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Transitions from healthcare to self-care: a qualitative study of falls service practitioners' views on self-management

Killingback, Clare; Thompson, Mark A.; Chipperfield, Sarah; Clark, Carol; Williams, Jonathan

Authors

Mark A. Thompson

Carol Clark

Jonathan Williams



Abstract

Purpose
The aim of this study was to understand the views of falls service practitioners regarding: their role in supporting self-management of falls prevention; and a transition pathway from National Health Service (NHS) exercise-based falls interventions to community-run exercise programmes.

Method
Semi-structured interviews were conducted with physiotherapists, nurses, and rehabilitation assistants (n = 8) who worked in an NHS falls service. Data were analysed using thematic analysis.

Results
Certain aspects of supporting patients in self-management were deemed to be within or beyond the scope of falls service practitioners. Challenges in supporting transition to community-run programmes included: practitioner awareness and buy in; patient buy in; and patient suitability/programme availability.

Conclusion
Practitioners sought to be patient-centred as a means to engage patients in self-management of falls prevention exercises. Time-limited intervention periods and waiting list pressures were barriers to the promotion of long-term self-management approaches. A disconnect between falls service interventions and community-run programmes hindered willing practitioners from supporting patients in transitioning. Unless falls risk and prevention is seen by healthcare providers as a long-term condition which requires person-centred support from practitioners to develop self-management approaches, then falls services may only be able to offer short-term measures which are potentially not long lasting.

Citation

Killingback, C., Thompson, M. A., Chipperfield, S., Clark, C., & Williams, J. (in press). Transitions from healthcare to self-care: a qualitative study of falls service practitioners' views on self-management. Disability and Rehabilitation, https://doi.org/10.1080/09638288.2020.1849423

Journal Article Type Article
Acceptance Date Nov 6, 2020
Online Publication Date Nov 19, 2020
Deposit Date Dec 3, 2020
Publicly Available Date Nov 20, 2021
Journal Disability and Rehabilitation
Print ISSN 0963-8288
Electronic ISSN 1464-5165
Publisher Taylor and Francis
Peer Reviewed Peer Reviewed
DOI https://doi.org/10.1080/09638288.2020.1849423
Keywords Self-management; Falls prevention; Falls service; Patient-centred care; Physiotherapists; Rehabilitation assistants; Nurses; Community exercise programmes
Public URL https://hull-repository.worktribe.com/output/3664918
Publisher URL https://www.tandfonline.com/doi/abs/10.1080/09638288.2020.1849423?journalCode=idre20
Additional Information Peer Review Statement: The publishing and review policy for this title is described in its Aims & Scope.; Aim & Scope: http://www.tandfonline.com/action/journalInformation?show=aimsScope&journalCode=idre20; Received: 2020-05-13; Revised: 2020-11-05; Accepted: 2020-11-06; Published: 2020-11-19