Living with falls: house-bound older people's experiences of health and community care

Jennie Stewart, Chris McVittie

Research output: Contribution to journalArticle

Abstract

Despite world-wide emphasis on falls prevention, falls and their consequences remain a major health issue
for older people, and their health care providers. Many systematic reviews have been undertaken to evaluate the impact of intervention programmes on falls reduction, however, relatively little research provides a voice for older people’s own perceptions of such programmes. To readdress this imbalance the current research utilized a purposive sampling method to recruit a hard to reach group of older people who had received a post-fall health and social-care programme to investigate their experiences of the programme. Semistructured interviews with eight housebound people aged over 65 who had fallen were undertaken, and data analysed using interpretative phenomenological analysis. Four themes were identified: losing independence; losing confidence; losing social identity; managing a changed self. Despite a tailored intervention programme minimal improvement in participants’ psychological adjustment to falls was noted. Outcomes from this study are of interest to health and social-care staff who deliver falls prevention programmes. Staff need to enhance constructive adjustment to the older person’s altered circumstances and ensure behaviours do not exacerbate their clients’ loss of independence. This should assist older people’s ability to positively manage their sense of self, allowing them to find continuing meaning in their daily lives.
Original languageEnglish
Pages (from-to)271-279
Number of pages9
JournalEuropean Journal of Ageing
Volume8
Issue number4
Early online date20 Oct 2011
DOIs
Publication statusPublished - Dec 2011

Fingerprint

Delivery of Health Care
Social Adjustment
Social Identification
Aptitude
Ego
health
Research
Health Personnel
community
experience
Outcome Assessment (Health Care)
Interviews
Health
staff
confidence
health care
ability
interview
Emotional Adjustment
Group

Keywords

  • older people
  • community care
  • qualitative research
  • rehabilitation falls

Cite this

Stewart, Jennie ; McVittie, Chris. / Living with falls : house-bound older people's experiences of health and community care. In: European Journal of Ageing. 2011 ; Vol. 8, No. 4. pp. 271-279.
@article{e68f848d63dd4b06b573db044f1d8a0a,
title = "Living with falls: house-bound older people's experiences of health and community care",
abstract = "Despite world-wide emphasis on falls prevention, falls and their consequences remain a major health issuefor older people, and their health care providers. Many systematic reviews have been undertaken to evaluate the impact of intervention programmes on falls reduction, however, relatively little research provides a voice for older people’s own perceptions of such programmes. To readdress this imbalance the current research utilized a purposive sampling method to recruit a hard to reach group of older people who had received a post-fall health and social-care programme to investigate their experiences of the programme. Semistructured interviews with eight housebound people aged over 65 who had fallen were undertaken, and data analysed using interpretative phenomenological analysis. Four themes were identified: losing independence; losing confidence; losing social identity; managing a changed self. Despite a tailored intervention programme minimal improvement in participants’ psychological adjustment to falls was noted. Outcomes from this study are of interest to health and social-care staff who deliver falls prevention programmes. Staff need to enhance constructive adjustment to the older person’s altered circumstances and ensure behaviours do not exacerbate their clients’ loss of independence. This should assist older people’s ability to positively manage their sense of self, allowing them to find continuing meaning in their daily lives.",
keywords = "older people, community care, qualitative research, rehabilitation falls",
author = "Jennie Stewart and Chris McVittie",
year = "2011",
month = "12",
doi = "10.1007/s10433-011-0202-8",
language = "English",
volume = "8",
pages = "271--279",
journal = "European Journal of Ageing",
issn = "1613-9372",
publisher = "Springer-Verlag",
number = "4",

}

Living with falls : house-bound older people's experiences of health and community care. / Stewart, Jennie; McVittie, Chris.

In: European Journal of Ageing, Vol. 8, No. 4, 12.2011, p. 271-279.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Living with falls

T2 - house-bound older people's experiences of health and community care

AU - Stewart, Jennie

AU - McVittie, Chris

PY - 2011/12

Y1 - 2011/12

N2 - Despite world-wide emphasis on falls prevention, falls and their consequences remain a major health issuefor older people, and their health care providers. Many systematic reviews have been undertaken to evaluate the impact of intervention programmes on falls reduction, however, relatively little research provides a voice for older people’s own perceptions of such programmes. To readdress this imbalance the current research utilized a purposive sampling method to recruit a hard to reach group of older people who had received a post-fall health and social-care programme to investigate their experiences of the programme. Semistructured interviews with eight housebound people aged over 65 who had fallen were undertaken, and data analysed using interpretative phenomenological analysis. Four themes were identified: losing independence; losing confidence; losing social identity; managing a changed self. Despite a tailored intervention programme minimal improvement in participants’ psychological adjustment to falls was noted. Outcomes from this study are of interest to health and social-care staff who deliver falls prevention programmes. Staff need to enhance constructive adjustment to the older person’s altered circumstances and ensure behaviours do not exacerbate their clients’ loss of independence. This should assist older people’s ability to positively manage their sense of self, allowing them to find continuing meaning in their daily lives.

AB - Despite world-wide emphasis on falls prevention, falls and their consequences remain a major health issuefor older people, and their health care providers. Many systematic reviews have been undertaken to evaluate the impact of intervention programmes on falls reduction, however, relatively little research provides a voice for older people’s own perceptions of such programmes. To readdress this imbalance the current research utilized a purposive sampling method to recruit a hard to reach group of older people who had received a post-fall health and social-care programme to investigate their experiences of the programme. Semistructured interviews with eight housebound people aged over 65 who had fallen were undertaken, and data analysed using interpretative phenomenological analysis. Four themes were identified: losing independence; losing confidence; losing social identity; managing a changed self. Despite a tailored intervention programme minimal improvement in participants’ psychological adjustment to falls was noted. Outcomes from this study are of interest to health and social-care staff who deliver falls prevention programmes. Staff need to enhance constructive adjustment to the older person’s altered circumstances and ensure behaviours do not exacerbate their clients’ loss of independence. This should assist older people’s ability to positively manage their sense of self, allowing them to find continuing meaning in their daily lives.

KW - older people

KW - community care

KW - qualitative research

KW - rehabilitation falls

U2 - 10.1007/s10433-011-0202-8

DO - 10.1007/s10433-011-0202-8

M3 - Article

VL - 8

SP - 271

EP - 279

JO - European Journal of Ageing

JF - European Journal of Ageing

SN - 1613-9372

IS - 4

ER -