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首页> 外文期刊>BMC Geriatrics >Investigating falls in adults with intellectual disability living in community settings and their experiences of post-fall care services: protocol for a prospective observational cohort study
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Investigating falls in adults with intellectual disability living in community settings and their experiences of post-fall care services: protocol for a prospective observational cohort study

机译：调查居住在社区环境中的智障成年人的跌倒及其跌倒后护理服务的经验：前瞻性观察队列研究方案

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Falls among older adults with intellectual disability (ID) are recognised as a serious health problem potentially resulting in reduced health-related quality of life and premature placement in residential care. However there are limited studies that have investigated this problem and thus falls rates among older adults with ID remain uncertain. Furthermore, people with ID rely heavily on familial and professional care support to address health problems, such as after having a fall. No studies have explored the post-fall care that people with ID receive. This research will be carried out in two phases using a convergent mixed methods design. The aim of Phase 1 is to estimate the falls rate by prospectively observing a cohort of older adults (≥ 35?years) with ID (n?=?90) for six months. Phase 1 will be conducted according to STROBE guidelines. In Phase 2, participants from Phase 1 who have experienced a fall(s) will be asked to participate in a semi-structured interview to explore their post-fall experience. This study will determine the rate of falls among older adults with ID living in community based settings, which will assist to identify the extent of this problem. Data collected from the study will also aid in understanding the circumstance of falls and related falls risk factors in this cohort. This will include exploring any barriers that older adults with ID may encounter when seeking or undertaking recommended post-fall care advice. Findings from this research will potentially inform future development of falls prevention services for older adults with ID. This study has been approved by the University Human Research Ethics Committee. The protocol for this study is registered with the Australian New Zealand Clinical Trial Registry (ACTRN12615000926538) on 7 September 2015. www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368990&isReview=true.
机译：摔倒在智障（ID）的老年人中被认为是严重的健康问题，有可能导致与健康相关的生活质量下降，以及过早地在居民护理中生活。但是，有有限的研究调查了这个问题，因此，ID患病率下降的成年人仍然不确定。此外，有身份证明的人在很大程度上依靠家庭和专业护理支持来解决健康问题，例如跌倒后。尚无研究探讨身分证者接受的跌倒后护理。这项研究将使用融合混合方法设计分两个阶段进行。第一阶段的目的是通过前瞻性观察一组ID为（n≥90）的ID（n≥90）的老年人（≥35岁）来估计跌倒率。第一阶段将根据STROBE指南进行。在第2阶段，第1阶段经历过跌倒的参与者将被要求参加半结构化访谈，以探讨他们的跌倒后经历。这项研究将确定居住在社区环境中的有身份证明的老年人的跌倒率，这将有助于确定这一问题的严重程度。从研究中收集的数据也将有助于了解该人群的跌倒情况和相关跌倒危险因素。这将包括探索有ID的老年人在寻求或接受建议的跌倒后护理建议时可能遇到的障碍。这项研究的结果可能会为ID老年人的防摔服务的未来发展提供参考。这项研究已得到大学人类研究伦理委员会的批准。这项研究的方案已于2015年9月7日在澳大利亚新西兰临床试验注册中心（ACTRN12615000926538）进行了注册。www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368990&isReview=true。

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