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. 2020 Apr 15;20:140. doi: 10.1186/s12877-020-01515-w

Table 2.

Randomised controlled trials characteristics

Lead author (Year) Setting Interventions Education content Education delivery modes Education design guiding principles Education outcomes Education quality Fall outcomes
Aizen (2015) [52] Sub-acute Multifactorial v Usual Care Behavioural and cognitive treatment with patient and family guidance Not stated Not stated Not reported 2/17 Low No difference in falls (falls per 1000 bed days: experimental 1; control 2) (p = 0.11)
Ang (2011) [34] Acute Multifactorial v Usual Care Falls education based on individual falls risk Face to face by nurses Not stated Not reported 6/17 Low Less falls in experimental group than control group (p = 0.018)
Cumming (2008) [53] Acute, sub-acute Multifactorial v Usual Care Falls education based on individual falls risk Face to face by nurses Not stated Not reported 5/17 Low No difference in falls (falls per 1000 bed days: experimental 9; control 9)
Dykes (2010) [54] Acute Multifactorial v Usual Care Falls education based on individual falls risks Handout Yes. Handout designed to match consumer literacy Not reported 4/17 Low Less falls in experimental than control group (falls per 1000 bed days: experimental 3; control 4) (p = 0.04)
Haines (2011) [22] Acute, sub-acute

Group 1: Combination Group 2: Materials

Group 3: Usual Care

Education on falls, self-reflection of individual risk, falls strategies, goal setting

Face to face by physiotherapist

Handout given by trained clinician

Combination of all

Yes. Content based on health belief model and consumer feedback Not reported 7/17 Moderate No difference in falls (falls per 1000 bed days: combination 8; materials 8; control 9)
Hill (2009) [55] Acute, sub-acute Education of patient delivered by video v Education of patient delivered by handout Education on risk of falls and falls prevention strategies

Handout

Video

Yes. Content based on health belief model and utilising design and communication principles

Yes. Video group identified more falls prevention strategies than handout group (p = 0.02).

Video group was more motivated and confident to reduce falls than handout group (p = 0.03)

8/17 Moderate No falls outcome reported
Hill (2015) [38] Sub-acute Education of patient v Usual Care Education on falls, cues to action and goal setting Face to face plus handout plus video Yes. Content based on health belief model and adult learning principles Not reported 11/17 Moderate Less falls in experimental group than control group (falls per 1000 bed days: experimental 8; control 14) (p = 0.03)
Kuhlenschmidt (2016) [31] Acute Education of patient v Usual Care Education on fall risks, strategies and fear of falling, tailored to different risk categories Face to face plus handout plus video by research nurses Not stated Yes. Risk perception changed more in the intervention group (p = 0.01) 11/17 Moderate No falls outcomes reported
Kiyoshi-Teo (2019) [56] Acute Education of patient v Usual care Education on fall risks, strategies and prompting behaviour change and self-reflection of falls prevention Face to face plus handout by research nurse Yes. Content based on motivational interviewing concept Yes. No significant difference between groups in confidence, falls prevention behaviours and patient engagement 10/17 Moderate No significant difference in falls (incidence rates per month: experimental 0.2029; control 0.2098)
van Gaal (2011) [57] Acute Multifactorial v Usual Care Education on falls prevention Face to face plus handout given by nurses Not stated Not reported 2/17 Low Less falls in experimental group than control group (rate ratio 0.67)

Footnote: Mutifactorial refers to two or more of the following: patient education, falls risk assessments, environmental modifications, devices, personal supervision, multidisciplinary reviews, medication reviews, falls risk communication aids, allied health and nursing input, rounding, staff training