TY - JOUR PY - 2019// TI - Inclusive decision-making for falls prevention: a discussion tool for use with people with dementia and their caregivers JO - Journal of aging and physical activity A1 - Meyer, Claudia A1 - Hill, Sophie A1 - Hill, Keith D. A1 - Dow, Briony SP - 1 EP - 8 VL - ePub IS - ePub N2 - Provision of choice and participation in falls prevention strategies is challenging for people with dementia. This paper 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 trialled over 6-months. Twenty-five community-dwelling people with dementia (mean age 80 years, SD 7.7, 52% male), and their caregivers (mean age 73 years, SD 12.3, 36% male) underwent falls risk assessment, and evaluation of their preparedness to change falls risk behaviours. Most commonly rated, and prioritised for intervention, high falls risk factors were impaired balance/mobility (92%), poly-pharmacy (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.
Language: en
LA - en SN - 1063-8652 UR - http://dx.doi.org/10.1123/japa.2018-0167 ID - ref1 ER -