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Jepson M, Williams N, Haines TP. Effectiveness of tailored COVID-19 messages for vulnerable Australians: A study protocol. PLoS One 2023; 18:e0280865. [PMID: 36706131 PMCID: PMC9882702 DOI: 10.1371/journal.pone.0280865] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Accepted: 01/07/2023] [Indexed: 01/28/2023] Open
Abstract
Multiple approaches can be used to communicate public health messages through mass media. It is unclear which approaches are superior for meeting the needs of the general community along with vulnerable population subgroups. To compare different public health strategy communication approaches for influencing the COVID-safe behavioural intentions of both community and vulnerable population subgroups. This study will conduct three concurrent 'helix' randomised controlled trials with Latin square sequencing and factorial intervention allocation to assess the effectiveness of different communication strategies amongst the Australian general community and six subgroups that are considered vulnerable to contracting, transmitting or experiencing severe consequences of COVID-19 infection. Communication approaches being compared include: the format of communication (written versus video), who is providing information (general practitioner, politician, community-representative), what is said and how it is delivered (direct information provision versus conversational approach) and the visual content of video messaging (animation versus 'talking head'). Recruited participants will be randomly allocated to receive a specific combination of health messaging strategies using six different COVID-19 context areas. Outcomes will be assessed in a survey using behaviour intention questions, and questions surrounding level of agreement with feeling represented in the health messaging strategy. These trials will use a unique research approach to provide an experimental evidence base to help guide development of impactful and inclusive COVID-19 and related public health messaging. All three trials are registered with the Australian New Zealand Clinical Trials Registry (ANZCTR). Trial 1: Update and impact of Government recommendations about COVID-19 (coronavirus)-Stage 3, Trial 1, vulnerable subgroup populations (ACTRN12622000606785). Trial 2: Update and impact of Government recommendations about COVID-19 (coronavirus)-Stage 3, Trial 2, community group (ACTRN12622000605796). Trial 3: Update and impact of Government recommendations about COVID-19 (coronavirus)-Stage 3, Trial 3, What communication strategy is most effective for both vulnerable and community group populations? (ACTRN12622000617763).
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Affiliation(s)
- Megan Jepson
- School of Primary and Allied Health Care, Monash University Peninsula Campus, Melbourne, Victoria, Australia
- Department of Paramedicine, Monash University Peninsula Campus, Melbourne, Victoria, Australia
- * E-mail:
| | - Nathan Williams
- School of Primary and Allied Health Care, Monash University Peninsula Campus, Melbourne, Victoria, Australia
| | - Terry P. Haines
- School of Primary and Allied Health Care, Monash University Peninsula Campus, Melbourne, Victoria, Australia
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Naseri C, McPhail SM, Haines TP, Morris ME, Shorr R, Etherton-Beer C, Netto J, Flicker L, Bulsara M, Lee DCA, Francis-Coad J, Waldron N, Boudville A, Hill AM. Perspectives of older adults regarding barriers and enablers to engaging in fall prevention activities after hospital discharge. HEALTH & SOCIAL CARE IN THE COMMUNITY 2020; 28:1710-1722. [PMID: 32337796 PMCID: PMC7513672 DOI: 10.1111/hsc.12996] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/21/2019] [Revised: 02/04/2020] [Accepted: 03/18/2020] [Indexed: 05/05/2023]
Abstract
Older adults recently discharged from hospital are at high risk of functional decline and falls. A tailored fall prevention education provided at hospital discharge aimed to improve the capacity of older adults to engage in falls prevention activities. What remains unknown are the factors affecting behaviour change after hospital discharge. This study identified the perceived barriers and enablers of older adults to engagement in fall prevention activities during the 6-month period post-discharge. An exploratory approach using interpretative phenomenological analysis focused on the lived experience of a purposive sample (n = 30) of participants. All were recruited as a part of an RCT (n = 390) that delivered a tailored fall prevention education program at three hospital rehabilitation wards in Perth, Australia. Data were collected at 6-month post-discharge using semi-structured telephone surveys. Personal stories confirmed that some older adults have difficulty recovering functional ability after hospital discharge. Reduced physical capability, such as experiences of fatigue, chronic pain and feeling unsteady when walking were barriers for participants to safely return to their normal daily activities. Participants who received the tailored fall education program reported positive effects on knowledge and motivation to engage in fall prevention. Participants who had opportunities to access therapy or social supports described more positive experiences of recovery compared to individuals who persevered without assistance. A lack of physical and social support was associated with apprehension and fear toward adverse events such as falls, injuries, and hospital readmission. The lived experience of participants following hospital discharge strongly suggested that they required more supports from both healthcare professionals and caregivers to ensure that their needs were met. Further research that evaluates how to assist this population to engage in programs that will mitigate the high risk of falls and hospital readmissions is required.
