A Randomized Trial Comparing Digital Video Disc with Written Delivery of Falls Prevention Education for Older Patients in Hospital

A.M. Hill, S. Mcphail, T. Hoffmann, K. Hill, D. Oliver, S. Brauer, T.P. Haines, Christopher Beer

    Research output: Contribution to journalArticle

    73 Citations (Scopus)

    Abstract

    OBJECTIVES: To compare the effectiveness of a digital video disc (DVD) with that of a written workbook delivering falls prevention education to older hospital patients on self-perceived risk of falls, perception of falls epidemiology, knowledge of prevention strategies, and motivation and confidence to engage in self-protective strategies. To compare the effect of receiving either education approach versus no education on patients' perception of falls epidemiology.DESIGN: Randomized trial (DVD vs workbook) with additional quasi-experimental control group.SETTINGS: Geriatric, medical, and orthopedic wards in Perth and Brisbane, Australia.PARTICIPANTS: One hundred (n=51 DVD, n=49 workbook) hospital inpatients aged 60 and older receiving an intervention (mean age 75.3±10.1) and 122 in the control group (mean age 79.3±8.3).INTERVENTION: Participants randomly assigned to receive identical educational material on falls prevention delivered on a DVD or in a workbook. Control group received usual care.MEASUREMENTS: Custom-designed survey addressing elements of the Health Belief Model of health behavior change.RESULTS: Participants randomized to DVD delivery had a higher self-perceived risk of falling (P=.04) and higher levels of confidence (P=.03) and motivation (P=.04) to engage in self-protective strategies than participants who received the workbook. A higher proportion of participants who received either form of the education provided “desired” responses than of control group participants across all knowledge items (P
    Original languageEnglish
    Pages (from-to)1458-1463
    JournalJournal of the American Geriatrics Society
    Volume57
    Issue number8
    DOIs
    Publication statusPublished - 2009

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