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BMC Health Services Research
Published in: BMC Health Services Research 1/2018

Open Access 01-12-2018 | Study protocol

Carers’ concerns about their older persons (Carees) at risk of falling – a mixed-methods study protocol

Authors: Seng Giap Marcus Ang, Anthony Paul O’Brien, Amanda Wilson

Published in: BMC Health Services Research | Issue 1/2018

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Abstract

Background

When dependent older persons (carees) experience a fall at home, their carers worry that they will fall again. This ongoing concern affects the carers’ wellbeing, perception of burden and can potentially change care arrangements. Previous research has focused on carers of high fall risk older persons with stroke, dementia or Parkinson’s disease. However, little is known about the carers’ concerns for carees at risk of falling generally; and there is no validated instrument to measure this concern. This study aims to explore carers’ fall concern about carees at risk of falling and the development of an instrument to measure this concern.

Methods

This study utilises an exploratory sequential design in the development of an instrument to measure carers’ concerns. Phase One will explore carers’ fall concern using a descriptive qualitative approach. Phases Two and Three will involve expert review, pilot testing and field testing of the instrument. Twenty participants will be recruited by purposive sampling in phase one, and convenience sampling of 50 and 250 participants respectively, in Phases Two and Three. The participants will be recruited from research volunteer registers and local hospital outpatient clinics.
Participants will be 18 years old and older and the main carer of an older person. Participants will be interviewed about their concerns about falls. Inductive content analysis will be used to analyse interviews and develop items for the instrument. The psychometric properties of the raw instrument will be tested using an online survey. This study has received ethics approval from the Hunter New England Human Health Research Ethics Committee.

