RT Journal Article
SR Electronic
T1 Geriatrician-led evidence-based Falls Prevention Clinic: a prospective 12-month feasibility and acceptability cohort study among older adults
JF BMJ Open
JO BMJ Open
FD British Medical Journal Publishing Group
SP e020576
DO 10.1136/bmjopen-2017-020576
VO 8
IS 12
A1 Davis, Jennifer C
A1 Dian, Larry
A1 Parmar, Naaz
A1 Madden, Kenneth
A1 Khan, Karim M
A1 Chan, Wency
A1 Cheung, Winnie
A1 Rogers, Jessica
A1 Liu-Ambrose, Teresa
YR 2018
UL http://bmjopen.bmj.com/content/8/12/e020576.abstract
AB Objective We assessed the feasibility and acceptability of delivering a geriatrician-led evidence-based Falls Prevention Clinic to older adults with a history of falls.Design 12-month prospective cohort study.Setting Vancouver Falls Prevention Clinic, Vancouver, British Columbia, Canada (www.fallsclinic.ca).Participants 188 community-dwelling older adults aged ≥70 years who received a baseline assessment at the Vancouver Falls Prevention Clinic due to having had at least one fall resulting in medical attention in the previous 12 months. Fifty-six per cent of participants were also participating in a randomised controlled trial.Measurements Feasibility was ascertained by measuring demand (clinic attendance). Acceptability was measured by compliance with recommendations, completion of monthly fall calendars and patient experience.Results The attendance was 65% of those eligible and invited. This indicates feasibility for demand. 155 received at least one of the following clinical management recommendations from four domains (compliance reported in %): (1) medication changes (78%); (2) exercise prescription (58%); (3) referrals to other healthcare professionals (78%); and/or (4) lifestyle modifications (35%) excluding exercise. Overall compliance to all recommendations was 69%. Patient experience was related to factors impacting patient perceived physical benefit and attributes influencing patient satisfaction.Conclusion This study demonstrated the feasibility and acceptability of a multifactorial intervention approach based on best available evidence-based medicine.