{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:49:48Z","timestamp":1777387788960,"version":"3.51.4"},"reference-count":24,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2022,9,4]],"date-time":"2022-09-04T00:00:00Z","timestamp":1662249600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>We provided fall prevention programs using home floor plans for older adult patients discharged from an acute-care hospital and verified the fall prevention measures\u2019 effectiveness six months after discharge. The research design was a preliminary randomized controlled trial. Orthopedic patients with a falls\u2019 history were randomized to the control (n = 30) or the intervention groups (n = 30). Before discharge, the control group was treated with general physiotherapy for their disease characteristics. The intervention group received the same programs before discharge; additionally, a simple house evaluation was conducted using the subject\u2019s home floor plan. A six-month follow-up survey was conducted on falls and near-falls after discharge, completed by 51 of the 60 subjects (85%). Within two months, falls occurred in 7.7% of the control group but not in the intervention group, after which, falls occurred in the intervention group, and no significant difference was noted between the two groups (three-month (p = 0.322) and six-month (p = 0.931) follow-ups). The intervention group had significantly fewer near-falls than the control group within three months (p = 0.034), but no significant difference was observed after three months. The results suggested that our program effectively expanded the role of an acute care hospital for discharged patients who need to transition from hospital care to home health care.<\/jats:p>","DOI":"10.3390\/ijerph191711062","type":"journal-article","created":{"date-parts":[[2022,9,6]],"date-time":"2022-09-06T05:17:23Z","timestamp":1662441443000},"page":"11062","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Fall Prevention Program Using Home Floor Plans in an Acute-Care Hospital: A Preliminary Randomized Controlled Trial"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2294-6836","authenticated-orcid":false,"given":"Tetsuya","family":"Ueda","sequence":"first","affiliation":[{"name":"Course of Physical Therapy, Department of Rehabilitation Science, School of Medicine, Osaka Metropolitan University, Habikino City 583-8555, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9473-0714","authenticated-orcid":false,"given":"Yumi","family":"Higuchi","sequence":"additional","affiliation":[{"name":"Course of Physical Therapy, Department of Rehabilitation Science, School of Medicine, Osaka Metropolitan University, Habikino City 583-8555, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsunori","family":"Murakami","sequence":"additional","affiliation":[{"name":"Course of Physical Therapy, Department of Rehabilitation Science, School of Medicine, Osaka Metropolitan University, Habikino City 583-8555, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wataru","family":"Kozuki","sequence":"additional","affiliation":[{"name":"Course of Physical Therapy, Department of Rehabilitation Science, School of Medicine, Osaka Metropolitan University, Habikino City 583-8555, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gentoku","family":"Hattori","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Yao Tokushukai General Hospital, Yao City 581-0011, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiromi","family":"Nomura","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Yao Tokushukai General Hospital, Yao City 581-0011, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,9,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1111\/j.1532-5415.1994.tb01750.x","article-title":"Risk of Falls after Hospital Discharge","volume":"42","author":"Mahoney","year":"1994","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1093\/gerona\/gln027","article-title":"Recent Hospitalization and the Risk of Hip Fracture among Older Americans","volume":"64","author":"Wolinsky","year":"2009","journal-title":"J. Gerontol. A Biol. Sci. Med. Sci."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"765","DOI":"10.2147\/CIA.S45891","article-title":"Circumstances of Falls and Falls-Related Injuries in a Cohort of Older Patients Following Hospital Discharge","volume":"8","author":"Hill","year":"2013","journal-title":"Clin. Interv. Aging"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1093\/ptj\/85.7.648","article-title":"Incidence of and Risk Factors for Falls Following Hip Fracture in Community-Dwelling Older Adults","volume":"85","author":"Ciol","year":"2005","journal-title":"Phys. Ther."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"643","DOI":"10.2147\/CIA.S77432","article-title":"Dual-Tasking over an Extended Walking Distance Is Associated with Falls among Community-Dwelling Older Adults","volume":"10","author":"Hirashima","year":"2015","journal-title":"Clin. Interv. Aging"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1111\/jjns.12059","article-title":"Effectiveness of a Home Hazard Modification Program for Reducing Falls in Urban Community-Dwelling Older Adults: A Randomized Controlled Trial","volume":"12","author":"Kamei","year":"2015","journal-title":"Jpn. J. Nurs. Sci."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1932","DOI":"10.1359\/jbmr.1998.13.12.1932","article-title":"Predictors for Falls and Fractures in the Longitudinal Aging Study Amsterdam","volume":"13","author":"Tromp","year":"1998","journal-title":"J. Bone Miner. Res."