{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T09:40:00Z","timestamp":1788514800865,"version":"build-2803163510"},"reference-count":47,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2022,8,4]],"date-time":"2022-08-04T00:00:00Z","timestamp":1659571200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["501AG048270"],"award-info":[{"award-number":["501AG048270"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006093","name":"Patient-Centered Outcomes Research Institute","doi-asserted-by":"publisher","award":["5U01AG048270"],"award-info":[{"award-number":["5U01AG048270"]}],"id":[{"id":"10.13039\/100006093","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Evidence\u2010based multifactorial fall prevention interventions in clinical practice have been less effective than expected. One plausible reason is that older adults' engagement in fall prevention care is suboptimal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This was a post\u2010hoc analysis of 2403 older adults' engagement in a multifactorial fall prevention intervention in the Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE) pragmatic trial. Based on the direct clinical care level of the Patient and Family Continuum of Engagement (CE) framework, three indicators of progressively interactive engagement were assessed: (1)\n                      <jats:italic>Consultation<\/jats:italic>\n                      (receiving information), (2)\n                      <jats:italic>Involvement<\/jats:italic>\n                      (prioritizing risks), and (3)\n                      <jats:italic>Partnership<\/jats:italic>\n                      (identifying prevention actions). Drop off at each step was determined as well as predictors of engagement.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The participants' engagement waned with increasingly interactive CE domains. Although all participants received information about their positive fall risk factors (\n                      <jats:italic>consultation<\/jats:italic>\n                      ) and most (51%\u201396%) prioritized them (\n                      <jats:italic>involvement<\/jats:italic>\n                      ), fewer participants (33%\u201355%) identified fall prevention actions (\n                      <jats:italic>partnership<\/jats:italic>\n                      ) for most of their risk factors, except for strength gait or balance problems (95%). More participants (70%) identified home exercises than other actions. Finally, fall prevention actions were identified more commonly among participants who received two visits compared to one (OR\u00a0=\u00a02.33 [95% CI, 2.06\u20132.64]), were \u226580\u2009years old (OR\u00a0=\u00a01.83 [95% CI, 1.51\u20132.23]), and had fewer fall risk factors (OR\u00a0=\u00a00.90 [95% CI, 0.83\u20130.99]).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The drop\u2010off in participants' engagement based on the level of their interaction with clinicians suggests that future multifactorial fall prevention interventions need to be more focused on interactive patient\u2010clinician partnerships that help older adults increase and maintain fall prevention actions. Our analyses suggest that more frequent contact with clinicians and more monitoring of the implementation and outcomes of Fall Prevention Care Plans could potentially improve engagement and help older adults maintain fall prevention actions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.17983","type":"journal-article","created":{"date-parts":[[2022,8,4]],"date-time":"2022-08-04T04:58:59Z","timestamp":1659589139000},"page":"3116-3126","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Engagement of older adults in\n                    <scp>STRIDE<\/scp>\n                    's multifactorial fall injury prevention intervention"],"prefix":"10.1111","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3036-9859","authenticated-orcid":false,"given":"Siobhan K.","family":"McMahon","sequence":"first","affiliation":[{"name":"School of Nursing University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9473-830X","authenticated-orcid":false,"given":"Erich J.","family":"Greene","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Yale Center for Analytical Sciences Yale School of Public Health  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy","family":"Latham","sequence":"additional","affiliation":[{"name":"Research Program in Men's Health: Aging and Metabolism, Brigham and Women's Hospital Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Peduzzi","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Yale Center for Analytical Sciences Yale School of Public Health  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6450-0368","authenticated-orcid":false,"given":"Thomas M.","family":"Gill","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shalender","family":"Bhasin","sequence":"additional","affiliation":[{"name":"Research Program in Men's Health: Aging and Metabolism, Brigham and Women's Hospital Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David B.","family":"Reuben","sequence":"additional","affiliation":[{"name":"University of California  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,4]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2020.01.008"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6927a5"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD012221.pub2"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa2002183"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa2001500"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877\u2010015\u20100165\u20102"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0038295"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afab076"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12996"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-3743.2011.00299.x"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1559827616687263"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/JGS.17056"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glx190"},{"key":"e_1_2_11_15_1","unstructured":"Important Facts about Falls | Home and Recreational Safety | CDC Injury Center. 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