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BMC Geriatrics
Published in: BMC Geriatrics 1/2024

Open Access 01-12-2024 | Research

Using a participatory design to develop an implementation framework for integrating falls prevention for older people within the Chinese primary health care system

Authors: Pengpeng Ye, Junyi Peng, Ye Jin, Leilei Duan, Yao Yao, Rebecca Ivers, Lisa Keay, Maoyi Tian

Published in: BMC Geriatrics | Issue 1/2024

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Abstract

Background

Chinese National Essential Public Health Service Package (NEPHSP) has mandated primary health care providers to provide falls prevention for community-dwelling older people. But no implementation framework is available to guide better integration of falls prevention for older people within the primary health care system.

Methods

This is a two-stage online participatory design study consisting of eight workshops with stakeholders from three purposively selected cities. First, two workshops were organised at each study site to jointly develop the framework prototype. Second, to refine, optimise and finalise the prototype via two workshops with all study participants. Data analysis and synthesis occurred concurrently with data collection, supported by Tencent Cloud Meeting software.

Results

All participants confirmed that the integration of falls prevention for older people within the NEPHSP was weak and reached a consensus on five opportunities to better integrate falls prevention, including workforce training, community health promotion, health check-ups, health education and scheduled follow-up, during the delivery of NEPHSP. Three regional-tailored prototypes were then jointly developed and further synthesised into a generic implementation framework by researchers and end-users. Guided by this framework, 11 implementation strategies were co-developed under five themes.

Conclusions

The current integration of falls prevention in the NEPHSP is weak. Five opportunities for integrating falls prevention in the NEPHSP and a five-themed implementation framework with strategies are co-identified and developed, using a participatory design approach. These findings may also provide other regions or countries, facing similar challenges, with insights for promoting falls prevention for older people.
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Metadata
Title
Using a participatory design to develop an implementation framework for integrating falls prevention for older people within the Chinese primary health care system
Authors
Pengpeng Ye
Junyi Peng
Ye Jin
Leilei Duan
Yao Yao
Rebecca Ivers
Lisa Keay
Maoyi Tian
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2024
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-024-04754-3

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