Faculty of Health Sciences, University of Hull, Hull, UK.
Faculty of Health and Social Sciences, Bournemouth University, Bournemouth, UK.
Disabil Rehabil. 2022 Jun;44(12):2683-2690. doi: 10.1080/09638288.2020.1849423. Epub 2020 Nov 19.
The aim of this study was to understand the views of falls service practitioners regarding: their role in supporting self-management of falls prevention; and a transition pathway from National Health Service (NHS) exercise-based falls interventions to community-run exercise programmes.
Semi-structured interviews were conducted with physiotherapists, nurses, and rehabilitation assistants ( = 8) who worked in an NHS falls service. Data were analysed using thematic analysis.
Certain aspects of supporting patients in self-management were deemed to be within or beyond the scope of falls service practitioners. Challenges in supporting transition to community-run programmes included: practitioner awareness and buy in; patient buy in; and patient suitability/programme availability.
Practitioners sought to be patient-centred as a means to engage patients in self-management of falls prevention exercises. Time-limited intervention periods and waiting list pressures were barriers to the promotion of long-term self-management approaches. A disconnect between falls service interventions and community-run programmes hindered willing practitioners from supporting patients in transitioning. Unless falls risk and prevention is seen by healthcare providers as a long-term condition which requires person-centred support from practitioners to develop self-management approaches, then falls services may only be able to offer short-term measures which are potentially not long lasting.IMPLICATIONS FOR REHABILITATIONFalls rehabilitation practitioners need to take a person-centred approach to engage patients in self-management of falls prevention exercises.Providing information and signposting to exercise opportunities such as community-run programmes following falls service interventions should be viewed as being within the scope of the role of falls service practitioners.Rehabilitation practitioners should consider viewing falls risk as a long-term condition, to promote longer-term behavioural change approaches to ongoing engagement of exercise for falls prevention.
本研究旨在了解跌倒服务从业者的以下观点：他们在支持跌倒预防的自我管理方面的作用；以及从国民保健服务（NHS）基于运动的跌倒干预向社区管理的运动项目过渡的途径。
对在 NHS 跌倒服务机构工作的物理治疗师、护士和康复助理（ = 8）进行了半结构化访谈。使用主题分析对数据进行了分析。
在支持患者自我管理的某些方面被认为是跌倒服务从业者的职责范围之内或之外。支持向社区管理的项目过渡的挑战包括：从业者的意识和参与；患者的参与；以及患者的适宜性/项目的可用性。
从业者试图以患者为中心，作为吸引患者参与跌倒预防运动自我管理的一种手段。限时干预期和候诊名单压力是促进长期自我管理方法的障碍。跌倒服务干预与社区管理项目之间的脱节阻碍了愿意的从业者支持患者过渡。除非医疗保健提供者将跌倒风险和预防视为需要从业者提供以患者为中心的支持来发展自我管理方法的长期状况，否则跌倒服务可能只能提供短期措施，这些措施可能不会持久。
跌倒康复从业者需要采取以患者为中心的方法，让患者参与跌倒预防运动的自我管理。在跌倒服务干预后，为患者提供有关社区管理项目等运动机会的信息和转介，应被视为跌倒服务从业者职责范围之内的工作。康复从业者应考虑将跌倒风险视为一种长期状况，以促进长期行为改变方法，以持续参与预防跌倒的运动。
