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Lookup NU author(s): Dr Mabel LieORCiD
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Objectives: Falls for care homes residents are a major cause of morbidity, mortality, and increased healthand social care costs. The Action Falls program incorporates a multifactorial falls risk assessmentchecklist, training, and support for care home staff, which has been shown to reduce falls in care homesby 43%. This study explores the barriers, facilitators, and feasibility of implementing the Action Fallsprogram into daily use in care homes.Design: Implementation study using the normalization process theory.Setting and Participants: Care homes were trained and supported to use Action Falls for 12 months. Carehome staff were invited to complete Normalization MeAsure Development questionnaires at baselineand 9 months, and attend Action Falls Collaborative events where observational notes were taken.Methods: Staff readiness use Action Falls, training uptake, and costs were reported. Feasibility of collectingfalls data was also measured. Quantitative data were analyzed with descriptive statistics andregression models; qualitative data underwent thematic analysis.Results: A total of 60% of care home staff received Action Falls training across 175 sessions. A total of 660Normalization MeAsure Development questionnaires indicated that staff trained in Action Falls reportedgreater confidence in adopting the program. Confidence decreased over time, and barriers to training,including staff turnover and time constraints, were evident. The integration of the Action Falls checklist intodigital care records was a key barrier to implementation. The average cost of training per care home was£331.60. Data on falls were returned by 88% of participating homes, with a mean of 2.53 falls per person-year.Conclusions and Implications: Care homes were engaged and motivated to use Action Falls, which can beimplemented with modest cost. Results emphasize the importance of ongoing support, digital integration,and policy backing to embed the Action Falls program into care homes. Overcoming logisticaland technologic challenges is critical for its success.
Author(s): Allen F, Logan P, Darby J, Robinson K, Burgess S, van der Ward V, McManus E, Gu B, Gordon A, Hodge S, Liddle J, Lie M, Harris C, Lasserson D, Smith P
Publication type: Article
Publication status: Published
Journal: JAMDA: The Journal of the Post-Acute and Long-Term Care Medical Association
Year: 2025
Pages: epub ahead of print
Online publication date: 15/10/2025
Acceptance date: 04/09/2025
ISSN (print): 1525-8610
ISSN (electronic): 1538-9375
Publisher: Elsevier
URL: https://doi.org/10.1016/j.jamda.2025.105940
DOI: 10.1016/j.jamda.2025.105940
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