Simulation Versus Written Fall Prevention Education in Older Hospitalized Adults: A Randomized Controlled Study

Nancy C. DeWalt, Kenneth A. Stahorsky, Susan Sturges, James F. Bena, Shannon L. Morrison, Laura Drobnich Sulak, Lynn Szczepinski and Nancy M. Albert

Clinical Nursing Research, 2023, vol. 32, issue 2, 278-287

Abstract: Using a randomized controlled, non-blinded, two-group design, differences in fall risk assessment, post-discharge sustainable fall risk changes, fall events and re-hospitalization were examined in 77 older adults who received a simulation ( n  = 36) or written ( n  = 41) education intervention. Between-group differences and changes in pre- versus post-fall risk assessment scores were examined using Pearson’s chi-square, Wilcoxon rank sum or Fisher’s exact tests (categorical variables) and two-sample t -tests (continuous variables). There were no statistically significant differences between groups in demographic characteristics. Patients who received simulation education had higher fall risk post-assessment scores than the written education group, p  = .022. Change in fall risk assessment scores (post-vs.-pre; 95% confidence intervals) were higher in the simulation group compared to the written education group, 1.43 (0.37, 2.50), p  = .009. At each post-discharge assessment, fall events were numerically fewer but not significantly different among simulation and education group participants. There were no statistically significant between-group differences in re-hospitalization.

Keywords: falls; simulation; education; rehospitalization; prevention (search for similar items in EconPapers)
Date: 2023
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Persistent link: https://EconPapers.repec.org/RePEc:sae:clnure:v:32:y:2023:i:2:p:278-287

DOI: 10.1177/10547738221082192

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