Article
Nursing
Muling Li, Chunmei Li, Qinghui Huang, Hongzhen Zhou, Ling Xie, Fangni Chen, Shaoqin Lin, Juan Yang
Summary: The aim of this study was to refine the Falling Risk Assessment Tool in Ophthalmology Inpatients (FRAT) and evaluate its psychometric properties. A cross-sectional design was used, and a convenience sample of 730 patients in the ophthalmology department of a level A tertiary hospital in Guangdong Province was recruited. Data analysis included item analysis, interrater reliability, content validation, internal consistency reliability, and exploratory factor analysis. The results showed that the FRAT had satisfactory reliability and validity, with five factors accounting for 63.039% of the variance.
Article
Rehabilitation
Simone B. Schmidt, Melanie Boltzmann, Jens D. Rollnik
Summary: This study validated the use of the HOSS scale for assessing fall risk in neurological rehabilitation patients, finding that characteristics of fallers included older age, more severe impairment, and longer length of stay. The HOSS demonstrated good sensitivity and adequate specificity in identifying high-risk patients for falls during inpatient rehabilitation.
CLINICAL REHABILITATION
(2022)
Article
Geriatrics & Gerontology
Xiaodong Chen, Lingxiao He, Kewei Shi, Jinzhu Yang, Xinyuan Du, Kanglin Shi, Ya Fang
Summary: This study aimed to identify fall risk factors in different age groups of older people. By analyzing data from 14,601 community-dwelling older Chinese aged 65 years or above, anxiety was found to be an important risk factor across all age groups. Hearing impairment, stroke, and rain/water leakage were identified in both the 65-79 years and the 80-94 years old groups. Interactions between hearing and stroke and between hearing and rain/water leakage were found in these two groups, respectively. Medication use was a shared risk factor in both the 65-79 years and the >= 95 years old group. Thus, customized fall prevention strategies targeting specific age groups can be developed based on the identified fall risk factors.
ARCHIVES OF GERONTOLOGY AND GERIATRICS
(2023)
Article
Geriatrics & Gerontology
Kyohsuke Wakaba, Yosuke Osuka, Narumi Kojima, Hiroyuki Sasai
Summary: This study examines the association between sarcopenia defined by five different international criteria and fall and injurious fall numbers among older community-dwelling Japanese women. The study finds that sarcopenia defined by the Asian Working Group for Sarcopenia (AWGS) 2019 and Foundation for the National Institutes of Health (FNIH) criteria is significantly associated with the number of falls.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2023)
Article
Geriatrics & Gerontology
Jing X. Wang, Lin Y. Chen, Yan N. Jiang, Ling Ni, Jie M. Sheng, Xia Shen
Summary: This study aimed to develop a scale, CARFS, to assess the risk of falls by linking FoF and PA. CARFS consists of 14 activities, with CARF score determined by assessing FoF and PA degree, showing sensitivity to disability levels. It has strong potential for designing individualized fall prevention programs and monitoring program effectiveness accurately.
Article
Nursing
Zhengnan Cheng, Xiaohui Li, Hongmei Xu, Di Bao, Chun Mu, Qiuling Xing
Summary: This study aimed to investigate the incidence of accidental falls in elderly patients with diabetes mellitus and develop a fall risk prediction tool. A total of 1007 elderly patients with diabetes were followed up for 6 months, and it was found that diabetic peripheral neuropathy, walking aids, depression, fall history, fatigue, and sex were independent predictors of accidental falls in this population. A fall risk prediction nomogram was developed based on these factors. This study provides evidence for safety management among elderly Chinese patients diagnosed with diabetes.
JOURNAL OF CLINICAL NURSING
(2023)
Article
Nursing
Adnan M. Innab
Summary: This study aimed to explore nurses' perceptions of the factors associated with falls and of fall prevention strategies in acute care settings in Saudi Arabia. Impaired balance and muscle strength, limited mobility, and an inability to follow safety instructions were reported as the top factors in falls. Multidisciplinary fall prevention strategies are effective in reducing the prevalence of falls. Nurses with higher levels of education had higher perceptions towards the risk factors of falls. Formal patient safety training, including fall prevention education programmes, were shown to reduce falls by making nurses more aware of fall risk factors and prevention strategies. The findings of this study can be used to inform managers about factors that may contribute to falls in acute care settings.
