{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T11:00:02Z","timestamp":1785150002382,"version":"3.55.0"},"reference-count":30,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Med.","JCM"],"abstract":"<jats:p>Background\/Objectives: Falls-prevention advice in primary care does not always lead to a practical next step. We evaluated a brief, non-clinical Falls Conversation package at one urban NHS general practice. Methods: During a 12-week quality improvement\/service evaluation, patients aged 65 years or older were offered a baseline reflection survey, written information, a home-safety checklist and, in later Plan-Do-Study-Act (PDSA) cycles, a one-action prompt. The package did not include clinical assessment, treatment, referral or medication review. Matched pre-post outcomes were analysed, with actions and balancing outcomes recorded at four to six weeks. Results: Of 510 eligible patients, 442 were approached, 334 engaged, 295 provided matched pre-post data and 256 completed follow-up. The mean project-specific knowledge score was 1.83 (SD 1.02) before and 2.60 (SD 0.95) immediately after the package, a paired difference of 0.77 out of 4 (95% CI 0.65 to 0.88; Cohen\u2019s d_z = 0.79; p &lt; 0.001). Worry changed by \u22120.07 out of 5 (95% CI \u22120.13 to \u22120.01; d_z = \u22120.13), and activity avoidance by \u22123.4 percentage points (95% CI \u22127.5 to 0.7; p = 0.144). At follow-up, 157\/256 participants reported at least one action (61.3%, 95% CI 55.2% to 67.1%); actions were heterogeneous and unverified. Action selection and completion rose descriptively across non-randomised PDSA cohorts. Conclusions: The package appeared feasible to embed in one practice and was associated with higher immediate knowledge scores and patient-reported action. It did not demonstrate reduced falls or clinically meaningful change in fear-related outcomes. Controlled studies using validated measures, objective outcomes and longer follow-up are required.<\/jats:p>","DOI":"10.3390\/jcm15155849","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T09:47:41Z","timestamp":1785145661000},"page":"5849","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Implementing a Falls Conversation Package in General Practice: A Service Evaluation"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-7320-3970","authenticated-orcid":false,"given":"Savita","family":"Ramkumar","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Imperial College London, London W12 0BZ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2443-2994","authenticated-orcid":false,"given":"Isaa","family":"Khan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Imperial College London, London W12 0BZ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabrielle","family":"Oh","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Imperial College London, London W12 0BZ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1804-4741","authenticated-orcid":false,"given":"See Chai Carol","family":"Chan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Imperial College London, London W12 0BZ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sreevishnu","family":"Subrahmanian","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Imperial College London, London W12 0BZ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Taylor","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Imperial College London, London W12 0BZ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3416-8972","authenticated-orcid":false,"given":"Bethan","family":"Morgan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Imperial College London, London W12 0BZ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aron","family":"Abraham","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Imperial College London, London W12 0BZ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8772-4938","authenticated-orcid":false,"given":"Austen","family":"El-Osta","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Imperial College London, London W12 0BZ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azeem","family":"Majeed","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Imperial College London, London W12 0BZ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6914-7401","authenticated-orcid":false,"given":"Waseem","family":"Jerjes","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Imperial College London, London W12 0BZ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"afac205","DOI":"10.1093\/ageing\/afac205","article-title":"World guidelines for falls prevention and management for older adults: A global initiative","volume":"51","author":"Martin","year":"2022","journal-title":"Age Ageing"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1001\/jama.2024.4166","article-title":"Interventions to Prevent Falls in Older Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force","volume":"332","author":"Perdue","year":"2024","journal-title":"JAMA"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1186\/s13643-024-02681-3","article-title":"Falls prevention interventions for community-dwelling older adults: Systematic review and meta-analysis of benefits, harms, and patient values and preferences","volume":"13","author":"Pillay","year":"2024","journal-title":"Syst. 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