Abstract
OBJECTIVES
To compare the effectiveness of a digital video disc (DVD) with that of a written workbook delivering falls prevention education to older hospital patients on self-perceived risk of falls, perception of falls epidemiology, knowledge of prevention strategies, and motivation and confidence to engage in self-protective strategies. To compare the effect of receiving either education approach versus no education on patients' perception of falls epidemiology.
DESIGN
Randomized trial (DVD vs workbook) with additional quasi-experimental control group.
SETTINGS
Geriatric, medical, and orthopedic wards in Perth and Brisbane, Australia.
PARTICIPANTS
One hundred (n=51 DVD, n=49 workbook) hospital inpatients aged 60 and older receiving an intervention (mean age 75.3 +/- 10.1) and 122 in the control group (mean age 79.3 +/- 8.3).
INTERVENTION
Participants randomly assigned to receive identical educational material on falls prevention delivered on a DVD or in a workbook. Control group received usual care.
MEASUREMENTS
Custom-designed survey addressing elements of the Health Belief Model of health behavior change.
RESULTS
Participants randomized to DVD delivery had a higher self-perceived risk of falling (P=.04) and higher levels of confidence (P=.03) and motivation (P=.04) to engage in self-protective strategies than participants who received the workbook. A higher proportion of participants who received either form of the education provided "desired" responses than of control group participants across all knowledge items (P
CONCLUSION
Delivery of falls prevention education on a DVD compared to a written workbook is more likely to achieve important changes in parameters likely to affect successful uptake of falls prevention messages in the hospital setting.
Original language | English |
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Pages (from-to) | 1458-1463 |
Number of pages | 6 |
Journal | Journal of the American Geriatrics Society |
Volume | 57 |
Issue number | 8 |
DOIs | |
Publication status | Published - Aug 2009 |
Externally published | Yes |