Barriers and Facilitators to Older Adults Participating in Fall-Prevention Strategies After Transitioning Home from Acute Hospitalization: A Scoping Review
Huey-Ming Tzeng,1 Udoka Okpalauwaekwe,2 Elizabeth J Lyons3 1The University of Texas Medical Branch, School of Nursing, Galveston, TX, USA; 2University of Saskatchewan, College of Medicine, Saskatoon, Saskatchewan S7N 2Z4, Canada; 3University of Texas Medical Branch, Department of Nutrition and Metab...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2020-06-01
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| Series: | Clinical Interventions in Aging |
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| Online Access: | https://www.dovepress.com/barriers-and-facilitators-to-older-adults-participating-in-fall-preven-peer-reviewed-article-CIA |
| _version_ | 1818892241193664512 |
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| author | Tzeng HM Okpalauwaekwe U Lyons EJ |
| author_facet | Tzeng HM Okpalauwaekwe U Lyons EJ |
| author_sort | Tzeng HM |
| collection | DOAJ |
| description | Huey-Ming Tzeng,1 Udoka Okpalauwaekwe,2 Elizabeth J Lyons3 1The University of Texas Medical Branch, School of Nursing, Galveston, TX, USA; 2University of Saskatchewan, College of Medicine, Saskatoon, Saskatchewan S7N 2Z4, Canada; 3University of Texas Medical Branch, Department of Nutrition and Metabolism, School of Health Professions, Galveston, TX, USACorrespondence: Huey-Ming TzengThe University of Texas Medical Branch at Galveston, School of Nursing, 301 University Boulevard, Galveston, TX 77555, USATel +1-734-358-0358Email tzenghm@gmail.comPurpose: Approximately, 14% of older adults aged 65 years and over experience a fall within 1 month post-hospital discharge. Adequate self-management may minimize the impact of these falls; however, research is lacking on why some older adults engage in self-management to prevent falls while others do not.Methods: We conducted a scoping review to identify barriers and facilitators to older adults participating in fall-prevention strategies after transitioning home from acute hospitalization. Eligibility criteria were peer-reviewed journal articles published during 2009– 2019 which were written in English and contained any of the following keywords or their synonyms: “fall-prevention,” “older adults,” “post-discharge” and “transition care.” We systematically and selectively summarized the findings of these articles using the Joanna Briggs Institute guidelines and the PRISMA-ScR reporting guidelines. Seven bibliographic databases were searched: PubMed/MEDLINE, ERIC, CINAHL, Cochrane Library, Scopus, PsycINFO, and Web of Science. We used the Capability-Opportunity-Motivation-Behavior (COM-B) model of health behavior change as a framework to guide the content, thematic analysis, and descriptive results.Results: Seventeen articles were finally selected. The most frequently mentioned barriers and facilitators for each COM-B dimension differed. Motivation factors include such as older adults lacking inner drive and self-denial of being at risk for falls (barriers) and following-up with older adults and correcting inaccurate perceptions of falls and fall-prevention strategies (facilitators).Conclusion: This scoping review revealed gaps and future research areas in fall prevention relative to behavioral changes. These findings may enable tailoring feasible fall-prevention interventions for older adults after transitioning home from acute hospitalization.Keywords: falls, falls with injury, older adults, post-discharge care, transition care, patient-centered care |
| first_indexed | 2024-12-19T17:53:34Z |
| format | Article |
| id | doaj.art-bc3ac30ff4e34561ba1f30418e885c4a |
| institution | Directory Open Access Journal |
| issn | 1178-1998 |
| language | English |
| last_indexed | 2024-12-19T17:53:34Z |
| publishDate | 2020-06-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Interventions in Aging |
