tong, Hon Kuan | - |
dc.date.accessioned | 2020-11-17T14:57:37Z | - |
dc.date.available | 2020-11-17T14:57:37Z | - |
dc.date.issued | 2017 | - |
dc.identifier.citation | Journal of the American Geriatrics Society, 2017, v. 65, n. 2, p. 364-372 | - |
dc.identifier.issn | 0002-8614 | - |
dc.identifier.uri | http://hdl.handle.net/10722/292981 | - |
dc.description.abstract | © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society 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. | - |
dc.language | eng | - |
dc.relation.ispartof | Journal of the American Geriatrics Society | - |
dc.subject | falls reduction | - |
dc.subject | home visit | - |
dc.subject | older adults | - |
dc.subject | emergency department | - |
dc.subject | occupational therapy | - |
dc.title | An Occupational Therapy Fall Reduction Home Visit Program for Community-Dwelling Older Adults in Hong Kong After an Emergency Department Visit for a Fall | - |
dc.type | Article | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1111/jgs.14527 | - |
dc.identifier.pmid | 27858951 | - |
dc.identifier.scopus | eid_2-s2.0-85003481186 | - |
dc.identifier.volume | 65 | - |
dc.identifier.issue | 2 | - |
dc.identifier.spage | 364 | - |
dc.identifier.epage | 372 | - |
dc.identifier.eissn | 1532-5415 | - |
dc.identifier.isi | WOS:000397006700023 | - |
dc.identifier.issnl | 0002-8614 | - |