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

Authors

  • Anne-Marie Hill M ScPhty,

    1. From the *School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Queensland, AustraliaPrincess Alexandra Hospital Queensland Health, Brisbane, Queensland, AustraliaLa Trobe University and Northern Health Bundoora, Victoria, Australia§National Ageing Research Institute Australia, Royal Melbourne Hospital, Victoria, AustraliaInstitute of Health Sciences, University of Reading, Berkshire, United Kingdom#Faculty of Medicine, Dentistry and Health Sciences, University of Western Australia, Perth, Australia**School of Primary Health Care, Monash University; and ††Southern Health Victoria, Australia.
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  • Steven McPhail BAppScPhty,

    1. From the *School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Queensland, AustraliaPrincess Alexandra Hospital Queensland Health, Brisbane, Queensland, AustraliaLa Trobe University and Northern Health Bundoora, Victoria, Australia§National Ageing Research Institute Australia, Royal Melbourne Hospital, Victoria, AustraliaInstitute of Health Sciences, University of Reading, Berkshire, United Kingdom#Faculty of Medicine, Dentistry and Health Sciences, University of Western Australia, Perth, Australia**School of Primary Health Care, Monash University; and ††Southern Health Victoria, Australia.
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  • Tammy Hoffmann PhD,

    1. From the *School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Queensland, AustraliaPrincess Alexandra Hospital Queensland Health, Brisbane, Queensland, AustraliaLa Trobe University and Northern Health Bundoora, Victoria, Australia§National Ageing Research Institute Australia, Royal Melbourne Hospital, Victoria, AustraliaInstitute of Health Sciences, University of Reading, Berkshire, United Kingdom#Faculty of Medicine, Dentistry and Health Sciences, University of Western Australia, Perth, Australia**School of Primary Health Care, Monash University; and ††Southern Health Victoria, Australia.
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  • Keith Hill PhD,

    1. From the *School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Queensland, AustraliaPrincess Alexandra Hospital Queensland Health, Brisbane, Queensland, AustraliaLa Trobe University and Northern Health Bundoora, Victoria, Australia§National Ageing Research Institute Australia, Royal Melbourne Hospital, Victoria, AustraliaInstitute of Health Sciences, University of Reading, Berkshire, United Kingdom#Faculty of Medicine, Dentistry and Health Sciences, University of Western Australia, Perth, Australia**School of Primary Health Care, Monash University; and ††Southern Health Victoria, Australia.
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  • David Oliver MD,

    1. From the *School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Queensland, AustraliaPrincess Alexandra Hospital Queensland Health, Brisbane, Queensland, AustraliaLa Trobe University and Northern Health Bundoora, Victoria, Australia§National Ageing Research Institute Australia, Royal Melbourne Hospital, Victoria, AustraliaInstitute of Health Sciences, University of Reading, Berkshire, United Kingdom#Faculty of Medicine, Dentistry and Health Sciences, University of Western Australia, Perth, Australia**School of Primary Health Care, Monash University; and ††Southern Health Victoria, Australia.
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  • Christopher Beer MB, BS,

    1. From the *School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Queensland, AustraliaPrincess Alexandra Hospital Queensland Health, Brisbane, Queensland, AustraliaLa Trobe University and Northern Health Bundoora, Victoria, Australia§National Ageing Research Institute Australia, Royal Melbourne Hospital, Victoria, AustraliaInstitute of Health Sciences, University of Reading, Berkshire, United Kingdom#Faculty of Medicine, Dentistry and Health Sciences, University of Western Australia, Perth, Australia**School of Primary Health Care, Monash University; and ††Southern Health Victoria, Australia.
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  • Sandra Brauer PhD,

    1. From the *School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Queensland, AustraliaPrincess Alexandra Hospital Queensland Health, Brisbane, Queensland, AustraliaLa Trobe University and Northern Health Bundoora, Victoria, Australia§National Ageing Research Institute Australia, Royal Melbourne Hospital, Victoria, AustraliaInstitute of Health Sciences, University of Reading, Berkshire, United Kingdom#Faculty of Medicine, Dentistry and Health Sciences, University of Western Australia, Perth, Australia**School of Primary Health Care, Monash University; and ††Southern Health Victoria, Australia.
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  • Terry P. Haines PhD

    1. From the *School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Queensland, AustraliaPrincess Alexandra Hospital Queensland Health, Brisbane, Queensland, AustraliaLa Trobe University and Northern Health Bundoora, Victoria, Australia§National Ageing Research Institute Australia, Royal Melbourne Hospital, Victoria, AustraliaInstitute of Health Sciences, University of Reading, Berkshire, United Kingdom#Faculty of Medicine, Dentistry and Health Sciences, University of Western Australia, Perth, Australia**School of Primary Health Care, Monash University; and ††Southern Health Victoria, Australia.
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Address correspondence to Anne-Marie Hill, School of Health Sciences, Physiotherapy, The University of Notre Dame Australia, PO Box 1225, Fremantle, WA 6959, Australia. E-mail: ahill3@nd.edu.au

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<.001).

CONCLUSION: Delivery of falls prevention education on a DVD compared to a written workbook is more likely to achieve important changes in parameters likely to affect successful uptake of falls prevention messages in the hospital setting.

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