Skip to content

The effect of tailored patient multimedia education on older patient's engagement in falls prevention strategies after hospital discharge.

The effect of providing tailored multimedia education in addition to usual care compared with usual care alone on older patients' engagement in falls prevention strategies after hospital discharge - a randomised controlled trial.

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12611000963921
Enrollment
50
Registered
2011-09-08
Start date
2012-04-12
Completion date
2012-09-12
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Older people who have just been discharged from hospital are high risk of falls and injuries such as hip fracture and are also at risk of medical complications and unplanned readmissions to hospital. Health workers have identified that better health care is urgently required for these patients. We recently conducted a large trial that identified that providing patient education reduced falls in hospital by over half in older patients with normal cognition. Therefore the aim of this research is to examine whether providing a similar patient education program for older people just before they are discharged from hospital can also reduce falls at home. This study will test the design of the discharge education. If the education successfully improves older peoples’ ability to engage in falls prevention behaviours after discharge, the researchers plan to test the education in a larger trial to directly examine its effect on falls and falls injuries. The research aims are: Evaluate the effect of providing a tailored multimedia falls prevention education program delivered by a health professional in hospital prior to discharge and in addition to usual care, on older patients’ levels of engagement in falls prevention strategies in the first month after hospital discharge.

Interventions

Intervention is delivered in addition to usual care. Multimedia falls prevention education with between 2 and 4 individual health professional follow-up sessions for each patient in the week prior to hospital discharge and one follow up telephone call for each patient made in the fortnight after hospital discharge to consolidate the education. Each participant in the intervention group to receive education individually by being shown a DVD and also being given written materials with workbook. Pa

Intervention is delivered in addition to usual care. Multimedia falls prevention education with between 2 and 4 individual health professional follow-up sessions for each patient in the week prior to hospital discharge and one follow up telephone call for each patient made in the fortnight after hospital discharge to consolidate the education. Each participant in the intervention group to receive education individually by being shown a DVD and also being given written materials with workbook. Patient receives individual tailored discussion and feedback that allow them to develop goals and strategies. Participants receive between 3 and 6 individual sessions depending on their falls risk and individual medical conditions. Personalised Telephone call counselling and feedback based on earlier goals concludes education. No group activities.

Sponsors

Dr. Anne-Marie Hill
Lead SponsorIndividual

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used) (Outcomes Assessor)

Eligibility

Sex/Gender
All
Age
60 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Inpatient in medical or rehabilitation ward being discharged from hospital within one week of enrollment into study Discharged to community dwelling Able to provide written informed consent Speaks English as first language

Exclusion criteria

Discharge is to hostel or nursing home Any diagnosis of cognitive impairment or confusion Under care of palliative or mental health medical officer Hearing impairment that precludes receiving telephone call Re-admission to hospital within last 14 days

Outcome results

None listed

Source: ANZCTR · Data processed: Mar 23, 2026