Citation

Wong EL, Woo J, Cheung AWL, Yeung PY. J. Adv. Nurs. 2011; 67(4): 763-773.

Affiliation

Eliza L.Y. Wong MPH PhD RN Assistant Professor School of Public Health and Primary Care, The Chinese University of Hong Kong, New Territories, Hong Kong Jean Woo MD FRCP FFPH Director Centre for Nutritional Studies, Director, S H Ho Centre for Gerontology and Geriatrics, and Head and Professor of Medicine, Division of Geriatrics, Department of Medicine and Therapeutics, The Chinese University of Hong Kong, New Territories, Hong Kong Annie W.L. Cheung BBA Research Assistant School of Public Health and Primary Care, The Chinese University of Hong Kong, New Territories, Hong Kong Pui-Yi Yeung BSc Mphil Occupational Therapist Department of Medicine and Therapeutics, The Chinese University of Hong Kong, New Territories, Hong Kong.

Copyright

(Copyright © 2011, John Wiley and Sons)

DOI

10.1111/j.1365-2648.2010.05535.x

PMID

21143624

Abstract

Aims.  The study was undertaken to estimate the uptake rate of a fall prevention programme among older fallers and explore related factors. Background.  Fall injuries are a major cause nationally of the loss of independence in old age, but they are preventable. Acceptance of fall prevention programmes is therefore important to reduce the risk of falling. Methods.  Patients aged ≥60 attending the Department of Accident & Emergency of a regional hospital in Hong Kong between 2006 and 2007 were recruited. The study included a baseline interview, focus group interview and a cross-sectional 1-year follow-up telephone survey to assess uptake and its related factors. Results.  A total 68% of 1194 older people attended the fall programme. Factors associated with programme participation included the perception of fall as being preventable [OR = 3·47, 95% CI (1·59-7·56)] or recoverable [OR = 1·73, 95% CI (1·06-2·82)], a safe outside environment; absence of chronic illness, and ability to walk without aids. Old-age people, those living in old-age homes and of lower education level were less likely to join the programme. Conclusion.  Older people with the selected characteristics were less likely to attend the fall prevention programme, thus were less likely to benefit from them. Support from family/carers may be an important element in participation. In a nursing context, in primary care practice, all of these factors should be taken into account in any future development of a fall prevention programme in Hong Kong of this nature.

Language: en