Outcomes of importance to people with multiple sclerosis, Parkinson’s disease and stroke following a falls prevention intervention: a qualitative study to inform a core outcome set

Purpose: Falls are a major issue for people with neurological conditions, and the evaluation of falls prevention interventions is of high priority. To date, the views of patient groups regarding outcomes of importance have been largely overlooked. The purpose of this study was to explore outcomes of interest among people with Multiple Sclerosis (MS), Parkinson’s disease (PD) and stroke upon completion of falls prevention interventions to inform the development of a core outcome set (COS).

Materials and methods: Five online focus groups and one semi-structured interview were conducted among people with PD (n?=?10), MS (n?=?7), and post-stroke (n?=?3), one of whom also had PD. Transcripts were analysed using reflexive thematic analysis.

Results: Four themes were developed; (1) Fall events are not homogeneous, (2) Exercise-based programmes are beneficial but falls services are not meeting user needs, (3) Programme success beyond the reduction in falls, and (4) Acquisition of skills to self-manage falls beyond the life of the programme.

Conclusions: This study presents new perspectives across patient groups regarding important outcomes upon completion of falls prevention interventions. Taken together with the findings of a literature review, this data will inform the development of a COS.

Contributors

Nicola O’Malley, Susan Coote, Amanda M. Clifford

Publication

Journal: Disability and Rehabilitation
Volume:
Issue:
Pages: -
Year:
DOI: 10.1080/09638288.2023.2201513

Further Study Information

Current Stage: Completed
Date:
Funding source(s):


Health Area

Disease Category: Neurology

Disease Name: Multiple sclerosis (MS), Parkinson's disease, Stroke

Target Population

Age Range: Unknown

Sex: Either

Nature of Intervention:

Stakeholders Involved

Study Type

- Patient perspectives

Method(s)

- Focus group(s)