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Carers’ concerns about their older persons (Carees) at risk of falling – a mixed-methods study protocol

BACKGROUND: When dependent older persons (carees) experience a fall at home, their carers worry that they will fall again. This ongoing concern affects the carers’ wellbeing, perception of burden and can potentially change care arrangements. Previous research has focused on carers of high fall risk...

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Autores principales: Ang, Seng Giap Marcus, O’Brien, Anthony Paul, Wilson, Amanda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6204035/
https://www.ncbi.nlm.nih.gov/pubmed/30367651
http://dx.doi.org/10.1186/s12913-018-3632-6
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author Ang, Seng Giap Marcus
O’Brien, Anthony Paul
Wilson, Amanda
author_facet Ang, Seng Giap Marcus
O’Brien, Anthony Paul
Wilson, Amanda
author_sort Ang, Seng Giap Marcus
collection PubMed
description BACKGROUND: When dependent older persons (carees) experience a fall at home, their carers worry that they will fall again. This ongoing concern affects the carers’ wellbeing, perception of burden and can potentially change care arrangements. Previous research has focused on carers of high fall risk older persons with stroke, dementia or Parkinson’s disease. However, little is known about the carers’ concerns for carees at risk of falling generally; and there is no validated instrument to measure this concern. This study aims to explore carers’ fall concern about carees at risk of falling and the development of an instrument to measure this concern. METHODS: This study utilises an exploratory sequential design in the development of an instrument to measure carers’ concerns. Phase One will explore carers’ fall concern using a descriptive qualitative approach. Phases Two and Three will involve expert review, pilot testing and field testing of the instrument. Twenty participants will be recruited by purposive sampling in phase one, and convenience sampling of 50 and 250 participants respectively, in Phases Two and Three. The participants will be recruited from research volunteer registers and local hospital outpatient clinics. Participants will be 18 years old and older and the main carer of an older person. Participants will be interviewed about their concerns about falls. Inductive content analysis will be used to analyse interviews and develop items for the instrument. The psychometric properties of the raw instrument will be tested using an online survey. This study has received ethics approval from the Hunter New England Human Health Research Ethics Committee. DISCUSSION: This study aims to provide greater depth of understanding about the psychological concerns and emotional burden related to carees’ falls for carers. Quantifying carers’ concerns will provide a context for interventions to assist and support carers and in the greater vigilance of monitoring the falling incidence of carees.
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spelling pubmed-62040352018-11-01 Carers’ concerns about their older persons (Carees) at risk of falling – a mixed-methods study protocol Ang, Seng Giap Marcus O’Brien, Anthony Paul Wilson, Amanda BMC Health Serv Res Study Protocol BACKGROUND: When dependent older persons (carees) experience a fall at home, their carers worry that they will fall again. This ongoing concern affects the carers’ wellbeing, perception of burden and can potentially change care arrangements. Previous research has focused on carers of high fall risk older persons with stroke, dementia or Parkinson’s disease. However, little is known about the carers’ concerns for carees at risk of falling generally; and there is no validated instrument to measure this concern. This study aims to explore carers’ fall concern about carees at risk of falling and the development of an instrument to measure this concern. METHODS: This study utilises an exploratory sequential design in the development of an instrument to measure carers’ concerns. Phase One will explore carers’ fall concern using a descriptive qualitative approach. Phases Two and Three will involve expert review, pilot testing and field testing of the instrument. Twenty participants will be recruited by purposive sampling in phase one, and convenience sampling of 50 and 250 participants respectively, in Phases Two and Three. The participants will be recruited from research volunteer registers and local hospital outpatient clinics. Participants will be 18 years old and older and the main carer of an older person. Participants will be interviewed about their concerns about falls. Inductive content analysis will be used to analyse interviews and develop items for the instrument. The psychometric properties of the raw instrument will be tested using an online survey. This study has received ethics approval from the Hunter New England Human Health Research Ethics Committee. DISCUSSION: This study aims to provide greater depth of understanding about the psychological concerns and emotional burden related to carees’ falls for carers. Quantifying carers’ concerns will provide a context for interventions to assist and support carers and in the greater vigilance of monitoring the falling incidence of carees. BioMed Central 2018-10-26 /pmc/articles/PMC6204035/ /pubmed/30367651 http://dx.doi.org/10.1186/s12913-018-3632-6 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Study Protocol
Ang, Seng Giap Marcus
O’Brien, Anthony Paul
Wilson, Amanda
Carers’ concerns about their older persons (Carees) at risk of falling – a mixed-methods study protocol
title Carers’ concerns about their older persons (Carees) at risk of falling – a mixed-methods study protocol
title_full Carers’ concerns about their older persons (Carees) at risk of falling – a mixed-methods study protocol
title_fullStr Carers’ concerns about their older persons (Carees) at risk of falling – a mixed-methods study protocol
title_full_unstemmed Carers’ concerns about their older persons (Carees) at risk of falling – a mixed-methods study protocol
title_short Carers’ concerns about their older persons (Carees) at risk of falling – a mixed-methods study protocol
title_sort carers’ concerns about their older persons (carees) at risk of falling – a mixed-methods study protocol
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6204035/
https://www.ncbi.nlm.nih.gov/pubmed/30367651
http://dx.doi.org/10.1186/s12913-018-3632-6
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