Older people's participation and engagement in falls prevention interventions: Comparing rates and settings - 12/02/14
Abstract |
Objective |
Falls among older people remain a major public health issue. The purpose of this article was to facilitate accurate interpretation of the existing evidence-base and facilitate robust planning of future fall prevention randomised controlled trials (RCTs).
Method |
Two systematic reviews were further developed that evaluated older people's participation and engagement in RCTs to prevent falls in both community and institutional settings. It is argued that there is a need to differentiate between: firstly, acceptance rates versus recruitment rates, i.e. respectively the proportion of older people willing to participate in the RCTs versus those willing and included; secondly, rates of recruitment and participation in institutional settings distinguishing between nursing care facilities versus hospitals.
Results |
For community settings (n=78), the median rates were 41.3% (22.0–63.5%) for recruitment and 70.7% (64.2–81.7%) for acceptance. For institutional settings (n=25), the median rates were 48.5% (38.9–84.5%) for recruitment and 88.7% (81.2–95.4%) for acceptance. In comparing trials from nursing care facilities and hospitals, recruitment and acceptance rates were remarkably similar, though the remaining data – attrition, adherence, and whether adherence acted as a moderator on the effectiveness of the intervention on trial outcomes – was only available from trials from nursing care facilities.
Conclusion |
Researchers are encouraged to be more inclusive in trials and to conduct more RCTs in hospitals to prevent falls. A consensus on how to define successful engagement with trials and uptake and adherence to trial interventions remains desired.
Le texte complet de cet article est disponible en PDF.Keywords : Patient adherence, Falls, accidental, Intervention studies, Patient participation, Review, systematic
Plan
Vol 5 - N° 1
P. 18-20 - février 2014 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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