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HELSEVEL-Gode og effektive helse-, omsorgs- og velferdstjenester

Implementation of evidence based fall-prevention programmes in the health care services: Quality, competency and effectiveness (FALLPREVENT)

Alternative title: Implementering av forsknings basert fall forebyggende intervensjoner i helsetjenesten: Kvalitet, kompetanse og effektivitet

Awarded: NOK 12.0 mill.

Three articles have been produced. Five webinars for politicians, clinicians and policy makers have been arranged. In the first PhD project "Reducing the gap between evidence-based knowledge and practice in the field of fall prevention:development of user-centered implementation interventions",the intention is to explore how we can implement research-based fall prevention measures among elderly people living at home in the municipal health service. The project is divided into three parts: 1) Empirically investigate successful implementation strategies within fall prevention, 2) Develop a tailored intervention to implement research-based knowledge through user-centered design and co-creation and 3) Carry out a pilot study to test fall prevention implementation among elderly people living at home. Literature search for a systematic literature review has been performed. A cooperation agreement with two districts in Oslo municipality entered into. At 1.10.21, two digital working seminars and one digital focus group interview were conducted. The results from the first parts of the project will form the basis for the development and testing of an implementation intervention. The second PhD project "Implementation of evidence-based fall prevention in primary care - focus on clinical decision support" has as its overall purpose to adapt and evaluate a clinical decision support to increase health professionals' compliance with knowledge-based recommendations for fall prevention among elderly people living at home. The project consists of four phases: 1) Investigate the effect of clinical decision support used by health professionals on clinicians' practices and patient outcomes, 2) review summary research on the effect of fall prevention measures for elderly people living at home, 3) translate and adapt a clinical decision support designed to support clinicians in the municipal health service, and 4) carry out a feasibility study to investigate whether the clinical decision support is applicable and acceptable to the clinicians. In the first phase, a systematic overview study will be carried out. The literature search has been completed. The PhD candidate has completed a 5-ECTS scoring course in implementation research at Karolinska Institutet.

The path from research to service innovation and implementation in practice may be long.Health professionals, patients, policymakers, and the public aspire to making healthcare decisions based on the best available research evidence.FALLPREVENT seeks interaction within and between the services and service innovation for ensuring sound and efficient patient and user pathways.The focus of the FALLPREVENT,is to develop an innovative model for implementation of evidence-based fall prevention programmes based on the knowledge,competence and experience of users and other stakeholders.We have designed four work packages of the project to address the challenges we expect to meet in implementing fall-prevention programmes.FALLPREVENT aims to explore the'know-do gap'in fall prevention in Norway and eterminants of practice in fall prevention.We will tailor implementation interventions to address the identified determinants,and assess the effectiveness of the implementation interventions in a cluster randomized trial,where 20 Norwegian municipalities/city districts will be randomized to the intervention and 20 Norwegian municipalities/city districts or the control group in Norway including the 15 city districts of Oslo.We will use a combination of data sources,and a combination of qualitative and quantitative method for the empirical analyses.Users will contribute to the project by involvement in developing the project,in the data collection and sampling of informants,and they will provide feedback on the milestones of the project through a user reference group.The project and its consortium will strengthen implementation research and promote better health by strengthening the foundation for knowledge-based education,knowledge-based health service,professional practice and policymaking.FALLPREVENT fits in with the highest priority areas under HELSEVEL,by developing research and innovation that enhances quality,competency and efficiency in the health care and welfare services.

Activity:

HELSEVEL-Gode og effektive helse-, omsorgs- og velferdstjenester