Perceptions of falls and falls prevention interventions among Personal Alert Victoria clients
Open accessAbstract
This paper explores the perceptions and experiences of falls among Personal Alert Victoria (PAV) clients and identifies barriers and enablers to engagement in falls prevention interventions. Data were collected via semistructured telephone interviews (n = 12) and a client survey with open-ended and closed-ended questions (n = 46). Descriptive statistics and thematic analysis was guided by the COM-B model (capability, opportunity, and motivation) for behaviour change. The interview and survey explored experiences of falls, falls risk factors, access and participation in falls prevention interventions, access to health and support services, and experiences using the PAV service. Capability barriers identified included poor health, lack of time, low health literacy, and perceived high intensity of exercise classes. Opportunity barriers were lack of transport, high cost, and long waiting times for falls prevention interventions. Motivation barriers were the belief that falls are inevitable and a perceived lack of relevance of falls prevention interventions. Enablers identified were a focus on broader health and well-being benefits (capability), hospitalisations or rehabilitation that incorporates falls prevention in recovery (opportunity), and raising awareness of falls risk (motivation). Findings suggest that further research is required to inform the tailoring of positive health messages to improve the uptake of falls prevention interventions by PAV clients.
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High costs of resources and services was stated as a barrier for patients in five studies.
“High costs of resources and services was also stated as a barrier for patients in five studies [21, 26, 28, 30, 31]”
From Identifying the factors affecting ‘patient engagement’ in exercise rehabilitation (2022) · cites this paper as [21]
Multiple studies involving patients and clinicians identified a lack of access to resources and services as an opportunity barrier.
“Multiple studies involving patients and clinicians identified a lack of access to resources and services as an opportunity barrier [20, 21, 28, 30, 34].”
From Identifying the factors affecting ‘patient engagement’ in exercise rehabilitation (2022) · cites this paper as [21]
Negative exercise perceptions, such as dislike of exercise and fear of exercise, are psychological capability barriers.
“In addition, negative exercise perceptions, such as a dislike of exercise [18, 34] and a fear of exercise [18, 21], were noted to be psychological Capability barriers.”
From Identifying the factors affecting ‘patient engagement’ in exercise rehabilitation (2022) · cites this paper as [21]
A perceived lack of time is a barrier to engaging in intervention programs.
“Ayton et al. [21] also noted that a perceived lack of time was a barrier to engaging in intervention programs, which may be attributed to a lack of behavioural regulation [20].”
From Identifying the factors affecting ‘patient engagement’ in exercise rehabilitation (2022) · cites this paper as [21]
Knowledge of the benefits of PA for well-being is a patient capability facilitator.
“Types of health knowledge included: knowledge of personal health and health conditions [15, 21, 25, 30, 32], suitable PA intervention strategies [15, 22, 26, 28, 30–32], PA guidelines [31, 32], and benefits of PA for their well-being [15, 21, 22, 30, 32].”
From Identifying the factors affecting ‘patient engagement’ in exercise rehabilitation (2022) · cites this paper as [21]
Knowledge of personal health and health conditions is a patient capability facilitator for exercise adherence.
“Types of health knowledge included: knowledge of personal health and health conditions [15, 21, 25, 30, 32], suitable PA intervention strategies [15, 22, 26, 28, 30–32], PA guidelines [31, 32], and benefits of PA for their well-being [15, 21, 22, 30, 32].”
From Identifying the factors affecting ‘patient engagement’ in exercise rehabilitation (2022) · cites this paper as [21]
A common reason stated for lack of time was commitments to other priorities such as work and family.
“A common reason stated ‘for lack of time’ was commitments to other priorities such as work and family [18, 20, 21, 25, 26, 28, 31].”
From Identifying the factors affecting ‘patient engagement’ in exercise rehabilitation (2022) · cites this paper as [21]
Availability of time for engaging in PA was a prominent physical opportunity determinant noted in multiple articles.
