ABSTRACT

Fall-related injuries and mortality are increasing in older adults. Evidence suggests a need for a multifactorial, interprofessional approach to reducing falls. The Program for All-Inclusive Care for the Elderly (PACE) utilizes an interprofessional approach to care and serves a high-risk population. The purpose of this study was to investigate the effectiveness of an EBP falls prevention training program conducted at a PACE. The program was a revision of an established program and was led by an interprofessional team. The evaluation used a mixed-methods approach to assess program quality, learning and self-efficacy gains, and intended behavioral changes. Quantitative evaluation demonstrated program satisfaction and qualitative responses identified the depth and interprofessional delivery as favorable. Qualitative data identified opportunities to enhance content and learning design. Overall knowledge gains were statistically significant (mean difference 5%), with the greatest gains related to the evidence base (mean difference 2.67%). Self-efficacy ratings increased significantly after each session. Participants noted changes to team function and a willingness to consider practice changes as a result of the training. The findings support the effectiveness of this interprofessional, EBP training program on falls prevention practices in a PACE and highlight the value of a multifaceted assessment and iterative development.

摘要

在老年人中，与跌倒相关的伤害和死亡率正在增加。有证据表明需要采用多因素、跨专业的方法来减少跌倒。老年人全方位护理计划 (PACE) 采用跨专业的护理方法，为高危人群提供服务。本研究的目的是调查在 PACE 进行的 EBP 跌倒预防培训计划的有效性。该计划是对既定计划的修订，由跨专业团队领导。评估使用混合方法来评估项目质量、学习和自我效能感的提高以及预期的行为改变。定量评估表明项目满意度和定性反应确定深度和跨专业交付是有利的。定性数据确定了增强内容和学习设计的机会。总体知识增益具有统计学意义（平均差异 5%），与证据基础相关的最大增益（平均差异 2.67%）。每次治疗后自我效能评分显着增加。参与者注意到团队功能发生了变化，并且愿意考虑培训带来的实践变化。研究结果支持该跨专业 EBP 培训计划在 PACE 中预防跌倒实践的有效性，并强调了多方面评估和迭代开发的价值。每次治疗后自我效能评分显着增加。参与者注意到团队功能发生了变化，并且愿意考虑培训带来的实践变化。研究结果支持该跨专业 EBP 培训计划在 PACE 中预防跌倒实践的有效性，并强调了多方面评估和迭代开发的价值。每次治疗后自我效能评分显着增加。参与者注意到团队功能发生了变化，并且愿意考虑培训带来的实践变化。研究结果支持该跨专业 EBP 培训计划在 PACE 中预防跌倒实践的有效性，并强调了多方面评估和迭代开发的价值。