Discussion

This study aims to provide greater depth of understanding about the psychological concerns and emotional burden related to carees’ falls for carers. Quantifying carers’ concerns will provide a context for interventions to assist and support carers and in the greater vigilance of monitoring the falling incidence of carees.
Literature
1.
2.
Tovell A, Harrison JE, Pointer S. Hospitalised injury in older Australians. Canberra: AIHW; 2014. p. 2011–2.
3.
4.
Milat AJ, Watson WL, Monger C, Barr M, Giffin M, Reid M. Prevalence, circumstances and consequences of falls among community-dwelling older people: results of the 2009 NSW falls prevention baseline survey. NSW Public Health Bulletin. 2011;22(3–4):43–8.CrossRef
5.
Hughes CC, Kneebone II, Jones F, Brady B. A theoretical and empirical review of psychological factors associated with falls-related psychological concerns in community-dwelling older people. Int Psychogeriatr. 2015;27(7):1071–87.CrossRef
6.
Scheffer AC, Schuurmans MJ, van Dijk N, van der Hooft T, de Rooij SE. Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons. Age Ageing. 2008;37(1):19–24.CrossRef
7.
van der Meulen E, Rixt Zijlstra GA, Ambergen T, Kempen GIJM. Effect of fall-related concerns on physical, mental, and social function in community-dwelling older adults: a prospective cohort study. J Am Geriatr Soc. 2014;62(12):2333–8.PubMed
8.
Delbaere K, Close JCT, Brodaty H, Sachdev P, Lord SR. Determinants of disparities between perceived and physiological risk of falling among elderly people: cohort study. BMJ. 2010;341:c4165.CrossRef
9.
Cumming RG, Salkeld G, Thomas M, Szonyi G. Prospective study of the impact of fear of falling on activities of daily living, SF-36 scores, and nursing home admission. J Gerontol A Biol Sci Med Sci. 2000;55(5):M299–305.CrossRef
10.
Moore DS, Ellis R. Measurement of fall-related psychological constructs among independent-living older adults: a review of the research literature. Aging Ment Health. 2008;12(6):684–99.CrossRef
11.
Honaker JA, Kretschmer LW. Impact of fear of falling for patients and caregivers: perceptions before and after participation in vestibular and balance rehabilitation therapy. Am J Audiol. 2014;23(1):20–33.CrossRef
12.
Davey C, Wiles R, Ashburn A, Murphy C. Falling in Parkinson's disease: the impact on informal caregivers. Disabil Rehabil. 2004;26(23):1360–6.CrossRef
13.
Kelley CP, Graham C, Christy JB, Hersch G, Shaw S, Ostwald SK. Falling and mobility experiences of stroke survivors and spousal caregivers. Phys Occup Ther Geriatr. 2010;28(3):235–48.CrossRef
14.
Faes MC, Reelick MF, Joosten-Weyn Banningh LW, Md G, Esselink RA, Olde Rikkert MG. Qualitative study on the impact of falling in frail older persons and family caregivers: foundations for an intervention to prevent falls. Aging Ment Health. 2010;14(7):834–42.CrossRef
15.
Kuzuya M, Masuda Y, Hirakawa Y, Iwata M, Enoki H, Hasegawa J, et al. Falls of the elderly are associated with burden of caregivers in the community. Int J Geriatr Psychiatry. 2006;21(8):740–5.CrossRef
16.
Dow B, Meyer C, Moore KJ, Hill KD. The impact of care recipient falls on caregivers. Aust Health Rev. 2013;37(2):152–7.CrossRef
17.
Meyer C, Dow B, Bilney BE, Moore KJ, Bingham AL, Hill KD. Falls in older people receiving in-home informal care across Victoria: influence on care recipients and caregivers. Australas J Ageing. 2012;31(1):6–12.CrossRef
18.
Abendroth M, Lutz BJ, Young ME. Family caregivers' decision process to institutionalize persons with Parkinson's disease: a grounded theory study. Int J Nurs Stud. 2012;49(4):445–54.CrossRef
19.
Faes MC, Reelick MF, Melis RJ, Borm GF, Esselink RA, Olde Rikkert MG. Multifactorial fall prevention for pairs of frail community-dwelling older fallers and their informal caregivers: a dead end for complex interventions in the frailest fallers. J Am Med Dir Assoc. 2011;12(6):451–8.CrossRef
20.
Fitzgerald TGD, Hadjistavropoulos T, MacNab YC. Caregiver fear of falling and functional ability among seniors residing in long-term care facilities. Gerontology. 2009;55(4):460–7.CrossRef
21.
Creswell JW, Clark VLP. Designing and conducting mixed methods research. 2nd ed. California: SAGE Publications, Inc.; 2011.
22.
Armstrong J. Naturalistic inquiry. In: Salkind NJ, editor. Encyclopedia of research design. Thousand Oaks: SAGE Publications, Inc.; 2012. p. 881–5.
23.
Sandelowski M. Whatever happened to qualitative description? Res Nurs Health. 2000;23(4):334–40.CrossRef
24.
de Vet HCW, Terwee CB, Mokkink LB, Knol DL. Measurement in medicine: a practical guide. Cambridge: Cambridge University Press; 2011.CrossRef
25.
Streiner DL, Norman GR. Health measurement scales: a practical guide to their development and use. 4th ed. New York: Oxford University Press Inc; 2008.CrossRef
26.
Hair JF, Black WC, Babin BJ, Anderson RE. Multvariate data analysis. 7th ed. London: Pearson Education Limited; 2014.
27.
28.
29.
30.
Lynn MR. Determination and quantification of content validity. Nurs Res. 1986;35(6):382–5.CrossRef
31.
Kline P. Handbook of psychological testing. 2nd ed. London: Routledge; 2000.
32.
DeVellis RF. Scale development: theory and applications. 2nd ed. Thousand Oaks: SAGE Publications, Inc.; 2003.
33.
Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap): a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377–81.CrossRef
34.
Elo S, Kyngas H. The qualitative content analysis process. J Adv Nurs. 2008;62(1):107–15.CrossRef
35.
Polit DF, Beck CT. Essentials of nursing research: appraising evidence for nursing practice. 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2010.
36.
IBM Corp. IBM SPSS Statistics for Windows, Version 24.0. Armonk: IBM Corp; 2016.
37.
Tavakol M, Dennick R. Making sense of Cronbach's alpha. Int J Med Educ. 2011;2:53–5.CrossRef
38.
Carr AJ, Higginson IJ. Are quality of life measures patient centred? BMJ. 2001;322(7298):1357–60.CrossRef
39.
Jorstad EC, Hauer K, Becker C, Lamb SE. Measuring the psychological outcomes of falling: a systematic review. J Am Geriatr Soc. 2005;53(3):501–10.CrossRef
40.
41.
Musselwhite K, Cuff L, McGregor L, King KM. The telephone interview is an effective method of data collection in clinical nursing research: a discussion paper. Int J Nurs Stud. 2007;44(6):1064–70.CrossRef
Metadata
Title
Carers’ concerns about their older persons (Carees) at risk of falling – a mixed-methods study protocol
Authors
Seng Giap Marcus Ang
Anthony Paul O’Brien
Amanda Wilson
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2018
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-018-3632-6

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