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Knowledge about risk factors for falls and practice about fall prevention in older adults among physiotherapists in Nigeria

Knowledge about risk factors for falls and practice about fall prevention in older adults among physiotherapists in Nigeria
Knowledge about risk factors for falls and practice about fall prevention in older adults among physiotherapists in Nigeria
Background and Objective:
Falling is a major health concern that has contributed significantly to older people's injury and loss of life worldwide, warranting the development of fall‐prevention strategies, the success of which has been attributed to the levels of knowledge and practice about fall prevention among physiotherapists and other health professionals. The objective of this study was to determine the self‐reported levels of knowledge on risk factors of fall and practices about fall prevention in older adults among physiotherapists in Nigeria.

Methods:
Physiotherapists (N = 237) recruited from the six geopolitical zones of Nigeria completed a three‐part structured questionnaire that asked questions about risk factors for fall and common practices for fall prevention using a 5‐point‐rated Likert scale. Data were analysed using descriptive analysis, chi‐square, and Kruskal–Wallis tests.

Results:
Among physiotherapists in Nigeria, 89% rated their level of knowledge about preventing falls among older adults as high, and 64% of them rated their level of practice on this topic as high. Among the individual items that measured knowledge, 40% of the participants reported a moderate level of knowledge about multiple medications as a risk factor for falls. Fifty percent of the participants reported a low level of practice of referral to other health care professionals, whereas 40% and 41% reported a moderate level of practice on documenting risk factors and treatment plans, respectively. There was no association between age, gender, or years of practice with levels of knowledge or practice.

Conclusion:
This study suggests that physiotherapists in Nigeria have adequate knowledge and practice for fall prevention in older adults. However, there are potential gaps in knowledge of risk factors, documentation, and referrals to other professions that may be addressed through developing context‐specific fall‐prevention clinical guidelines for practice in Nigeria.
1358-2267
Kalu, Michael E.
48e00e4c-741c-4a6a-906b-92476be11fe3
Vlachantoni, Athina
06a52fbb-f2a0-4c81-9fbc-d6efc736c6cb
Norman, Kathleen E.
e4360709-b528-4115-8e72-29ac993843fb
Kalu, Michael E.
48e00e4c-741c-4a6a-906b-92476be11fe3
Vlachantoni, Athina
06a52fbb-f2a0-4c81-9fbc-d6efc736c6cb
Norman, Kathleen E.
e4360709-b528-4115-8e72-29ac993843fb

Kalu, Michael E., Vlachantoni, Athina and Norman, Kathleen E. (2018) Knowledge about risk factors for falls and practice about fall prevention in older adults among physiotherapists in Nigeria. Physiotherapy Research International, [e1742]. (doi:10.1002/pri.1742).

Record type: Article

Abstract

Background and Objective:
Falling is a major health concern that has contributed significantly to older people's injury and loss of life worldwide, warranting the development of fall‐prevention strategies, the success of which has been attributed to the levels of knowledge and practice about fall prevention among physiotherapists and other health professionals. The objective of this study was to determine the self‐reported levels of knowledge on risk factors of fall and practices about fall prevention in older adults among physiotherapists in Nigeria.

Methods:
Physiotherapists (N = 237) recruited from the six geopolitical zones of Nigeria completed a three‐part structured questionnaire that asked questions about risk factors for fall and common practices for fall prevention using a 5‐point‐rated Likert scale. Data were analysed using descriptive analysis, chi‐square, and Kruskal–Wallis tests.

Results:
Among physiotherapists in Nigeria, 89% rated their level of knowledge about preventing falls among older adults as high, and 64% of them rated their level of practice on this topic as high. Among the individual items that measured knowledge, 40% of the participants reported a moderate level of knowledge about multiple medications as a risk factor for falls. Fifty percent of the participants reported a low level of practice of referral to other health care professionals, whereas 40% and 41% reported a moderate level of practice on documenting risk factors and treatment plans, respectively. There was no association between age, gender, or years of practice with levels of knowledge or practice.

Conclusion:
This study suggests that physiotherapists in Nigeria have adequate knowledge and practice for fall prevention in older adults. However, there are potential gaps in knowledge of risk factors, documentation, and referrals to other professions that may be addressed through developing context‐specific fall‐prevention clinical guidelines for practice in Nigeria.

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Accepted/In Press date: 27 July 2018
e-pub ahead of print date: 2 October 2018

Identifiers

Local EPrints ID: 425105
URI: http://eprints.soton.ac.uk/id/eprint/425105
ISSN: 1358-2267
PURE UUID: ddbd0adb-3b24-469e-9c08-c1dfeeaa1d6a
ORCID for Athina Vlachantoni: ORCID iD orcid.org/0000-0003-1539-3057

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Date deposited: 10 Oct 2018 16:30
Last modified: 02 Oct 2019 04:01

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