Dawn A. Skelton

Position paper: a coordinated approach to fracture and fall prevention from seven international organizations

Nathalie van der Velde, Lotta J Seppala, Gülistan Bahat, Hubert Blain et autres

Fragility fractures constitute a major global health burden and often result from falls. However, clinical care for fragility fractures is currently organized separately from fall prevention services leading to gaps in integrated care delivery. This joint position paper from the European Geriatric …

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The ACUte effects of SITting time on physiological and psychological function in older adults (ACUSIT): An observational cohort study

Sandra Agyapong‐Badu, Carolyn; id_orcid 0000-0003-1704-9997 Greig, Emma Bostock, Kirsty McGee et autres

Abstract Introduction There is accumulating evidence supporting the longer-term detrimental health effects of prolonged bouts of sedentary behaviour (sitting). However, there are less data relating to older adults and in particular, the acute dose-response effects of uninterrupted sitting are lacking. This study …

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Lessons Learned in the Early Adoption of FaME Across Ireland: A Convergent Mixed‐Methods Implementation Study (FaME Ireland)

Scott Rooney, Leanne Ahern, Edel Brennan, Eibhlis Cahalane et autres

BACKGROUND: Falls are the most common cause of hospitalisation amongst older adults in Ireland. Structured exercise programmes are recommended to manage falls, and the Falls Management Exercise (FaME) programme has been shown to reduce falls and improve physical function. However, FaME delivery …

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Religiosity as a predictor of falls and physical recovery following a fall: A prospective analysis using the English Longitudinal Study of Ageing (ELSA).

Mathew Hill, Lucy Harlow, Dawn A. Skelton, Toby J. Ellmers

Study aims The aims of this study are twofold. Firstly, Analysis 1 aims to examine whether baseline religiosity prospectively predicts falls among community-dwelling older adults over a two-year follow-up period. Specifically, we will investigate whether greater religious attendance, greater importance of religious …

Physical activity and bone health, osteoporosis, and fractures

Miranda Elaine Glynis Armstrong, Dawn A. Skelton

Osteoporosis is a growing global health concern, with physical activity playing a key role in prevention and management across the life course. Maximising bone mineral density in youth and minimising its decline in later life are critical strategies. Evidence supports high-impact and …

Prompted Voiding Utilising Toilet Alarms and Individual Toileting Plans for Adults With an Intellectual Disability And Incontinence

Janet Finlayson, Nick Gore, Dawn A. Skelton

BACKGROUND: Urinary incontinence is common amongst adults with an intellectual disability, yet there is a paucity of interventions to promote continence in this population. The aim was to test the feasibility of a toileting intervention with adults with an intellectual disability. METHOD: …

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PRODUCES+: Guidance for co-creation in public health informed by evidence and user experience

Danielle Marie Agnello, Giuliana Raffaella Longworth, Maria Giné‐Garriga, Sébastien Chastin et autres

Objectives: Despite the growing popularity of co-creation to develop complex interventions, there is limited guidance on planning and implementing a co-creation process in public health. This study aims to critically review and update one such guidance, the PRODUCES framework, to develop a …

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Nurse-initiated transitional care interventions to support the transition from hospital to home amongst older stroke survivors and caregivers: A systematic review and meta-analysis

Usanee Ankanawin, Lisa Kidd, Dawn A. Skelton

ObjectiveTo explore and describe the components and underpinning theories of nurse-initiated transitional (hospital-to-home) care and to evaluate the effects of interventions on activities of daily living (ADLs), quality of life (QoL), depression, anxiety, self-efficacy, stroke-related knowledge, patient satisfaction and healthcare service utilisation …

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Acceptability, appropriateness and costs of a tailored implementation strategy for the national falls prevention recommendations in Norwegian municipalities—a process evaluation of the FALLPREVENT trial

Maria Bjerk, Henning Øien, Robbie Foy, Dawn A. Skelton et autres

BACKGROUND: Falls prevention interventions are effective, but their uptake in clinical practice is limited. To improve uptake tailored implementation strategies are recommended, and we need knowledge on feasibility of the strategies in municipal healthcare. A cluster-randomised trial set in Norwegian municipalities evaluated …

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Effectiveness of a Digital Falls Prevention (KOKU) to Improve Function and Reduce Falls Risk in Older Adults.

Emma Stanmore, Amelia Parchment, Bolanle Odebiyi, Peter Bower et autres

Abstract Functional decline and falls are common, challenging problems for older adults. Access and uptake to evidence-based exercise programmes are often sub-optimal. This study investigated the effectiveness of the KOKU digital strength and balance program for improving physical function and reducing falls …

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Identifying falls risk using wearables data in older adults: an observational cohort study

Atul Anand, Marie Guglielminetti, Greig Fotheringham, Laurie Auld et autres

ABSTRACT Background Falls are a major cause of morbidity in older adults. Low-cost wearable devices track potential falls risk factors, but adoption in older adults remains uncertain. Methods We conducted a 6-month prospective observational study in community-dwelling adults who self-reported a recent …

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Commentary on NICE guidance 249—falls: assessment and prevention in older people and in people 50 and over at higher risk

Sara Vandervelde, Dawn A. Skelton, Koen Milisen, Jonathan Treml et autres

The new National Institute for Health and Care Excellence (NICE) Falls Guideline (NG249) updates CG161 (2013). NG249 aims to reduce the risk and incidence of falls, associated clinical consequences and loss of confidence or independence. The scope has expanded to include people …

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