Feasibility and efficacy of video-based falls prevention education for cognitively impaired hospital inpatients – a pilot study

Not Applicable

Completed

• Conditions: falls; cognitive impairment; dementia; Injuries and Accidents - Other injuries and accidents; Neurological - Dementias; Neurological - Other neurological disorders; Neurological - Alzheimer's disease

• Registration Number: ACTRN12621000582853
• Lead Sponsor: Daniel KY Chan

Brief Summary

Patients We screened 54 patients for recruitment into our study. Two patients were excluded at the screening stage. One patient’s speech was unintelligible. Another declined to participate. Of the remaining 52 participants, 21 were randomized to the intervention arm and 31 to the active arm. Two patients in the intervention arm were lost to follow up. One was discharged from hospital very early the next day, so the investigators did not get an opportunity to check whether she remembered the video’s message. Another participant got very sick overnight and she was too drowsy to participate the following day. Therefore, a total of 50 participants completed the study. There were 31 participants in the control group, and 19 participants in the intervention group. Primary outcomes We found that 9.7% (3/31) participants in the control group remembered the falls prevention message after verbal education. In contrast, 31.5% (6/19) participants in the intervention group remembered the falls prevention message after video education. Statistical test showed that these results were significant. There were recorded 2 falls over 1038 occupied bed days (OBD) following verbal education in the control group, resulting in a falls rate of 1.93 falls per 1000 OBD. There was no falls recorded in the 353 OBD following video education. Statistical test showed that these results were not significant.

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Completion: 2020-10-20
• Study Start: 2021-05-17
• Last Update Posted: 24 May 2021

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

Patients were included if they score below the recommended cut off on validated screening tools for cognitive impairment (MMSE <24, RUDAS <23, MOCA <26). Delirious patients are included

Exclusion Criteria

Patients were excluded if they are drowsy (can’t keep eyes open to watch video) or patients who can’t express if they remember or not (aphasic/abulic). Patients are also excluded if they are very demented, and cannot follow a 3 step command. Non-english speaking patients who didn’t have anyone readily available to interpret for them were also excluded.

Study & Design

• Study Type: Interventional
• Study Design: Not specified