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Journal Article

Citation

Meyer C, Hill S, Hill KD, Dow B. J. Aging Phys. Act. 2019; ePub(ePub): 1-25.

Affiliation

Centre for Health Policy, School of Global and Population Health, University of Melbourne, Parkville, Victoria, Australia.

Copyright

(Copyright © 2019, Human Kinetics Publishers)

DOI

10.1123/japa.2018-0167

PMID

30747556

Abstract

Provision of choice and participation in falls prevention strategies is challenging for people with dementia. This paper outlines development of a discussion tool, to aid engagement of people with dementia and their caregivers in falls prevention strategies. The tool is based on a literature review of falls prevention and dementia care (1990 - 2016) and decision aid principles, and was trialled over 6-months. Twenty-five community-dwelling people with dementia (mean age 80 years, SD 7.7, 52% male), and their caregivers (mean age 73 years, SD 12.3, 36% male) underwent falls risk assessment, and evaluation of their preparedness to change falls risk behaviours. Most commonly rated, and prioritised for intervention, high falls risk factors were impaired balance/mobility (92%), poly-pharmacy (60%) and incontinence (56%). This discussion tool facilitated collaboration between people with dementia, their caregivers and health professionals, to increase uptake of acceptable and feasible evidence-based falls prevention strategies.


Language: en

Keywords

Falls; balance; caregivers; dementia; knowledge translation

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