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Affiliation(s)
- Chiara Naseri
- School of Physiotherapy and Exercise Sciences, Faculty of Health Science, Curtin University, Perth, WA, Australia
| | - Steven M. McPhail
- School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia
- Centre for Functioning and Health Research, Metro South Health, Brisbane, QLD, Australia
| | - Terry P. Haines
- School of Primary and Allied Health Care, Monash University, Melbourne, VC, Australia
| | - Meg E. Morris
- Healthscope & La Trobe Centre for Sport & Exercise Medicine Research, La Trobe University, Melbourne, VC, Australia
| | - Ronald Shorr
- Malcom Randall VA Medical Center, Geriatric Research Education and Clinical Center (GRECC), Gainesville, FL, USA
- College of Medicine, University of Florida, Gainesville, FL, USA
| | - Christopher Etherton-Beer
- Western Australian Centre for Health & Ageing, University of Western Australia, Royal Perth Hospital Unit, Perth, WA, Australia
| | - Julie Netto
- School of Occupational Therapy and Social Work, Faculty of Health Science, Curtin University, Perth, WA, Australia
| | - Leon Flicker
- Western Australian Centre for Health & Ageing, Centre for Medical Research, University of Western Australia, Perth, WA, Australia
| | - Max Bulsara
- Institute for Health Research, The University of Notre Dame Australia, Fremantle, WA, Australia
| | - Den-Ching A. Lee
- School of Primary and Allied Health Care, Monash University, Melbourne, VC, Australia
| | - Jacqueline Francis-Coad
- School of Physiotherapy, Institute for Health Research, The University of Notre Dame Australia, Fremantle, WA, Australia
| | - Nicholas Waldron
- Department of Geriatric Rehabilitation, Department of Health, Armadale Health Service, Perth, WA, Australia
| | - Amanda Boudville
- Department of Aged Care and Rehabilitation, St John of God Health Care, Midland, WA, Australia
| | - Anne-Marie Hill
- School of Physiotherapy and Exercise Sciences, Faculty of Health Science, Curtin University, Perth, WA, Australia
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Kiyoshi-Teo H, Northrup-Snyder K, Cohen DJ, Dieckmann N, Stoyles S, Winters-Stone K, Eckstrom E. Older hospital inpatients' fall risk factors, perceptions, and daily activities to prevent falling. Geriatr Nurs 2018; 40:290-295. [PMID: 30595233 DOI: 10.1016/j.gerinurse.2018.11.005] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2018] [Revised: 11/13/2018] [Accepted: 11/19/2018] [Indexed: 11/19/2022]
Abstract
PURPOSE To identify associations among patient fall risk factors, perceptions, and daily activities to improve patient engagement with fall prevention among hospitalized older adults. BACKGROUND The risk of falling increases for older patients but few researchers have reported patient-centered measures on this topic. METHODS Surveys and chart reviews of inpatients aged ≥ 65 with Morse Falls Scale scores of ≥ 45. Measurements included validated tools and the modified Fall Behavioral Scale-Inpatient (FaB-I). RESULTS A fall within 3 months before hospitalization was associated with an increased level of importance to preventing falls and higher FaB-I score (more fall prevention behaviors) but decreased level of confidence related to preventing falls (p < 0.05). Perception measures (concern: r = 0.52; patient activation: r = 0.46) were positively associated with FaB-I (p < 0.001). CONCLUSIONS Addressing patient-centered measures such as perceptions of and daily activities for fall prevention could add value to existing fall prevention programs.
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Affiliation(s)
- Hiroko Kiyoshi-Teo
- School of Nursing, Oregon Health & Science University, Portland, OR, United States.
| | | | - Deborah J Cohen
- Department of Family Medicine, Oregon Health & Science University, Portland, OR, United States
| | - Nathan Dieckmann
- School of Nursing, Oregon Health & Science University, Portland, OR, United States
| | - Sydnee Stoyles
- School of Nursing, Oregon Health & Science University, Portland, OR, United States
| | - Kerri Winters-Stone
- School of Nursing, Oregon Health & Science University, Portland, OR, United States
| | - Elizabeth Eckstrom
- School of Medicine, Oregon Health & Science University, Portland, OR, United States; Division of General Internal Medicine & Geriatrics, Oregon Health & Science University, Portland, OR, United States
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