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A Randomized Trial Comparing Digital Video Disc with Written Delivery of Falls Prevention Education for Older Patients in Hospital
Author(s) -
Hill AnneMarie,
McPhail Steven,
Hoffmann Tammy,
Hill Keith,
Oliver David,
Beer Christopher,
Brauer Sandra,
Haines Terry P.
Publication year - 2009
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.2009.02346.x
Subject(s) - workbook , medicine , randomized controlled trial , fall prevention , poison control , injury prevention , fear of falling , physical therapy , health education , suicide prevention , epidemiology , occupational safety and health , gerontology , public health , nursing , surgery , emergency medicine , accounting , business , pathology
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.