Dawn A. Skelton
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View article: Effectiveness of a Digital Falls Prevention (KOKU) to Improve Function and Reduce Falls Risk in Older Adults.
Effectiveness of a Digital Falls Prevention (KOKU) to Improve Function and Reduce Falls Risk in Older Adults. Open
Functional decline and falls are common, challenging problems for older adults. Access and uptake to evidence-based exercise programmes are often sub-optimal. This study investigated the effectiveness of the KOKU digital strength and balan…
View article: Mediators implementation and delivery: the falls management exercise programme (FaME)
Mediators implementation and delivery: the falls management exercise programme (FaME) Open
Background When implementing multicomponent interventions, fidelity to the intervention is key for reproducible outcomes. This study investigates the main influences on the fidelity (implementation strategy fidelity and intervention delive…
View article: EngAGE4Change: Co-creating outdoor community spaces with care home residents and community-dwelling older adults to improve movement behaviour and reduce social isolation - A Health CASCADE study protocol
EngAGE4Change: Co-creating outdoor community spaces with care home residents and community-dwelling older adults to improve movement behaviour and reduce social isolation - A Health CASCADE study protocol Open
This protocol offers a transferable model for integrating co-creation into urban design and planning with older adults. It supports inclusive design and adds to the growing evidence on participatory methods for addressing complex urban hea…
View article: Funding Health Promotion Activities to Reduce Avoidable Hospital Admissions in Frail Older Adults (HomeHealth): Further Challenges to the “Cost-Effective but Unaffordable” Paradox
Funding Health Promotion Activities to Reduce Avoidable Hospital Admissions in Frail Older Adults (HomeHealth): Further Challenges to the “Cost-Effective but Unaffordable” Paradox Open
This case study illustrates the problem with using standard economic evaluation methods to argue for implementation of health promotion initiatives in publicly financed healthcare systems. Although HomeHealth resulted in reduced emergency …
View article: Challenges and opportunities for falls prevention: an online survey across European healthcare professionals
Challenges and opportunities for falls prevention: an online survey across European healthcare professionals Open
Purpose To explore the challenges and opportunities for the implementation of falls preventive services across Europe. Methods An online cross-sectional survey among healthcare professionals was initiated by the European Geriatric Medicine…
View article: Behaviour change interventions to promote physical activity in people with intermittent claudication: the OPTIMA systematic review
Behaviour change interventions to promote physical activity in people with intermittent claudication: the OPTIMA systematic review Open
Background People with intermittent claudication are significantly less active compared to their peers without intermittent claudication, worsening future health outcomes. Supervised exercise therapy is not commonly available, but behaviou…
View article: Falls Management Exercise programme: Improving reach, effectiveness, value and sustainability in Ireland. Case studies for learning (acronym: FaME Ireland): protocol of an observational evaluation study
Falls Management Exercise programme: Improving reach, effectiveness, value and sustainability in Ireland. Case studies for learning (acronym: FaME Ireland): protocol of an observational evaluation study Open
Falls and fall-related injuries in older people are common, with negative effects on functional independence, social engagement and quality of life. The estimated cost of falls related injuries in Ireland, including primary, acute and soci…
View article: Effectiveness of the Safe Step Digital Exercise Program to Prevent Falls in Older Community-Dwelling Adults: Randomized Controlled Trial
Effectiveness of the Safe Step Digital Exercise Program to Prevent Falls in Older Community-Dwelling Adults: Randomized Controlled Trial Open
Background Falls among older adults are a significant public health issue due to their high incidence, severe consequences, and substantial economic impact. Exercise programs incorporating balance and functional exercises have been shown t…
View article: Factors influencing fall prevention programmes across three regions of the UK: the challenge of implementing and spreading the Falls Management Exercise (FaME) programme in a complex landscape
Factors influencing fall prevention programmes across three regions of the UK: the challenge of implementing and spreading the Falls Management Exercise (FaME) programme in a complex landscape Open
Background The occurrence of falls in adults 65+ years remains a common and costly issue worldwide. There is current evidence to suggest that falls can be prevented using evidence-based strength and balance interventions, such as the six-m…
View article: Clinical and cost-effectiveness of a home-based health promotion intervention for older people with mild frailty in England: a multicentre, parallel-group, randomised controlled trial
Clinical and cost-effectiveness of a home-based health promotion intervention for older people with mild frailty in England: a multicentre, parallel-group, randomised controlled trial Open
National Institute for Health Research Health Technology Assessment.
View article: Potentially inappropriate medication and its associated factors in older people living in nursing homes: a cross-sectional study.
