Age Problem Clinical Trial
Official title:
Developing and Evaluating a Series of Falls Risk Awareness Corporate Videos Which Target Community-dwelling Older People: a Sequential Mixed-method Study.
The primary aim of this study is to develop and evaluate three short corporate falls risk awareness videos of approximately 1-2 minutes (each) by using the feedback from community-dwelling people aged 50 years and above. The three videos aim to make a broad audience aware of the risk of falling as one gets older.
Every year one in three people aged 60 years and above fall over. More than 96.000
Australians are admitted to hospital each year due to a fall and this number is rising by 2%
each year. People who have had a fall account for almost 40% of all hospitalised injury
cases, with almost half of those falls resulting in injuries such as broken hips, neck- and
head injuries. In 2015 almost 2300 Australians died as a direct result of a fall, a number
which is more than three times higher than the number of people who die in car accidents.
Given the high risk of experiencing (an) (injurious) fall(s), various campaigns have been
conducted with the aim of making older people aware that it is important to prevent falls.
Also, numerous resources (websites, leaflets) are available to the general public that inform
them of the several activities they can undertake to reduce their risk of falls. However,
these campaigns and available resources do not seem to be compelling enough. Research has
shown that people over the age of 60 still tend to underestimate their own risk of a fall,
and have low levels of knowledge about how to prevent falls. Also, many older people report
that they are not motivated to take action to reduce their risk of falls even thought they
think that falls prevention would be useful for other older people. In particular older
people state that they seek out information only after they fall and not before. It would be
beneficial if the broad population and people over the age of 60 in particular, were more
aware about falls and more motivated to take action(s) to reduce their risk of falling.
Therefore the investigators aim to develop three short falls risk awareness videos that are
appealing to people of all age groups and especially people aged 60 years and above.
Based on research findings by the investigators, to date three prototype versions of short
falls risk awareness videos have been developed. During this research project these videos
will be evaluated and then amended and developed further according to the feedback given by
the participants. The feedback from participants will be sought in two phases.
Phase 1 In the first phase 50 community-dwelling older people over the age of 50 will be
invited to share their thoughts and opinions about the prototype versions of the three falls
risk awareness videos. For the participants in this phase of the study it will involve
attending a focus group meeting of about 1½ hour in total together with 8-10 other
participants. During this focus group meeting (but prior to the actual discussion about the
videos) the researchers will also ask the participants to help test a questionnaire which is
developed specifically for the purpose of this study. Participants will be asked to fill in
the questionnaire twice (with a 20 minute rest in between). Questions pertain to the
participants' knowledge of falls and their capabilities and motivation towards undertaking
fall prevention activities. The researchers plan to use this questionnaire in the second
phase of the project. It this phase it is solely used to measure the time taken to complete
the questionnaire and to establish its reliability (and not to actually measure the outcomes
at this point). Then the prototype videos will be shown twice, followed by a discussion group
of around 45-50 minutes in which several questions will be asked about the content and the
appeal of the three videos. Subsequent to the focus groups, the participants' feedback on the
prototype videos will be evaluated and used to amend/develop the videos further.
Phase 2 During the second phase of this research study the amended videos will be screened to
a larger audience of about 100 community-dwelling people aged 50 years and above during a
World Café forum. This is a research design that specifically aims to gain consumers opinions
about topics of interest. The aim of this forum is to seek these people's feedback on the
three videos. In addition, the researchers will evaluate if having watched these three videos
has changed the forum attendees' knowledge, intentions and some basic beliefs towards falls
and engaging in falls prevention activities. This will be measured using the questionnaire
that was pretested for reliability in the first phase of the study. The participants'
feedback about the videos will be evaluated and used to develop the final versions of the
videos. These final videos will be used in a future research study, most likely by being
placed online and evaluated using the questionnaire previously developed.
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