Healthcare Providers’ Perceptions and Self-Reported Fall Prevention Practices: Findings from a Large New York Health System
Abstract
Among older adults, falls are the leading cause of injury-related deaths and emergency department visits, and the incidence of falls in the United States is rising as the number of older Americans increases. Research has shown that falls can be reduced by modifying fall-risk factors using multifactorial interventions implemented in clinical settings. However, the literature indicates that many providers feel that they do not know how to conduct fall-risk assessments or do not have adequate knowledge about fall prevention. To help healthcare providers incorporate older adult fall prevention (i.e., falls risk assessment and treatment) into their clinical practice, the Centers for Disease Control and Prevention’s (CDC) Injury Center has developed the Stopping Elderly Accidents, Deaths, and Injuries (STEADI) tool kit. This study was conducted to identify the practice characteristics and providers’ beliefs, knowledge, and fall-related activities before they received training on how to use the STEADI tool kit. Data were collected as part of a larger State Fall Prevention Project funded by CDC’s Injury Center. Completed questionnaires were returned by 38 medical providers from 11 healthcare practices within a large New York health system. Healthcare providers ranked falls as the lowest priority of five conditions, after diabetes, cardiovascular disease, mentalmore »
- Authors:
-
- Univ. of Georgia, Athens, GA (United States). College of Public Health. Dept. of Health Promotion and Behavior
- Centers for Disease Control and Prevention (CDC), Atlanta, GA (United States). National Center for Injury Prevention and Control
- Texas A & M Univ., College Station, TX (United States). Health Science Center. School of Public Health. Dept. of Health Promotion and Community Health Sciences
- Univ. of Georgia, Athens, GA (United States). College of Public Health. Center for Global Health
- Publication Date:
- Research Org.:
- Oak Ridge Institute for Science and Education (ORISE), Oak Ridge, TN (United States)
- Sponsoring Org.:
- USDOE Office of Science (SC), Biological and Environmental Research (BER). Biological Systems Science Division
- OSTI Identifier:
- 1629922
- Grant/Contract Number:
- SC0014664
- Resource Type:
- Accepted Manuscript
- Journal Name:
- Frontiers in Public Health
- Additional Journal Information:
- Journal Volume: 3; Journal ID: ISSN 2296-2565
- Publisher:
- Frontiers Research Foundation
- Country of Publication:
- United States
- Language:
- English
- Subject:
- 60 APPLIED LIFE SCIENCES; clinical practice; fall prevention; fall screening; intervention science
Citation Formats
Smith, Matthew Lee, Stevens, Judy A., Ehrenreich, Heidi, Wilson, Ashley D., Schuster, Richard J., Cherry, Colleen O’Brien, and Ory, Marcia G. Healthcare Providers’ Perceptions and Self-Reported Fall Prevention Practices: Findings from a Large New York Health System. United States: N. p., 2015.
Web. doi:10.3389/fpubh.2015.00017.
Smith, Matthew Lee, Stevens, Judy A., Ehrenreich, Heidi, Wilson, Ashley D., Schuster, Richard J., Cherry, Colleen O’Brien, & Ory, Marcia G. Healthcare Providers’ Perceptions and Self-Reported Fall Prevention Practices: Findings from a Large New York Health System. United States. https://doi.org/10.3389/fpubh.2015.00017
Smith, Matthew Lee, Stevens, Judy A., Ehrenreich, Heidi, Wilson, Ashley D., Schuster, Richard J., Cherry, Colleen O’Brien, and Ory, Marcia G. Mon .
"Healthcare Providers’ Perceptions and Self-Reported Fall Prevention Practices: Findings from a Large New York Health System". United States. https://doi.org/10.3389/fpubh.2015.00017. https://www.osti.gov/servlets/purl/1629922.
@article{osti_1629922,
title = {Healthcare Providers’ Perceptions and Self-Reported Fall Prevention Practices: Findings from a Large New York Health System},
author = {Smith, Matthew Lee and Stevens, Judy A. and Ehrenreich, Heidi and Wilson, Ashley D. and Schuster, Richard J. and Cherry, Colleen O’Brien and Ory, Marcia G.},
abstractNote = {Among older adults, falls are the leading cause of injury-related deaths and emergency department visits, and the incidence of falls in the United States is rising as the number of older Americans increases. Research has shown that falls can be reduced by modifying fall-risk factors using multifactorial interventions implemented in clinical settings. However, the literature indicates that many providers feel that they do not know how to conduct fall-risk assessments or do not have adequate knowledge about fall prevention. To help healthcare providers incorporate older adult fall prevention (i.e., falls risk assessment and treatment) into their clinical practice, the Centers for Disease Control and Prevention’s (CDC) Injury Center has developed the Stopping Elderly Accidents, Deaths, and Injuries (STEADI) tool kit. This study was conducted to identify the practice characteristics and providers’ beliefs, knowledge, and fall-related activities before they received training on how to use the STEADI tool kit. Data were collected as part of a larger State Fall Prevention Project funded by CDC’s Injury Center. Completed questionnaires were returned by 38 medical providers from 11 healthcare practices within a large New York health system. Healthcare providers ranked falls as the lowest priority of five conditions, after diabetes, cardiovascular disease, mental health, and musculoskeletal conditions. Less than 40% of the providers asked most or all of their older patients if they had fallen during the past 12 months. Less than a quarter referred their older patients to physical therapists for balance or gait training, and <20% referred older patients to community-based fall prevention programs. Less than 16% reported they conducted standardized functional assessments with their older patients at least once a year. These results suggest that implementing the STEADI tool kit in clinical settings could address knowledge gaps and provide the necessary tools to help providers incorporate fall-risk assessment and treatment into clinical practice.},
doi = {10.3389/fpubh.2015.00017},
journal = {Frontiers in Public Health},
number = ,
volume = 3,
place = {United States},
year = {Mon Apr 27 00:00:00 EDT 2015},
month = {Mon Apr 27 00:00:00 EDT 2015}
}
Works referenced in this record:
Perceptions of physicians on the barriers and facilitators to integrating fall risk evaluation and management into practice
journal, February 2006
- Chou, William C.; Tinetti, Mary E.; King, Mary B.
