TY - JOUR
PY - 2024//
TI - Transitioning towards a virtual falls prevention program for frail seniors: learning from the experiences of older adults during the COVID-19 pandemic
JO - Canadian geriatrics journal
A1 - Norris, Mireille
A1 - Liu, Barbara
A1 - Kalocsai, Csilla
A1 - Weiss, Sophie M.
SP - 141
EP - 151
VL - 27
IS - 2
N2 - BACKGROUND: The literature to date is unable to clearly characterize the appropriateness of virtual care for falls prevention services from the patient perspective. In response to COVID-19, the Falls Prevention Program (FPP) at Sunnybrook Health Sciences Centre was modified to include virtual components. We set out to uncover the experiences of this unique older-adult patient population to inform FPP quality improvement and appropriate incorporation of technology post-pandemic.
METHODS: FPP patients during the COVID-19 pandemic (February 2020 - February 2022) and their primary caregivers met inclusion criteria. Out of 18 eligible patients, 10 consented to participate in 20-minute, semi-structured telephone interviews conducted and transcribed by the first author. Inductive coding followed by theme generation occurred through collaborative analysis.
RESULTS: The participants (n=10) were 60% female, mean age 84 years (SD 5.8), 60% living alone, and 70% university educated. We generated three main themes: 1) First Steps First, revealed a common desire for physical and mental support and the perceived essentials of a successful FPP highlighting the importance of program length and individualized attention; 2) Overcoming Obstacles, highlighted participants' experiences overcoming barriers with technology in the context of an isolating pandemic; and 3) Advancing Care Post-Pandemic, elaborated on the appropriateness of virtual care and delved into the importance of program personalization.
CONCLUSION: The interviewed older adults revealed agreement on the FPP's necessity and the importance of increasing program length, one-on-one interaction, and program flexibility for unique patient needs. Incorporating virtual assessment prior to in-person exercises was largely favoured and should be considered as an appropriate use of technology post-pandemic.
Language: en
LA - en SN - 1925-8348 UR - http://dx.doi.org/10.5770/cgj.27.722 ID - ref1 ER -