Staying Safe at Home. Home environmental audit recommendations and uptake in an older population at high risk of falling

Staying Safe at Home. Home environmental audit recommendations and uptake in an older population at high risk of falling
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DOI:
10.1111/j.1741-6612.2011.00545.x
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发表时间:
2012-06-01
影响因子:
1.6
通讯作者:
Haines, Terry P.
Haines, Terry P.
中科院分区:
医学4区
文献类型:
--
作者:
Currin, Michelle L.;Comans, Tracy A.;Haines, Terry P.

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目的:确定老年社区居民对职业治疗师家庭环境审计建议的接受程度以及有助于坚持的因素。方法:设计和设置:随机对照试验中的队列,比较了澳大利亚布里斯班的两种跌倒预防护理模式。参与者:60 岁以上有跌倒风险的社区老年人 (n = 80)。干预措施:环境审计和职业治疗师的建议。结果:所提出的建议中,55% 在 6 个月内完成。合并症数量的增加是遵守建议的重要预测因素。需要外部提供者的建议比依赖客户或家庭成员的建议更有可能完成。结论:职业治疗师需要考虑广泛的内在和外在因素,这可能有助于坚持家庭改造。
Aim: To identify the level of uptake of occupational therapists' home environmental audit recommendations by older community dwellers and the factors that contribute to adherence. Methods: Design and setting: Cohort nested within an RCT that compared two models of care for fall prevention located in Brisbane, Australia. Participants: Community-dwelling older people >60 at risk of falls (n = 80). Interventions: An environmental audit and recommendations by an occupational therapist. Results: Of the recommendations made, 55% were completed by 6 months. Increasing number of comorbidities was a significant predictor of adherence with recommendations. Recommendations requiring external providers were more likely to be completed than those relying on the client or family member. Conclusion: Occupational therapists need to consider a wide range of intrinsic and extrinsic factors, which may contribute to adherence with home modifications.