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1093\/ageing\/26.4.261","article-title":"Circumstances and Consequences of Falls in Independent Community-Dwelling Older Adults","volume":"26","author":"Berg","year":"1997","journal-title":"Age Ageing"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1111\/j.1753-6405.1993.tb00143.x","article-title":"An Epidemiological Study of Falls in Older Community-Dwelling Women: The Randwick Falls and Fractures Study","volume":"17","author":"Lord","year":"1993","journal-title":"Aust. J. Public Health"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1477","DOI":"10.1111\/ggi.12898","article-title":"Near Falls Predict Substantial Falls in Older Adults: A Prospective Cohort Study","volume":"17","author":"Nagai","year":"2017","journal-title":"Geriatr. Gerontol. Int."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Panel on Prevention of Falls in Older Persons, and American Geriatrics Society and British Geriatrics Society (2011). Summary of the Updated American Geriatrics Society\/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons. J. Am. Geriatr. Soc., 59, 148\u2013157.","DOI":"10.1111\/j.1532-5415.2010.03234.x"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"i1419","DOI":"10.1136\/bmj.i1419","article-title":"Prevention of Falls in Older People Living in the Community","volume":"353","author":"Vieira","year":"2016","journal-title":"BMJ"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.archger.2017.02.010","article-title":"Tailored Education Program Using Home Floor Plans for Falls Prevention in Discharged Older Patients: A Pilot Randomized Controlled Trial","volume":"71","author":"Ueda","year":"2017","journal-title":"Arch. Gerontol. Geriatr."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1001","DOI":"10.1093\/gerona\/glr085","article-title":"Evaluation of the Sustained Effect of Inpatient Falls Prevention Education and Predictors of Falls after Hospital Discharge: Follow-Up to a Randomized Controlled Trial","volume":"66","author":"Hill","year":"2011","journal-title":"J. Gerontol. A Biol. Sci. Med. Sci."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Hill, A.M., Etherton-Beer, C., and Haines, T.P. (2013). Tailored Education for Older Patients to Facilitate Engagement in Falls Prevention Strategies After Hospital Discharge: A Pilot Randomized Controlled Trial. PLoS ONE, 8.","DOI":"10.1371\/journal.pone.0063450"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/S0140-6736(98)06119-4","article-title":"Prevention of Falls in the Elderly Trial (PROFET): A Randomised Controlled Trial","volume":"353","author":"Close","year":"1999","journal-title":"Lancet"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1111\/j.1532-5415.2010.03221.x","article-title":"Environmental Assessment and Modification to Prevent Falls in Older People","volume":"59","author":"Pighills","year":"2011","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.archger.2009.01.015","article-title":"Reduction in Falling after a Falls-Assessment","volume":"50","author":"Hansma","year":"2010","journal-title":"Arch. Gerontol. Geriatr."},{"key":"ref_19","first-page":"1","article-title":"The Prevention of Falls in Later Life: A Report of the Kellogg International Work Group on the Prevention of Falls by the Elderly","volume":"34","author":"Gibson","year":"1987","journal-title":"Dan. Med. Bull."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1136\/jech.54.3.227","article-title":"A Sustainable Programme to Prevent Falls and near Falls in Community Dwelling Older People: Results of a Randomised Trial","volume":"54","author":"Steinberg","year":"2000","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Arnold, C.M., and Faulkner, R.A. (2007). The History of Falls and the Association of the Timed up and Go Test to Falls and Near-Falls in Older Adults with Hip Osteoarthritis. BMC Geriatr., 7.","DOI":"10.1186\/1471-2318-7-17"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1001\/archinte.1996.00440060067008","article-title":"Functional Outcomes of Acute Medical Illness and Hospitalization in Older Persons","volume":"156","author":"Sager","year":"1996","journal-title":"Arch. Intern. Med."},{"key":"ref_23","unstructured":"Ministry of Health, Labour and Welfare of Japan (2022, July 21). Survey Related to Verification and Research of the Effect of the Nursing Care Benefits Revision in 2015. Available online: https:\/\/www.mhlw.go.jp\/file\/05-Shingikai-12601000-Seisakutoukatsukan-Sanjikanshitsu_Shakaihoshoutantou\/0000126194.pdf."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"39","DOI":"10.7326\/0003-4819-155-1-201107050-00006","article-title":"Single-Center Trials Show Larger Treatment Effects than Multicenter Trials: Evidence from a Meta-Epidemiologic Study","volume":"155","author":"Dechartres","year":"2011","journal-title":"Ann. Intern. Med."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/17\/11062\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:23:07Z","timestamp":1760142187000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/17\/11062"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,4]]},"references-count":24,"journal-issue":{"issue":"17","published-online":{"date-parts":[[2022,9]]}},"alternative-id":["ijerph191711062"],"URL":"https:\/\/doi.org\/10.3390\/ijerph191711062","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,4]]}}}