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Physical and Occupational Therapy Practice Improvement Following Interprofessional Evidence-Based Falls Prevention Training.
Wheeler, Emma; Coogle, Constance L; Fix, Robert C; Owens, Myra G; Waters, Leland H.
Afiliación
  • Wheeler E; Dep. of Physical Therapy, Virginia Commonwealth University, 1200 East Broad Street, Richmond, VA 23298-0224, USA. Tel 804-828-0234, fax 804-828-8111. ewheeler@vcu.edu.
J Allied Health ; 47(1): 9-18, 2018.
Article en En | MEDLINE | ID: mdl-29504015
AIMS: Evaluate changes in physical therapy (PT) and occupational therapy (OT) practice following evidence-based practice (EBP) interprofessional modules that teach assessments and interventions to reduce falls in community-dwelling older adults. METHODS: Medical records of post-fall patients in three Programs of All-Inclusive Care for the Elderly (PACE) sites were analyzed to assess differences in documented falls and the OT and PT use of EBP assessment and interventions implemented following fall prevention training. RESULTS: In training year 1, PT demonstrated a 34.6% practice improvement in risk assessments performed (z=3.0, p<0.005). In training year 2, PT demonstrated a 66.7% practice change in the implementation of EBP interventions (z=2.1, p<0.05) and OT demonstrated a 22.2% practice improvement in the implementation of recommended EBP interventions (z=2.0, p<0.05). In training year 3, OT achieved a 6.8% increase in the execution of home environment modifications (z=2.0, p<0.05), and PT demonstrated a 23.3% practice improvement in the implementation of recommended EBP interventions (z=3.1, p<0.005). CONCLUSION: The delivery of EBP assessment and intervention training modules for falls prevention resulted in PT and OT practice changes and improved adherence to published guidelines.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Accidentes por Caídas / Terapia Ocupacional / Especialidad de Fisioterapia / Práctica Clínica Basada en la Evidencia / Relaciones Interprofesionales Tipo de estudio: Etiology_studies / Guideline / Risk_factors_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J Allied Health Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Accidentes por Caídas / Terapia Ocupacional / Especialidad de Fisioterapia / Práctica Clínica Basada en la Evidencia / Relaciones Interprofesionales Tipo de estudio: Etiology_studies / Guideline / Risk_factors_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J Allied Health Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos