Featured Research

from universities, journals, and other organizations

Personalized multimedia program may help prevent falls in patients without cognitive impairment

Date:
November 22, 2010
Source:
JAMA and Archives Journals
Summary:
A patient education program combining videos with one-on-one follow-up did not appear to reduce the risk of falls among all older hospital patients, but was associated with fewer falls among patients who were not cognitively impaired, according to a new report.

A patient education program combining videos with one-on-one follow-up did not appear to reduce the risk of falls among all older hospital patients, but was associated with fewer falls among patients who were not cognitively impaired, according to a report posted online November 22 that will be published in the March 28 print issue of Archives of Internal Medicine.

"Falls are a leading patient safety incident event in general hospitals and are especially common in older patients," the authors write as background information in the article. About 30 percent of these falls result in injury, which could lead to lengthier hospital stays, the risk of institutionalization and potential legal complaints against the facility.

Terry P. Haines, Ph.D., of Monash University and Southern Health, Kingston Centre, Victoria, Australia, and colleagues conducted a randomized controlled trial assessing two forms of multimedia patient education designed to help prevent falls in the hospital. A total of 1,206 older patients at two Australian hospitals were randomly assigned to one of three groups between January 2008 and April 2009.

A group of 401 received the complete intervention, involving written materials, videos and one-on-one follow-up with a trained health professional at the patient's bedside. The program presented data about frequency and causes of falls, invited patients to reflect on their own risk and identify problem areas, then guided them toward developing goals and strategies for prevention. Another 424 patients received only the materials from the program and no individual follow-up, and a group of 381 received usual care, which varied by hospital but usually consisted of risk screening, use of alert items such as wrist bands and generic interventions such as checklists.

During the study period, 247 participants fell and 97 sustained injuries, including five fractures. Overall, the rate of falls per 1,000 days per patient did not differ significantly among the three groups (9.3 in the control group, 8.6 in the materials-only group and 7.6 in the complete intervention group).

However, among the 906 participants who did not have cognitive impairment, falls were less frequent among those in the complete program group (4 per 1,000 days per patient) than among those in the materials-only group (8.2 per 1,000 days per patient) or the control group (8.7 per 1,000 days per patient). Only 6 percent of patients who received the complete intervention fell, compared with 11 percent in the control group. Based on this data, the authors estimate that providing 33 patients with this intervention would prevent one from falling, and using it for 15 patients would prevent one fall.

"Many of the strategies pursued by patients as a result of participating in the complete program focused on (1) working more effectively with staff members caring for them; (2) identifying environmental hazards; and (3) using appropriate aids, equipment and clothing," the authors conclude. "These proposed strategies form a plausible mechanism of action for reducing falls among these patients and highlight the importance of behavioral elements in the causes of falls in this setting."

Among patients who were cognitively impaired, those receiving the full intervention had a higher rate of falls resulting in injuries than those in the control group (7.5 vs. 2.9 per 1,000 days per patient), and a similar proportion of patients who fell overall (26 percent vs. 24 percent). "Cognitive impairment can limit the ability of patients to adhere to the planned safety-promoting behaviors and is a reason why an education program might not be beneficial among these patients," the authors write. "Further research is warranted to examine the efficacy of the complete program targeted at cognitively intact patients and used within the context of a broader falls-prevention program that uses other strategies to reduce falls among cognitively impaired patients."


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Journal Reference:

  1. Terry P. Haines, PhD; Anne-Marie Hill, MS; Keith D. Hill, PhD; Steven McPhail, BS; David Oliver, MD; Sandra Brauer, PhD; Tammy Hoffmann, PhD; Christopher Beer, MBBS. Patient Education to Prevent Falls Among Older Hospital Inpatients A Randomized Controlled Trial. Arch Intern Med., November 22, 2010 DOI: 10.1001/archinternmed.2010.444

Cite This Page:

JAMA and Archives Journals. "Personalized multimedia program may help prevent falls in patients without cognitive impairment." ScienceDaily. ScienceDaily, 22 November 2010. <www.sciencedaily.com/releases/2010/11/101122172129.htm>.
JAMA and Archives Journals. (2010, November 22). Personalized multimedia program may help prevent falls in patients without cognitive impairment. ScienceDaily. Retrieved July 22, 2014 from www.sciencedaily.com/releases/2010/11/101122172129.htm
JAMA and Archives Journals. "Personalized multimedia program may help prevent falls in patients without cognitive impairment." ScienceDaily. www.sciencedaily.com/releases/2010/11/101122172129.htm (accessed July 22, 2014).

Share This




More Health & Medicine News

Tuesday, July 22, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Gilead's $1000-a-Pill Drug Could Cure Hep C in HIV-Positive People

Gilead's $1000-a-Pill Drug Could Cure Hep C in HIV-Positive People

TheStreet (July 21, 2014) New research shows Gilead Science's drug Sovaldi helps in curing hepatitis C in those who suffer from HIV. In a medical study, the combination of Gilead's Hep C drug with anti-viral drug Ribavirin cured 76% of HIV-positive patients suffering from the most common hepatitis C strain. Hepatitis C and related complications have been a top cause of death in HIV-positive patients. Typical medication used to treat the disease, including interferon proteins, tended to react badly with HIV drugs. However, Sovaldi's %1,000-a-pill price tag could limit the number of patients able to access the treatment. TheStreet's Keris Lahiff reports from New York. Video provided by TheStreet
Powered by NewsLook.com
$23.6 Billion Awarded To Widow In Smoking Lawsuit

$23.6 Billion Awarded To Widow In Smoking Lawsuit

Newsy (July 20, 2014) Cynthia Robinson claims R.J. Reynolds Tobacco Company hid the health and addiction risks of its products, leading to the death of her husband in 1996. Video provided by Newsy
Powered by NewsLook.com
Tooth Plaque Provides Insight Into Diets Of Ancient People

Tooth Plaque Provides Insight Into Diets Of Ancient People

Newsy (July 19, 2014) Research on plaque from ancient teeth shows that our prehistoric ancestor's had a detailed understanding of plants long before developing agriculture. Video provided by Newsy
Powered by NewsLook.com
Contaminated Water Kills 3 Babies in South African Town

Contaminated Water Kills 3 Babies in South African Town

AFP (July 18, 2014) Contaminated water in South Africa's northwestern town of Bloemhof kills three babies and hospitalises over 500 people. The incident highlights growing fears over water safety in South Africa. Duration: 02:22 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins