Inclusive decision making for falls prevention: A discussion tool for use with people with dementia and their caregivers

Claudia Meyer, Sophie Hill, Keith D. Hill, Briony Dow

Research output: Contribution to journalArticleResearchpeer-review

1 Citation (Scopus)

Abstract

Provision of choice and participation in falls prevention strategies is challenging for people with dementia. This study outlines development of a discussion tool to aid engagement of people with dementia and their caregivers in falls prevention strategies. The tool is based on a literature review of falls prevention and dementia care (1990-2016) and decision aid principles and was trialed over 6 months. A total of 25 community-dwelling people with dementia (Mage = 80 years, SD = 7.7, 52%male) and their caregivers (Mage = 73 years, SD = 12.3, 36% male) underwent falls risk assessment and evaluation of their preparedness to change falls risk behaviors. Most commonly rated, and prioritized for intervention, high falls risk factors were impaired balance/mobility (92%), polypharmacy (60%), and incontinence (56%). This discussion tool facilitated collaboration between people with dementia, their caregivers, and health professionals, to increase uptake of acceptable and feasible evidence-based falls prevention strategies.

Original languageEnglish
Pages (from-to)711-718
Number of pages8
JournalJournal of Aging and Physical Activity
Volume27
Issue number5
DOIs
Publication statusPublished - 1 Sep 2019
Externally publishedYes

Keywords

  • Balance
  • Cognitive impairment
  • Decision making
  • Knowledge translation
  • Older

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