Older People's Descriptions of Their Engagement in Fall Prevention.

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS
ACS Applied Bio Materials Pub Date : 2024-01-01 Epub Date: 2023-11-10 DOI:10.1177/01939459231211803
Hiroko Kiyoshi-Teo, Siobhan K McMahon, Kathlynn Northup-Snyder, Deborah J Cohen
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引用次数: 0

Abstract

Evidence-based strategies to decrease fall rates are well established. However, little is understood about how older people engage in fall prevention strategies. Motivational Interviewing (MI) sessions aimed to facilitate individuals' engagement in fall prevention can be analyzed to learn what it means for older people to engage in fall prevention. Thus, the purpose of this study was to explore how older people describe their engagement in fall prevention. Participants in our parent project, MI for Fall Prevention (MI-FP), who received MI sessions were purposively selected for maximum variation in age, sex, fall risks, and MI specialist assigned. The first (of 8) MI sessions from 16 participants were recorded, transcribed, and analyzed using qualitative content analysis. Three researchers first deductively analyzed fall prevention strategies that participants described using an evidence-based fall prevention guideline as a reference. Then, we inductively analyzed the characteristics of these strategies and how participants engaged in them. Finally, we used the Capability, Opportunity, Motivation, Behavior (COM-B) model to organize our results about factors influencing engagement. We found (1) older adults engage in unique combinations of fall prevention strategies and (2) decisions about engagement in fall prevention strategies were influenced by multiple factors that were personal (e.g., who I am, capability, motivation, and opportunities). This study highlighted how fall prevention can be a life-long lifestyle decision for older people. Understanding older people's perspectives about engaging in fall prevention is essential to develop interventions to promote evidence-based fall prevention strategies in real-world settings.

老年人参与预防跌倒的描述。
降低跌倒率的循证策略已经确立。然而,人们对老年人如何参与跌倒预防策略知之甚少。旨在促进个人参与预防跌倒的动机访谈(MI)课程可以进行分析,以了解老年人参与预防跌倒意味着什么。因此,本研究的目的是探索老年人如何描述他们参与预防跌倒的情况。在我们的母项目MI预防跌倒(MI-FP)中,接受MI治疗的参与者被有意地选择为年龄、性别、跌倒风险和MI专家的最大差异。来自16名参与者的第一次(8次)MI会议被记录、转录并使用定性内容分析进行分析。三名研究人员首先以循证跌倒预防指南为参考,对参与者描述的跌倒预防策略进行了演绎分析。然后,我们归纳分析了这些策略的特点以及参与者是如何参与其中的。最后,我们使用能力、机会、动机、行为(COM-B)模型来组织我们关于影响参与的因素的结果。我们发现(1)老年人参与了独特的跌倒预防策略组合;(2)关于参与跌倒预防策略的决定受到个人多种因素的影响(例如,我是谁、能力、动机和机会)。这项研究强调了预防跌倒如何成为老年人终身生活方式的决定。了解老年人对参与跌倒预防的看法对于制定干预措施以在现实环境中推广循证跌倒预防策略至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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