Table 3.
Barriers and facilitators of healthcare providers to implementing the fall screening program in older adults.
| Screening (n = 19) | Follow up Advice (n = 17) | ||||
|---|---|---|---|---|---|
| Negative statements | Domain | agree | disagree | agree | disagree |
| % | % | % | % | ||
| Compatibility: The fall-prevention program does not fit into my ways of working at my practice. | Program | 36.8 | 21.1 | 11.8 | 5.9 |
| Time investment: Working to the fall-prevention program is too time consuming. | Program | 36.8 | 36.8 | 11.8 | 35.3 |
| Attitude, role perception: I have a general resistance to working according protocols. | HCW | 78.9 | 5.3 | 52.9 | 0.0 |
| Doubts about innovation: I think parts of the fall-prevention program are incorrect. | HCW | 47.4 | 5.3 | 47.1 | 0.0 |
| Lifestyle, working style: I have problems changing my old routines. | HCW | 73.7 | 15.8 | 76.5 | 0.0 |
| Education: It is difficult to give preventive care because I am not trained in giving preventive care. | HCW | 42.1 | 21.1 | 17.6 | 47.1 |
| Practice involvement: I did not thoroughly read nor remember the fall-prevention program. | HCW | 78.9 | 10.5 | 52.9 | 17.6 |
| Setup involvement: It is difficult to give preventive care because I have not been involved in setting up the preventive care. | HCW | 31.6 | 47.4 | 5.9 | 64.7 |
| Knowledge, motivation: I wish to know more about this fall-prevention program before I decide to apply it. | HCW | 36.8 | 21.1 | 29.4 | 52.9 |
| Ethnicity: It is difficult to give this preventive care to patients with a different cultural background. | Patient | 31.6 | 57.9 | 11.8 | 41.2 |
| Financial situation, economic status: It is difficult to give this preventive care to patients with a low socioeconomic status. | Patient | 52.6 | 26.3 | 17.6 | 35.3 |
| Number of patient contacts: It is difficult to give this preventive care to patients who rarely visit the clinic. | Patient | 52.6 | 26.3 | 5.9 | 58.8 |
| Health status: It is difficult to give this preventive care to patients who seem healthy. | Patient | 47.4 | 26.3 | 5.9 | 58.8 |
| Motivation to change: Patients do not cooperate in applying this fall-prevention program. | Patient | 84.2 | 5.3 | 29.4 | 17.6 |
| Group norms, socialization: Colleagues from my discipline do not cooperate in applying the fall-prevention program. | Context | 36.8 | 15.8 | 47.1 | 11.8 |
| Group norms, socialization: Colleagues from other disciplines do not cooperate in applying the fall-prevention program. | Context | 21.1 | 21.1 | 17.6 | 5.9 |
| Group norms, socialization: Managers/directors do not cooperate in applying the fall-prevention program. | Context | 57.9 | 5.3 | 35.3 | 0.0 |
| Reimbursement, insurance system: Working according to this fall-prevention program requires financial compensation. | Context | 15.8 | 21.1 | 11.8 | 5.9 |
| Opening hours of practice: It is difficult to give preventive care because the timing of the preventative care is awkward. | Context | 36.8 | 26.3 | 11.8 | 41.2 |
| Supportive staff: It is difficult to give preventive care if there are not enough supportive staff. | Context | 26.3 | 42.1 | 11.8 | 76.5 |
| Facilities: It is difficult to give preventive care if instruments needed are not available. | Context | 63.2 | 15.8 | 5.9 | 41.2 |
| Practice building: It is difficult to give preventive care if physical space is lacking (e.g., rooms). | Context | 57.9 | 21.1 | 23.5 | 47.1 |
| Attitude: This fall-prevention program is useless. | TPB | 73.7 | 5.3 | 29.4 | 11.8 |
| Attitude: This fall-prevention program is unwise. | TPB | 68.4 | 0.0 | 35.3 | 0.0 |
| Positive statements | Domain | agree | disagree | agree | disagree |
| % | % | % | % | ||
| Specificity, flexibility: This fall-prevention program leaves enough room for me to make my own conclusions. | Program | 47.4 | 5.3 | 41.2 | 11.8 |
| Specificity, flexibility: This fall-prevention program leaves enough room to weigh the wishes of the patient. | Program | 47.4 | 5.3 | 47.1 | 5.9 |
| Didactive benefit: This fall-prevention program is a good starting point for my self-study. | Program | 15.8 | 21.1 | 47.1 | 29.4 |
| Attractiveness: The layout of this fall-prevention program makes it handy for use. | Program | 63.2 | 15.8 | 47.1 | 11.8 |
| Attitude: This fall-prevention program is appropriate. | TPB | 73.7 | 0.0 | 29.4 | 5.9 |
| Attitude: This fall-prevention program important. | TPB | 63.2 | 5.3 | 29.4 | 0.0 |
| Subjective norm: Colleagues that I identify with would apply this fall-prevention program. | TPB | 31.6 | 10.5 | 0.0 | 17.6 |
| Perceived behavioral control: I believe that when I apply this fall-prevention program I can prevent falls. | TPB | 21.1 | 15.8 | 52.9 | 5.9 |
| Intention: I am willing to structurally apply this fall-prevention program to all my future patients aged 70 years and older. | TPB | 36.8 | 21.1 | 5.9 | 23.5 |
| Behavior: I have applied this fall-prevention program to patients in the past. | TPB | 31.6 | 63.2 | 41.2 | 41.2 |
Bold is barrier or facilitator. Italic = Indicates the subject of the statement. Domains are: HCW = healthcare worker characteristics; Patient = patient characteristics; Program = fall-prevention program characteristics; Context = context characteristics; TPB = Theory of Planned Behavior.