A randomized trial comparing digital video disc with written delivery of falls prevention education for older patients in hospital

Anne-Marie Hill*, Steven McPhail, Tammy Hoffmann, Keith Hill, David Oliver, Christopher Beer, Sandra Brauer, Terry P. Haines

*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

70 Citations (Scopus)

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 languageEnglish
Pages (from-to)1458-1463
Number of pages6
JournalJournal of the American Geriatrics Society
Volume57
Issue number8
DOIs
Publication statusPublished - Aug 2009
Externally publishedYes

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