Article

Abstract Objective: To gain insight into the contribution of the
occupational-therapy part of a multidisciplinary fall prevention programme
towards the reduction of falls and functional decline. Design: A descriptive and
exploratory study. Methods: Data were collected in the context of a randomized
controlled trial that found no effect of a multidisciplinary fall prevention
programme. The study population comprised 166 participants, two occupational
therapists (OTs), and one official from each of the five participating
municipalities. Data were collected on the recommendations arising from the OT
part of the programme, the extent to which those recommendations were implemented
and what OTs did to stimulate implementation of behaviour change. Results: The
occupational-therapy programme resulted in 457 recommendations; 65% of the
recommendations regarding services and assistive devices were implemented. It
took on average six months to implement recommended home modifications. Advice on
behaviour change predominantly comprised recommendations to reduce risky
behaviour. Conclusion: To improve the occupational-therapy programme more rapid
implementation of recommendations is suggested. Second, participants should be
supported to achieve recommended changes. Furthermore, occupational therapists
should use theory-based techniques to stimulate behaviour change and use
follow-up visits to promote maintenance of the desired behaviour.

Langue : ANGLAIS