Review
Health Care Sciences & Services
Elissa Dabkowski, Simon Cooper, Jhodie R. Duncan, Karen Missen
Summary: This scoping review explores patients' perceptions and experiences of their fall risk and falling in hospitals. The findings highlight the importance of partnering with patients to obtain their insights on fall risk, as many patients do not accurately identify their own risk. The research also identifies a need for further studies on fall risk perception measures.
Article
Public, Environmental & Occupational Health
Abd El Hamied Ibrahim El Sayed, Mohamed T. Said, Omnia Mohsen, Aziza M. Abozied, Mohamed Salama
Summary: This study investigated the prevalence of falls among elderly people in an Egyptian community and found that falls were more common in stroke patients. Unemployment or being a housewife, having a family caregiver, and having home facilities for disability were also associated with a higher risk of falling. The history of stroke and diabetes, fear of fall and dizziness, total number of health problems, and difficulty in performing physical activities were significant predictors of falls. Community interventions and rehabilitation programs are recommended to improve physical fitness and reduce the fear of fall among at-risk elderly individuals.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Geriatrics & Gerontology
Tommi Vilpunaho, Saija Karinkanta, Harri Sievaenen, Juho Kopra, Heikki Kroeger, Toni Rikkonen
Summary: The predictive ability of a self-rated fall risk assessment form (KS) was evaluated among older women and found to have moderate predictive ability.
AGING CLINICAL AND EXPERIMENTAL RESEARCH
(2023)
Article
Geriatrics & Gerontology
Mi Young Kim, Yujeong Kim
Summary: This study identified differences in factors related to fall recurrence between the young-old and old-old elderly. Interventions should be implemented based on the risk factors for fall recurrence in each elderly group to prevent falls in the elderly.
Article
Geriatrics & Gerontology
Steven Phu, Michela Persiani, Brandon Tan, Matthew Brodie, Simon Gandevia, Daina L. Sturnieks, Stephen R. Lord
Summary: This study examined the effects of optic flow stimuli presented in different directions on postural stability in young and older adults. The results showed that optic flow stimuli increased postural sway and muscle activity, with a greater impact on older adults, particularly in the mediolateral plane for those at high risk of falls.
EXPERIMENTAL GERONTOLOGY
(2023)
Article
Medicine, General & Internal
Sriprapa Loonlawong, Weerawat Limroongreungrat, Thanapoom Rattananupong, Kamonrat Kittipimpanon, Wanvisa Saisanan Na Ayudhaya, Wiroj Jiamjarasrangsi
Summary: The study aimed to determine the predictive validity of the fall-risk screening algorithm based on the STEADI program for Thai elderly in the community. The results showed that the screening based on the clinician's 3 key questions had a high AUC, sensitivity, and specificity. However, there were slight differences in risk categorization compared to the original STEADI program.
Article
Geriatrics & Gerontology
Rebecca S. Crow, Christian Haudenschild, Matthew C. Lohman, Robert M. Roth, Meredith Roderka, Travis Masterson, John Brand, Tyler Gooding, Todd A. Mackenzie, John A. Batsis
Summary: The study indicates that older adults with high fall risk but without cognitive impairment have nearly twice the risk of cognitive decline after an 8-year follow-up period.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Article
Multidisciplinary Sciences
Tomoko Nakanishi, Tokunori Ikeda, Taishi Nakamura, Yoshinori Yamanouchi, Akira Chikamoto, Koichiro Usuku
Summary: An algorithm was developed to help nurses easily identify essential fall risk factors and classify fall risk level into four groups. The algorithm was validated and found to be reliable in evaluating fall risk level and providing preventive interventions for individual inpatients by clinical staff.
SCIENTIFIC REPORTS
(2021)
Article
Medical Ethics
Rik Peels, Lex Bouter
Summary: This paper explores the relationships between replication and trustworthiness, including the relationships between different types of replication and trustworthiness, the relationship between replication intentionality and trustworthiness, and whether the trustworthiness of research findings depends on what is at stake. It concludes that replication should be considered along with other factors in assessing the trustworthiness of research findings.
