@article{ref1,
title="A qualitative exploration of proactive falls prevention by Canadian primary care providers",
journal="Canadian geriatrics journal",
year="2022",
author="Nova, Amanda A. and Heckman, George A. and Giangregorio, Lora M. and Alarakhia, Mohamed",
volume="25",
number="3",
pages="295-299",
abstract="BACKGROUND: Falls are a growing concern in Canada. Primary care providers are well positioned to address falls risk, but international literature suggests that best-practice guidelines are rarely followed. The objective of this study is to explore the perspectives of Canadian primary care providers around falls prevention and identify solutions. <br><br>METHODS: We conducted one-on-one qualitative interviews with a maximum variation sample of nine primary care providers in Ontario (n=8) and Alberta (n=1) in Canada. Data were collected over telephone and in-person at the location of participants choosing. Audio recordings of the interviews were transcribed, then coded and analyzed with the Behaviour Change Wheel theoretical framework. <br><br>RESULTS: Most participants reported relying on patient self-report, intuition, and reactive approaches to identifying falls risk. Reported barriers to falls prevention included low capability to gather information on patient history, context, and community resources; limited opportunity to manage patient complexity due to time constraints; and challenges with motivating patients to engage in care plans. Reported facilitators included team-based interprofessional care and provider motivation. <br><br>CONCLUSIONS: This study has found that Canadian primary care providers face barriers to identifying and managing falls risk. These barriers may be rooted in primary care culture, structure, and tradition.<p /> <p>Language: en</p>",
language="en",
issn="1925-8348",
doi="10.5770/cgj.25.582",
url="http://dx.doi.org/10.5770/cgj.25.582"
}