| spelling | doaj.art-bc3ac30ff4e34561ba1f30418e885c4a2022-12-21T20:11:52ZengDove Medical PressClinical Interventions in Aging1178-19982020-06-01Volume 1597198954843Barriers and Facilitators to Older Adults Participating in Fall-Prevention Strategies After Transitioning Home from Acute Hospitalization: A Scoping ReviewTzeng HMOkpalauwaekwe ULyons EJHuey-Ming Tzeng,1 Udoka Okpalauwaekwe,2 Elizabeth J Lyons3 1The University of Texas Medical Branch, School of Nursing, Galveston, TX, USA; 2University of Saskatchewan, College of Medicine, Saskatoon, Saskatchewan S7N 2Z4, Canada; 3University of Texas Medical Branch, Department of Nutrition and Metabolism, School of Health Professions, Galveston, TX, USACorrespondence: Huey-Ming TzengThe University of Texas Medical Branch at Galveston, School of Nursing, 301 University Boulevard, Galveston, TX 77555, USATel +1-734-358-0358Email tzenghm@gmail.comPurpose: Approximately, 14% of older adults aged 65 years and over experience a fall within 1 month post-hospital discharge. Adequate self-management may minimize the impact of these falls; however, research is lacking on why some older adults engage in self-management to prevent falls while others do not.Methods: We conducted a scoping review to identify barriers and facilitators to older adults participating in fall-prevention strategies after transitioning home from acute hospitalization. Eligibility criteria were peer-reviewed journal articles published during 2009– 2019 which were written in English and contained any of the following keywords or their synonyms: “fall-prevention,” “older adults,” “post-discharge” and “transition care.” We systematically and selectively summarized the findings of these articles using the Joanna Briggs Institute guidelines and the PRISMA-ScR reporting guidelines. Seven bibliographic databases were searched: PubMed/MEDLINE, ERIC, CINAHL, Cochrane Library, Scopus, PsycINFO, and Web of Science. We used the Capability-Opportunity-Motivation-Behavior (COM-B) model of health behavior change as a framework to guide the content, thematic analysis, and descriptive results.Results: Seventeen articles were finally selected. The most frequently mentioned barriers and facilitators for each COM-B dimension differed. Motivation factors include such as older adults lacking inner drive and self-denial of being at risk for falls (barriers) and following-up with older adults and correcting inaccurate perceptions of falls and fall-prevention strategies (facilitators).Conclusion: This scoping review revealed gaps and future research areas in fall prevention relative to behavioral changes. These findings may enable tailoring feasible fall-prevention interventions for older adults after transitioning home from acute hospitalization.Keywords: falls, falls with injury, older adults, post-discharge care, transition care, patient-centered carehttps://www.dovepress.com/barriers-and-facilitators-to-older-adults-participating-in-fall-preven-peer-reviewed-article-CIAfallsfalls with injuryolder adultspost-discharge caretransition carepatient-centered care |
| spellingShingle | Tzeng HM Okpalauwaekwe U Lyons EJ Barriers and Facilitators to Older Adults Participating in Fall-Prevention Strategies After Transitioning Home from Acute Hospitalization: A Scoping Review Clinical Interventions in Aging falls falls with injury older adults post-discharge care transition care patient-centered care |
| title | Barriers and Facilitators to Older Adults Participating in Fall-Prevention Strategies After Transitioning Home from Acute Hospitalization: A Scoping Review |
| title_full | Barriers and Facilitators to Older Adults Participating in Fall-Prevention Strategies After Transitioning Home from Acute Hospitalization: A Scoping Review |
| title_fullStr | Barriers and Facilitators to Older Adults Participating in Fall-Prevention Strategies After Transitioning Home from Acute Hospitalization: A Scoping Review |
| title_full_unstemmed | Barriers and Facilitators to Older Adults Participating in Fall-Prevention Strategies After Transitioning Home from Acute Hospitalization: A Scoping Review |
| title_short | Barriers and Facilitators to Older Adults Participating in Fall-Prevention Strategies After Transitioning Home from Acute Hospitalization: A Scoping Review |
| title_sort | barriers and facilitators to older adults participating in fall prevention strategies after transitioning home from acute hospitalization a scoping review |
| topic | falls falls with injury older adults post-discharge care transition care patient-centered care |
| url | https://www.dovepress.com/barriers-and-facilitators-to-older-adults-participating-in-fall-preven-peer-reviewed-article-CIA |
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