A Randomized Trial Comparing Digital Video Disc with Written Delivery of Falls Prevention Education for Older Patients in Hospital
A Randomized Trial Comparing Digital Video Disc with Written Delivery of Falls Prevention Education for Older Patients in Hospital
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DOI：
10.1111/j.1532-5415.2009.02346.x
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发表时间：
2009-08-01
影响因子：
6.3
通讯作者：
Haines, Terry P.
中科院分区：
文献类型：
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作者：
Hill, Anne-Marie;McPhail, Steven;Haines, Terry P.
目的 比较数字视频光盘 (DVD) 与书面工作手册向老年医院患者提供跌倒预防教育的有效性，包括自我感知跌倒风险、跌倒流行病学认知、预防策略知识以及采取自我保护策略的动机和信心。比较接受任一教育方法与不接受教育对患者跌倒流行病学认知的影响。设计随机试验（DVD 与工作手册），附加准实验对照组。设置澳大利亚珀斯和布里斯班的老年病房、内科病房和骨科病房。参与者 100 名（n=51 DVD，n=49 工作手册）住院患者，年龄 60 岁及以上，接受干预（平均年龄对照组的平均年龄为 75.3 +/- 10.1），对照组为 122 岁（平均年龄 79.3 +/- 8.3）。 干预 参与者被随机分配接受以 DVD 或工作簿形式提供的相同的预防跌倒教育材料。对照组接受常规护理。测量针对健康行为改变的健康信念模型要素进行定制设计的调查。结果与收到工作手册的参与者相比，随机接受 DVD 交付的参与者自我感知的跌倒风险 (P=.04) 更高，并且采取自我保护策略的信心 (P=.03) 和动机 (P=.04) 更高。接受任何一种教育形式的参与者在所有知识项目上提供“期望”反应的比例高于对照组参与者（P
OBJECTIVESTo 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.DESIGNRandomized trial (DVD vs workbook) with additional quasi-experimental control group.SETTINGSGeriatric, medical, and orthopedic wards in Perth and Brisbane, Australia.PARTICIPANTSOne 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).INTERVENTIONParticipants randomly assigned to receive identical educational material on falls prevention delivered on a DVD or in a workbook. Control group received usual care.MEASUREMENTSCustom-designed survey addressing elements of the Health Belief Model of health behavior change.RESULTSParticipants 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