“A prominent physical opportunity determinant noted in multiple articles was the availability of time for engaging in PA [15, 20, 21, 25, 26, 28, 30, 31, 33].”
From Identifying the factors affecting ‘patient engagement’ in exercise rehabilitation (2022) · cites this paper as [21]
Three studies suggested the use of educational material by clinicians to increase patients' health literacy and increase exercise adherence.
“In the context of Capability, three studies suggested the use of educational material by clinicians to increase their patients’ health literacy and increase exercise adherence [21–23].”
From Identifying the factors affecting ‘patient engagement’ in exercise rehabilitation (2022) · cites this paper as [21]
High perceived personal relevance was associated with increased determination to engage in exercise behaviour in twelve studies.
“In addition, twelve studies [15, 18, 20, 21, 24–28, 30–32, 34] found high perceived personal relevance to be associated with increased determination to engage in exercise behaviour.”
From Identifying the factors affecting ‘patient engagement’ in exercise rehabilitation (2022) · cites this paper as [21]
Two studies involving older adults found that patients responded more positively when intervention details focused on positive aspects and health benefits.
“In addition, two studies [15, 21] involving older adults found that patients responded more positively when the intervention details focused on positive aspects and health benefits.”
From Identifying the factors affecting ‘patient engagement’ in exercise rehabilitation (2022) · cites this paper as [21]
Four studies cited the use of education, focusing on making information relevant to a patient for increasing patient perceived-relevance.
“Four studies [18, 21–23] cited the use of education, albeit focusing on making the information relevant to a patient for increasing patient perceived-relevance.”
From Identifying the factors affecting ‘patient engagement’ in exercise rehabilitation (2022) · cites this paper as [21]
Patients with misconceptions about PA and their health conditions had lower exercise adherence in nine studies.
“In contrast, nine studies [15, 18, 21, 23, 26, 30, 31, 33, 34] found patients with misconceptions about PA and their health conditions had lower exercise adherence.”
From Identifying the factors affecting ‘patient engagement’ in exercise rehabilitation (2022) · cites this paper as [21]
Members of the general population commonly face multiple environmental barriers to their engagement in rehabilitation, such as lack of access to resources and services, high costs, and lack of time due to personal commitments.
“Since, unlike participants involved in clinical research trials who may receive enabling access to optimal resources and services, members of the general population commonly face multiple environmental barriers to their engagement in rehabilitation, such as: a lack of access to resources and services as an opportunity barrier [20, 21, 28, 30], high costs of resources and service [21, 26, 28, 30, 3”
From Identifying the factors affecting ‘patient engagement’ in exercise rehabilitation (2022) · cites this paper as [21]
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- Authors
- Ayton, D., Morello, R., Natora, A., Yallop, S., Barker, A., & Soh, S.-E.
- Affiliations
- Monash University (AU)
- Government of Victoria (AU)
- Department of Health and Human Services (AU)
- Corresponding author
- Ayton, Darshini
- Venue
- Health & Social Care in the Community
- Publisher
- Wiley
- Published
- 2018-07-19
- Volume
- 26
- Issue
- 6
- Pages
- 970-978
- ISSN
- 0966-0410 (ISSN-L)
- OpenAlex
- W2883585597
- Cited by
- 13
- References
- 26
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 3 · 2020: 1
- FWCI
- 2.39
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Health & Social Care in the Community (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Department of Health and Human Services, State Government of Victoria
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Surgery › Hip and Femur Fractures
- Keywords
- fall prevention, fall risk, older adults, COM-B model, barriers and facilitators, health literacy, exercise participation, health care access, behavior change, consumer perception
- MeSH terms
- Accident Prevention, Accidental Falls, Accidents, Home, Community Health Services, Female, Humans, Motivation, Preventive Health Services, Surveys and Questionnaires, Risk Factors, Risk Assessment, Qualitative Research
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