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Open Access Research article

An educational video to promote multi-factorial approaches for fall and injury prevention in long-term care facilities

Laura B Dilley12, Samantha M Gray3, Aleksandra Zecevic4, Gina Gaspard5, Bobbi Symes3, Fabio Feldman5, Vicky Scott6, Ryan Woolrych7, Andrew Sixsmith7, Heather McKay18, Steve Robinovitch3 and Joanie Sims-Gould18*

Author Affiliations

1 Centre for Hip Health and Mobility, 7/F, 2635 Laurel St, Robert H.N. Ho Research Centre, Vancouver, BC V5Z 1M9, Canada

2 Faculty of Education, Simon Fraser University, Burnaby, British Columba, Canada

3 Injury Prevention and Mobility Laboratory, Department of Biomedical Physiology and Kinesiology and School of Engineering Science, Simon Fraser University, Burnaby, BC, Canada

4 Faculty of Health Sciences, School of Health Studies Arthur and Sonia Labatt Health Sciences, Western University, London, ON, Canada

5 Fraser Health Authority, Surrey, BC, Canada

6 British Columbia Injury Research & Prevention Unit and Ministry of Health, Office for Injury Prevention, Victoria, BC, Canada

7 Gerontology Research Centre, Simon Fraser University, Vancouver, Canada

8 Department of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada

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BMC Medical Education 2014, 14:102  doi:10.1186/1472-6920-14-102

Published: 20 May 2014

Abstract

Background

Older adults living in long term care (LTC) settings are vulnerable to fall-related injuries. There is a need to develop and implement evidence-based approaches to address fall injury prevention in LTC. Knowledge translation (KT) interventions to support the uptake of evidence-based approaches to fall injury prevention in LTC need to be responsive to the learning needs of LTC staff and use mediums, such as videos, that are accessible and easy-to-use. This article describes the development of two unique educational videos to promote fall injury prevention in long-term care (LTC) settings. These videos are unique from other fall prevention videos in that they include video footage of real life falls captured in the LTC setting.

Methods

Two educational videos were developed (2012–2013) to support the uptake of findings from a study exploring the causes of falls based on video footage captured in LTC facilities. The videos were developed by: (1) conducting learning needs assessment in LTC settings via six focus groups (2) liaising with LTC settings to identify learning priorities through unstructured conversations; and (3) aligning the content with principles of adult learning theory.

Results

The videos included footage of falls, interviews with older adults and fall injury prevention experts. The videos present evidence-based fall injury prevention recommendations aligned to the needs of LTC staff and: (1) highlight recommendations deemed by LTC staff as most urgent (learner-centered learning); (2) highlight negative impacts of falls on older adults (encourage meaning-making); and, (3) prompt LTC staff to reflect on fall injury prevention practices (encourage critical reflection).

Conclusions

Educational videos are an important tool available to researchers seeking to translate evidence-based recommendations into LTC settings. Additional research is needed to determine their impact on practice.