@article{23338,
  author = {Tiedemann Anne and A Mikolaizak Stefanie and Lord Stephen and Simpson Paul and Howard Kirsten and Caplan Gideon and Bendall Jason and Close Jacqueline},
  title = {Adherence to a multifactorial fall prevention program following paramedic care: Predictors and impact on falls and health service use. Results from an RCT a priori subgroup analysis.},
  abstract = {<p><b>OBJECTIVE: </b>To identify predictors and impact of adherence to a multifactorial fall-prevention program on falls and health service utilisation.</p><p><b>METHODS: </b>Randomised controlled trial with a priori subgroup analysis within intervention group according to adherence. Participants were community dwelling, (≥65 years), not transported to hospital following fall-related paramedic care. The Attitudes to Falls-Related Interventions Scale (AFRIS) was completed at baseline, adherence levels were measured (three-point scale) at six months, and falls and health service utilisation were recorded for 12 months. Multivariate logistic regression and area under the curve were calculated with 95% confidence interval (CI).</p><p><b>RESULTS: </b>Attitudes to Falls-Related Interventions Scale scores (n = 85) were independent of baseline characteristics. At six months, 39 (46%) participants reported full adherence. Independent predictors of adherence were positive AFRIS (OR 4.10, 95% CI 1.48-11.39) and receiving 3+ recommendations (OR 3.36, 95% CI 1.26-9.00). Adherers experienced fewer falls (IRR 0.53, 95% CI 0.45-0.80) and fall-related health service use (emergency department presentations IRR 0.37, 95% CI 0.17-0.82) compared to non-adherers.</p><p><b>CONCLUSION: </b>Older adults who adhere to recommendations benefit, regardless of fall-risk profile.</p>},
  year = {2018},
  journal = {Australas J Ageing},
  volume = {37},
  pages = {54-61},
  issn = {1741-6612},
  doi = {10.1111/ajag.12465},
  language = {eng},
}