Translating Falls Prevention Knowledge for Community-Dwelling People Living With Dementia: Design Protocol for a Mixed-Method Intervention

Abstract

Background: There are a growing number of older people living with dementia (PLWD) across the globe, and this population has a higher rate of falls than cognitively intact older people. Strong research evidence does not yet exist for preventing falls in community-dwelling PLWD, but best practice guidelines suggest using similar strategies to those used for cognitively intact older adults. This study will use a knowledge translation theoretical framework, supported by several behaviour change theories, to seek to understand the complex phenomenon of moving falls prevention research evidence into practice for PLWD. Methods: A mixed-method design will be employed, with two components investigating falls prevention knowledge translation. Study 1 for PLWD and their caregivers will consist of an initial interview and data collectionabout falls risk, self-efficacy and carer burden. Goal setting will be used to develop a collaborative plan of action, which will be followed by monthly home visits over 6 months to implement the targeted falls prevention strategies according to the readiness by PLWD and their caregiver to change behaviour. Subsequent assessments will be conducted at 6- and 12-months.Study 2 for staff of community care agencies will consist of four action research sessions over 6 months to implement change in practice, related to translating falls prevention knowledge. Discussion: Data will be analysed qualitatively and quantitatively, using a variety of appropriate methods. Drawing together all of the qualitative and quantitative data from various data collection points, a discussion aid, including a set of algorithms for each falls risk factor, will be developed. This study offers the opportunity to explore how falls prevention strategies can be best adopted by PLWD and their caregivers, taking into account their individual needs, preferences and abilities. Community care health professionals have a key role in the translation of falls prevention knowledge. This study will consider the factors influencing this process for PLWD and their caregivers.