Potentially inappropriate medication and its associated factors in older people living in nursing homes: a cross-sectional study. Open
The prevalence of PIM, polypharmacy and ACB was very high (84%, 69%, and 63% respectively) in this sample of nursing home residents. ACB and polypharmacy were significantly associated with PIM. Anticholinergic drugs should be carefully ass…
View article: Real-Life Physical Activity in Community-Dwelling Older Adults over a Year with Changes in COVID-19 Restrictions in Norway
Real-Life Physical Activity in Community-Dwelling Older Adults over a Year with Changes in COVID-19 Restrictions in Norway Open
Introduction: The COVID-19 pandemic lockdowns have reduced physical activity (PA) among home-dwelling older adults. The main aim of this study was to investigate how real-life PA in home-dwelling older adults changed over a year with gradu…
View article: About Falls Efficacy: A commentary on “World guidelines for falls prevention and management for older adults: a global initiative”
About Falls Efficacy: A commentary on “World guidelines for falls prevention and management for older adults: a global initiative” Open
This is a commentary on the published article: Montero-Odasso M, Van Der Velde N, Martin FC, Petrovic M, Tan MP, Ryg J, et al. World guidelines for falls prevention and management for older adults: a global initiative. Age Ageing 2022; 51(…
View article: Adults With Intellectual Disabilities and Incontinence: Assessment and Toileting Issues
Adults With Intellectual Disabilities and Incontinence: Assessment and Toileting Issues Open
Background Urinary and bowel incontinence are more common in adults with intellectual disability (ID), compared to the general population. Little is known about their incontinence experiences and toileting issues. The aim was to learn abou…
View article: Urinary Tract Infections Amongst Adults With Intellectual Disabilities With Urinary Incontinence
Urinary Tract Infections Amongst Adults With Intellectual Disabilities With Urinary Incontinence Open
Background Between 26% and 52% of adults with intellectual disability experience urinary incontinence (UI). Little is known about the implications of urinary tract infections (UTIs) for this group. The aim was to screen for UTIs in a sampl…
View article: Effect of Behavior-Change Interventions on Daily Physical Activity in Patients with Intermittent Claudication: The OPTIMA Systematic Review and Meta-Analysis
Effect of Behavior-Change Interventions on Daily Physical Activity in Patients with Intermittent Claudication: The OPTIMA Systematic Review and Meta-Analysis Open
Aims The study aimed to synthesize evidence of daily physical activity (PA) following Behavior-change technique (BCT)-based interventions compared to any control in individuals with peripheral arterial disease/intermittent claudication (PA…
View article: S03-3: Building the case: Understanding facilitators and barriers to rolling out Fame in Ireland
S03-3: Building the case: Understanding facilitators and barriers to rolling out Fame in Ireland Open
Purpose: The Irish Longitudinal Study on Ageing (TILDA) reports that 19% of people aged >50 fall annually. In 2021, the population of > 65s reached 742,300, and is set to reach 1 million within 10 years, with the associated cost of f…
View article: S03-1 Falls Management Exercise for those at high or intermediate risk of falls. Improving habitual physical activity, function and reducing falls
S03-1 Falls Management Exercise for those at high or intermediate risk of falls. Improving habitual physical activity, function and reducing falls Open
Purpose FaME, a group based multi-component exercise programme, was developed by researchers to reduce the risk of falls and help participants regain confidence and self-efficacy to increase physical activity, as fallers often avoid activi…
View article: S03-2: Lessons learned about the implementation and scalability of Fame in the UK
S03-2: Lessons learned about the implementation and scalability of Fame in the UK Open
Purpose: Whilst trials have shown that FaME can reduce falls and increase physical activity, it is still not routinely available across the UK. Where it is available, it is often adapted, though the impact of adaptations has not been descr…
View article: The Benchmarking Exercise Programme for Older People (BEPOP): Design, Results and Recommendations from The First Wave of Data Collection
The Benchmarking Exercise Programme for Older People (BEPOP): Design, Results and Recommendations from The First Wave of Data Collection Open
BEPOP was feasible to deliver and generated actionable insights for service improvement via improved diagnosis, measurement and progression of resistance exercise.
View article: Longitudinal Analysis of Functional Capacity in Nursing Home Residents During the COVID-19 Pandemic
Longitudinal Analysis of Functional Capacity in Nursing Home Residents During the COVID-19 Pandemic Open
Background and Purpose: The COVID-19 pandemic has raised concerns about nursing home (NH) residents’ well-being, with recent studies indicating a significant increase in functional decline rate during this critical period. However, a compr…
View article: Feasibility of an implementation strategy for preventing falls in homecare services
Feasibility of an implementation strategy for preventing falls in homecare services Open
Background Falls among older adults represent a major health hazard across the world. In 2022, the World Falls Guidelines was published, summarising research evidence and expert recommendations on how to prevent falls, but we need more kno…
View article: Establishment of clinical exercise physiology as a regulated healthcare profession in the UK: a progress report
Establishment of clinical exercise physiology as a regulated healthcare profession in the UK: a progress report Open
In 2021, a ‘call to action’ was published to highlight the need for professional regulation of clinical exercise physiologists to be established within UK healthcare systems to ensure patient safety and align training and regulation with o…
View article: The impact of the COVID-19 pandemic on falls and fractures, 4 years on, are we any further forward?
The impact of the COVID-19 pandemic on falls and fractures, 4 years on, are we any further forward? Open
Keypoints: • Editorial to accompany Impact of the COVID-19 pandemic on hospital episodes for falls and fractures associated with new-onset disability and frailty in England: a national cohort study.• Trends around falls and fractures in re…
View article: Understanding the delivery of the Falls Management Exercise Programme (FaME) across the U.K.
Understanding the delivery of the Falls Management Exercise Programme (FaME) across the U.K. Open
This study gives a UK overview of the implementation of FaME. PSIs present a complex picture of the ways set-up and delivery of evidence-based programmes in practice can influence older adults' attendance, adherence and experience of the p…