Developing a fall prevention program

what are the views and opinions of people with multiple sclerosis?

Firat Kegsin, Kitty Suddick, Christoph Heesen, Jonathan Wright

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Purpose: Falls are common in people with multiple sclerosis (MS), yet there are a few targeted fall pre-vention programs. Existing programs report a high dropout rate and a low adherence, which may be due to a mismatch between program characteristics and participants preferences. To clarify a possible discrep-ancy, this study investigates the views and opinions of persons with MS on fall prevention programs. Methods: Two focus groups (n ¼ 11) were conducted with people with MS who have a history of falls, near falls or who are concerned about their balance/falling risk. The data were analyzed using a qualita-tive content analysis with an inductive approach.
Results: Participants preferred short-term programs taking place in rehabilitation clinics, or physiotherapy or occupational therapy practices. They believed that the awareness for fall prevention needs to be raised among healthcare professionals. Participants expected better consultation from physio and occupational therapists regarding mobility aids and home modification. The participants wanted the programs to be practical, in-person and in groups. Online interventions were strongly rejected. Further, participants wanted balance/strength exercises and the inclusion of falling techniques in programs. The competence of knowing and accepting capacity may be an important factor in preventing falls.
Conclusions: Investigating the views and opinions of persons with MS on fall prevention programs gave important information which can be used to inform the development of such programs.
Original languageEnglish
Number of pages9
JournalDisability and Rehabilitation
DOIs
Publication statusPublished - 20 Aug 2019

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Multiple Sclerosis
Accidental Falls
Program Development
Occupational Therapy
Focus Groups
Mental Competency
Referral and Consultation
Rehabilitation
Exercise
Delivery of Health Care

Bibliographical note

This is an Accepted Manuscript of an article published by Taylor & Francis in Disability and Rehabilitation on 20/8/2019, available online: http://www.tandfonline.com/10.1080/09638288.2019.1652700

Keywords

  • Multiple sclerosis
  • accidental falls
  • accident prevention
  • physical therapy modalities
  • focus groups
  • qualitative research

Cite this

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title = "Developing a fall prevention program: what are the views and opinions of people with multiple sclerosis?",
abstract = "Purpose: Falls are common in people with multiple sclerosis (MS), yet there are a few targeted fall pre-vention programs. Existing programs report a high dropout rate and a low adherence, which may be due to a mismatch between program characteristics and participants preferences. To clarify a possible discrep-ancy, this study investigates the views and opinions of persons with MS on fall prevention programs. Methods: Two focus groups (n ¼ 11) were conducted with people with MS who have a history of falls, near falls or who are concerned about their balance/falling risk. The data were analyzed using a qualita-tive content analysis with an inductive approach.Results: Participants preferred short-term programs taking place in rehabilitation clinics, or physiotherapy or occupational therapy practices. They believed that the awareness for fall prevention needs to be raised among healthcare professionals. Participants expected better consultation from physio and occupational therapists regarding mobility aids and home modification. The participants wanted the programs to be practical, in-person and in groups. Online interventions were strongly rejected. Further, participants wanted balance/strength exercises and the inclusion of falling techniques in programs. The competence of knowing and accepting capacity may be an important factor in preventing falls.Conclusions: Investigating the views and opinions of persons with MS on fall prevention programs gave important information which can be used to inform the development of such programs.",
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Developing a fall prevention program : what are the views and opinions of people with multiple sclerosis? / Kegsin, Firat ; Suddick, Kitty; Heesen, Christoph; Wright, Jonathan.

In: Disability and Rehabilitation, 20.08.2019.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Developing a fall prevention program

T2 - what are the views and opinions of people with multiple sclerosis?

AU - Kegsin, Firat

AU - Suddick, Kitty

AU - Heesen, Christoph

AU - Wright, Jonathan

N1 - This is an Accepted Manuscript of an article published by Taylor & Francis in Disability and Rehabilitation on 20/8/2019, available online: http://www.tandfonline.com/10.1080/09638288.2019.1652700

PY - 2019/8/20

Y1 - 2019/8/20

N2 - Purpose: Falls are common in people with multiple sclerosis (MS), yet there are a few targeted fall pre-vention programs. Existing programs report a high dropout rate and a low adherence, which may be due to a mismatch between program characteristics and participants preferences. To clarify a possible discrep-ancy, this study investigates the views and opinions of persons with MS on fall prevention programs. Methods: Two focus groups (n ¼ 11) were conducted with people with MS who have a history of falls, near falls or who are concerned about their balance/falling risk. The data were analyzed using a qualita-tive content analysis with an inductive approach.Results: Participants preferred short-term programs taking place in rehabilitation clinics, or physiotherapy or occupational therapy practices. They believed that the awareness for fall prevention needs to be raised among healthcare professionals. Participants expected better consultation from physio and occupational therapists regarding mobility aids and home modification. The participants wanted the programs to be practical, in-person and in groups. Online interventions were strongly rejected. Further, participants wanted balance/strength exercises and the inclusion of falling techniques in programs. The competence of knowing and accepting capacity may be an important factor in preventing falls.Conclusions: Investigating the views and opinions of persons with MS on fall prevention programs gave important information which can be used to inform the development of such programs.

AB - Purpose: Falls are common in people with multiple sclerosis (MS), yet there are a few targeted fall pre-vention programs. Existing programs report a high dropout rate and a low adherence, which may be due to a mismatch between program characteristics and participants preferences. To clarify a possible discrep-ancy, this study investigates the views and opinions of persons with MS on fall prevention programs. Methods: Two focus groups (n ¼ 11) were conducted with people with MS who have a history of falls, near falls or who are concerned about their balance/falling risk. The data were analyzed using a qualita-tive content analysis with an inductive approach.Results: Participants preferred short-term programs taking place in rehabilitation clinics, or physiotherapy or occupational therapy practices. They believed that the awareness for fall prevention needs to be raised among healthcare professionals. Participants expected better consultation from physio and occupational therapists regarding mobility aids and home modification. The participants wanted the programs to be practical, in-person and in groups. Online interventions were strongly rejected. Further, participants wanted balance/strength exercises and the inclusion of falling techniques in programs. The competence of knowing and accepting capacity may be an important factor in preventing falls.Conclusions: Investigating the views and opinions of persons with MS on fall prevention programs gave important information which can be used to inform the development of such programs.

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KW - physical therapy modalities

KW - focus groups

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