ACCOUNTABILITY IN RESEARCH-ETHICS INTEGRITY AND POLICY
(2023)
Review
Psychology, Clinical
Geeske Peeters, Irene L. Black, Sjaan R. Gomersall, Juliette Fritschi, Aoife Sweeney, Yasmin Guedes de Oliveira, Rogerio Panizzutti, Claire T. McEvoy, Amit Lampit
Summary: This study aimed to describe the use of behavior change techniques (BCTs) in trials of computerized cognitive training (CCT) for cognitively healthy older adults and investigate their association with adherence and efficacy. The findings suggest that certain BCTs may influence adherence and efficacy but none were significantly associated with greater efficacy.
NEUROPSYCHOLOGY REVIEW
(2023)
Article
Medical Ethics
Tamarinde Haven, Lex Bouter, Louise Mennen, Joeri Tijdink
Summary: One way to strengthen research integrity is through supervision. The study developed a 3-day pilot training for PhD supervisors that combined responsible research practices (RRPs) and interpersonal skills. The results showed that both supervisors and PhD candidates had more positive perceptions of the supervisor's interpersonal skills and ability to foster RRPs after the training.
ACCOUNTABILITY IN RESEARCH-ETHICS INTEGRITY AND POLICY
(2023)
Article
Geriatrics & Gerontology
Jeroen H. M. Janssen, Evi M. Kremers, Minke S. Nieuwboer, Bas D. L. Chatel, Rense Corten, Marcel G. M. Olde Rikkert, G. M. E. E. (Geeske) Peeters
Summary: Age-related difficulties and quarantine restrictions hinder the ability to maintain social connections, but digital games can help support these connections. Older adults value reciprocity, in-person contact, and personal connection in their contact with close relationships. Future social gaming interventions should be challenging, user-friendly, and offer communication opportunities, and digital co-designed interventions can strengthen social interaction among older adults.
JOURNAL OF GERONTOLOGICAL SOCIAL WORK
(2023)
Article
Health Care Sciences & Services
A. N. Varga, A. E. Guevara Morel, J. M. van Dongen, J. Lokkerbol, M. Lindeboom, M. W. van Tulder, L. M. Bouter, J. E. Bosmans
Summary: This paper discusses the collaboration challenges faced by epidemiologists and economists in health intervention research due to differences in terminology, and illustrates these differences with examples. The study aims to improve the quality of multidisciplinary collaboration between the two fields and assist researchers in selecting the most suitable analytical techniques for their research problems.
HEALTH SERVICES AND OUTCOMES RESEARCH METHODOLOGY
(2023)
Editorial Material
Medical Ethics
Jeroen de Ridder, Lex Bouter, Tamarinde Haven, Rik Peels, Joeri Tijdink, Maurice P. Zeegers
Summary: We evaluate Radder's criticisms of the Netherlands Code of Conduct for Research Integrity and find that they fail to address the main issues or rely on controversial assumptions about the Code's purpose. While Radder raises important questions about the broader roles and purposes of research in society, his proposed revisions to the Code are unjustified.
ACCOUNTABILITY IN RESEARCH-ETHICS INTEGRITY AND POLICY
(2023)
Article
Medical Ethics
Krishma Labib, Joeri Tijdink, Klaas Sijtsma, Lex Bouter, Natalie Evans, Guy Widdershoven
Summary: Research integrity is important, but rules alone may not be enough to improve research practice without commitment from researchers. This paper explores combining rules and commitment through market, bureaucratic, and network governance modes. The use of network processes can legitimize and regulate systems, but there needs to be a balance between the different governance modes for fostering research integrity.
ACCOUNTABILITY IN RESEARCH-ETHICS INTEGRITY AND POLICY
(2023)
Editorial Material
Medical Ethics
Lex Bouter
Summary: Research data mismanagement poses a serious threat to accountability, reproducibility, and data re-use. However, the categorization of RDMM into intentional misconduct and unintentional questionable practice is not accurate. It is challenging to prove intentionality, and other criteria should be considered when determining the severity of a breach of research integrity. Instead of focusing on intentionality and sanctions, efforts should be directed towards improving data management practices through preventive actions led by research institutions.
ACCOUNTABILITY IN RESEARCH-ETHICS INTEGRITY AND POLICY
(2023)
Article
Medical Ethics
Lex Bouter
Summary: Trust is crucial for scholars to collaborate and apply research findings. Open science practices strengthen research transparency and accountability, allowing for the verification of trustworthiness. However, questionable research practices and perverse incentives in the research system can pose challenges to maintaining research integrity.
