{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:53:59Z","timestamp":1791500039203,"version":"4.3.4"},"reference-count":31,"publisher":"Wiley","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"funder":[{"DOI":"10.13039\/501100000304","name":"Parkinson\u2019s UK","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000304","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Parkinson's Disease"],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:p><jats:italic>Introduction<\/jats:italic>. We know little about how environmental challenges beyond home exacerbate difficulty moving, leading to falls among people with Parkinson\u2019s (PwP).<jats:italic>Aims<\/jats:italic>. To survey falls beyond home, identifying challenges amenable to behaviour change.<jats:italic>Methods<\/jats:italic>. We distributed 380 questionnaires to PwP in Southern England, asking participants to count and describe falls beyond home in the previous 12 months.<jats:italic>Results<\/jats:italic>. Among 255 responses, 136\u2009PwP (diagnosed a median 8 years) reported falling beyond home. They described 249 falls in detail, commonly falling forward after tripping in streets.<jats:italic>Single fallers<\/jats:italic>(one fall in 12 months) commonly missed their footing, walking, or changing position and recovered to standing alone or with unfamiliar help.<jats:italic>Repeat fallers<\/jats:italic>(median falls, two) commonly felt shaken or embarrassed and sought medical advice.<jats:italic>Very frequent fallers<\/jats:italic>(falling at least monthly; median falls beyond home, six) commonly fell backward, in shops and after collapse but often recovered to standing alone.<jats:italic>Conclusion<\/jats:italic>. Even independently active PwP who do not fall at home may fall beyond home, often after tripping. Falling beyond home may result in psychological and\/or physical trauma (embarrassment if observed by strangers and\/or injury if falling backwards onto a hard surface). Prevention requires vigilance and preparedness: slowing down and concentrating on a single task might effectively prevent falling.<\/jats:p>","DOI":"10.1155\/2013\/704237","type":"journal-article","created":{"date-parts":[[2013,2,24]],"date-time":"2013-02-24T21:02:33Z","timestamp":1361739753000},"page":"1-8","source":"Crossref","is-referenced-by-count":12,"title":["Slow Down and Concentrate: Time for a Paradigm Shift in Fall Prevention among People with Parkinson\u2019s Disease?"],"prefix":"10.1155","volume":"2013","author":[{"given":"Emma L.","family":"Stack","sequence":"first","affiliation":[{"name":"Academic Geriatric Medicine, Faculty of Medicine, University of Southampton, Mailpoint 807, University Hospital Southampton, Tremona Road, Southampton SO16 6YD, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen C.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Academic Geriatric Medicine, Faculty of Medicine, University of Southampton, 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