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EVALUATION OF A CANADIAN PRIMARY CARE FALL PREVENTION TRAINING AND RESOURCE PACKAGE
  1. V Scott1,
  2. B Fials2,
  3. J Miller3
  1. 1University of British Columbia (BC), Vancouver, Canada
  2. 2British Columbia Ministry of Health, Victoria, Canada
  3. 3Hollander Analytical Services Ltd., Victoria, Canada

    Abstract

    Background Few physicians have the training/resources to include evidence-based fall prevention (FP) strategies as part of their standard practice.

    Aims/Objectives/Purpose To address this, a Primary Care Fall Prevention (PCFP) package was developed including: an instructional video; fact sheets; a fall risk checklist; and patient handouts. Materials were evaluated to determine effectiveness of the resources to increase knowledge and/or bring about change in physician practice.

    Methods A pre/post survey on fall-related knowledge, use of FP resources/strategies was conducted with family physicians recruited from those with substantial numbers of elderly patients. After applying the package over 4–6 weeks, 11 participated in in-depth phone interviews; 10 provided a follow-up survey.

    Results/Outcomes Out of a max of 17, the average ‘fall-related knowledge’ pre score=10.2 (SD=2.5) and post-survey=13.2 (SD=1.3) (t (9)=2.7, p<0.03). After reviewing resources, 60% were more likely to screen for fall risk; 30% more likely to assess mobility and/or balance; 50% more likely to give fall risk handouts; and 20% more likely to provide information on medication/fall risk. After reviewing materials on fall-prevention strategies, 30% were more likely to provide education on home safety/physical activity/balance exercises; 50% more likely to refer to PT/OT; 40% more likely to provide Vit D guidelines, 50% more likely to provide calcium intake guidelines; and 20% more likely to make referrals to FP programmes. Interviews revealed insights into barriers and facilitators to PCFP.

    Significance/Contributions to the Field The PCFP package increased knowledge and showed some improvements in FP practice among physicians.

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