ACCOUNTABILITY IN RESEARCH-ETHICS INTEGRITY AND POLICY
(2023)
Article
Primary Health Care
Karin M. A. Swart, Amber A. W. A. van der Heijden, Marieke T. Blom, Jetty A. Overbeek, Giel Nijpels, Hein P. J. van Hout, Petra J. M. Elders, Ron M. C. Herings
Summary: This study aimed to estimate the ability of using electronic medical record data to identify frailty in older patients. The Charlson Comorbidity Index (CCI) was found to be the only measure with acceptable performance, while the other measures showed poorer performance in older age groups.
BRITISH JOURNAL OF GENERAL PRACTICE
(2023)
Article
Endocrinology & Metabolism
Xinyu Li, Anoukh van Giessen, James Altunkaya, Roderick C. Slieker, Joline W. J. Beulens, Leen M. 't Hart, Ewan R. Pearson, Petra J. M. Elders, Talitha L. Feenstra, Jose Leal
Summary: This study aimed to assess the impact of different methods of stratifying individuals with type 2 diabetes on lifetime health and economic outcomes, followed by treatment intensification targeting BMI and LDL in addition to HbA(1c). The study divided newly diagnosed individuals into data-driven clustering subgroups and risk-driven subgroups based on guidelines. The results showed that targeting BMI and LDL in addition to HbA(1c) could significantly increase quality-adjusted life-years gained.
Review
Endocrinology & Metabolism
Caroline B. Terwee, Petra J. M. Elders, Marieke T. Blom, Joline W. Beulens, Olaf Rolandsson, Alize A. Rogge, Matthias Rose, Nicola Harman, Paula R. Williamson, Frans Pouwer, Lidwine B. Mokkink, Femke Rutters
Summary: Patient-reported outcomes (PROs) are important for shared decision making and research, but there is a lack of consensus on which PROs and patient-reported outcome measures (PROMs) to use in diabetes. This narrative review provides recommendations for relevant PROs to measure, such as disease-specific symptoms and general symptoms, and suggests the use of generic PROMs supplemented with disease-specific PROMs. However, further validation studies are needed for diabetes-specific PROMs. Standardization and use of psychometrically sound PROMs can improve healthcare for people with diabetes.
Article
Endocrinology & Metabolism
Juliette A. de Klerk, Joline W. J. Beulens, Hailiang Mei, Roel Bijkerk, Anton Jan van Zonneveld, Robert W. Koivula, Petra J. M. Elders, Leen M. 't Hart, Roderick C. Slieker
Summary: The aim of this study was to identify differentially expressed lncRNAs and mRNAs in whole blood of people with type 2 diabetes across five different clusters. The results showed that multiple lncRNAs and mRNAs were found to be differentially expressed among clusters, with particular significance in the MOD cluster. These findings contribute to our understanding of the molecular mechanisms underlying different clusters of type 2 diabetes.
Article
Multidisciplinary Sciences
Mario Malicki, IJsbrand Jan Aalbersberg, Lex Bouter, Adrian Mulligan, Gerben ter Riet
Summary: Calls have been made to improve transparency in research and work climates, and prevent detrimental research practices. A survey was conducted among authors, reviewers, and editors to assess their attitudes and practices in these areas. The results showed no significant differences in attitudes towards transparency and work climates among the different groups. Fabrication, falsification, plagiarism, and lack of citing prior research were perceived as more prevalent by editors than authors or reviewers. Overall, a considerable proportion of respondents admitted sacrificing quality for quantity and reported interference from funders in study design or reporting. While the respondents were from various countries, the low response rate limits the generalizability of the findings. Nevertheless, the results highlight the need for increased involvement of stakeholders to align practices with current recommendations.
Article
Medical Ethics
I. M. Lechner, L. B. Mokkink, G. J. de Ridder, R. van Woudenberg, L. M. Bouter, J. K. Tijdink
Summary: This study used empirical methods to identify the epistemic responsibilities of universities, and found that universities should foster research integrity, stimulate the development of intellectual virtues, address the big questions of life, cultivate the diversity of disciplinary fields, serve and engage with society, and cultivate and safeguard academic freedom. These findings can inform the debate about the roles and responsibilities of universities and highlight the importance of epistemic tasks.
ACCOUNTABILITY IN RESEARCH-ETHICS INTEGRITY AND POLICY
(2023)