- Journal of General Internal Medicine, Vol. 21, Issue 2
Prevention of falls and consequent injuries in elderly people
journal, November 2005
- Kannus, Pekka; Sievänen, Harri; Palvanen, Mika
- The Lancet, Vol. 366, Issue 9500
Preventing Falls in Older People: Impact of an Intervention to Reduce Environmental Hazards in the Home
journal, November 2001
- Stevens, Margaret; Holman, C. D'Arcy J.; Bennett, Nicole
- Journal of the American Geriatrics Society, Vol. 49, Issue 11
Risk Factors for Falls among Elderly Persons Living in the Community
journal, December 1988
- Tinetti, Mary E.; Speechley, Mark; Ginter, Sandra F.
- New England Journal of Medicine, Vol. 319, Issue 26
Does Multiple Risk Factor Reduction Explain the Reduction in Fall Rate in the Yale FICSIT Trial?
journal, August 1996
- Tinetti, M. E.; McAvay, G.; Claus, E.
- American Journal of Epidemiology, Vol. 144, Issue 4
Fall-Risk Assessment and Management in Clinical Practice: Views from Healthcare Providers
journal, September 2004
- Fortinsky, Richard H.; Iannuzzi-Sucich, Michele; Baker, Dorothy I.
- Journal of the American Geriatrics Society, Vol. 52, Issue 9
The costs of fatal and non-fatal falls among older adults
journal, October 2006
- Stevens, J. A.; Corso, P. S.; Finkelstein, E. A.
- Injury Prevention, Vol. 12, Issue 5
The Clinician Engagement and Education Session
journal, August 2013
- Schuster, Richard J.; Cherry, Colleen O’Brien; Smith, Matthew Lee
- American Journal of Medical Quality, Vol. 28, Issue 6
Development of STEADI
journal, November 2012
- Stevens, Judy A.; Phelan, Elizabeth A.
- Health Promotion Practice, Vol. 14, Issue 5
External validation of a new predictive model for falls among inpatients using the official Japanese ADL scale, Bedriddenness ranks: a double-centered prospective cohort study
journal, April 2022
- Tago, Masaki; Katsuki, Naoko E.; Nakatani, Eiji
- BMC Geriatrics, Vol. 22, Issue 1
Works referencing / citing this record:
Implementing Fall Prevention Guidelines with Vulnerable Older Adults: The Social Work Role
journal, December 2018
- Juckett, Lisa A.; Robinson, Monica L.
- Journal of Gerontological Social Work, Vol. 62, Issue 3
Influences on general practitioner referral to allied health professionals for fall prevention in primary care
journal, June 2019
- Liddle, Jeannine; Clemson, Lindy; Mackenzie, Lynette
- Australasian Journal on Ageing, Vol. 39, Issue 1
Health Practitioners’ Perceptions of Falls and Fall Prevention in Older People: A Metasynthesis
journal, October 2018
- van Rhyn, Brianne; Barwick, Alex
- Qualitative Health Research, Vol. 29, Issue 1
Older adult fall prevention practices among primary care providers at accountable care organizations: A pilot study
journal, October 2018
- Howland, Jonathan; Hackman, Holly; Taylor, Alyssa
- PLOS ONE, Vol. 13, Issue 10
A Fall Risk mHealth App for Older Adults: Development and Usability Study
journal, January 2018
- Hsieh, Katherine L.; Fanning, Jason T.; Rogers, Wendy A.
- JMIR Aging, Vol. 1, Issue 2
Medication use and falls: Applying Beers criteria to medication review in Parkinson’s disease
journal, November 2017
- Yusupov, Eleanor; Chen, Davina; Krishnamachari, Bhuma
- SAGE Open Medicine, Vol. 5
A Fall Risk mHealth App for Older Adults: Development and Usability Study
journal, January 2018
- Hsieh, Katherine L.; Fanning, Jason T.; Rogers, Wendy A.
- JMIR Aging, Vol. 1, Issue 2
Research, Practice, and Policy Perspectives on Evidence-Based Programing for Older Adults
journal, April 2015
- Ory, Marcia G.; Smith, Matthew Lee
- Frontiers in Public Health, Vol. 3
Adoption of Evidence-Based Fall Prevention Practices in Primary Care for Older Adults with a History of Falls
journal, September 2016
- Phelan, Elizabeth A.; Aerts, Sally; Dowler, David
- Frontiers in Public Health, Vol. 4
Commentary: Public Health System Perspective on Implementation of Evidence-Based Fall-Prevention Strategies for Older Adults
journal, November 2016
- Shubert, Tiffany E.; Smith, Matthew Lee; Schneider, Ellen C.
- Frontiers in Public Health, Vol. 4
Reported Systems Changes and Sustainability Perceptions of Three State Departments of Health Implementing Multi-Faceted Evidence-Based Fall Prevention Efforts
journal, January 2017
- Smith, Matthew Lee
- Frontiers in Public Health, Vol. 5