Evaluating audio-visual falls prevention messages with community-dwelling older people using a World Café forum approach

Background: Falls risk increases sharply with older age but many older people are unaware or underestimate their risk of falling. Increased population-based efforts to influence older people’s falls prevention behavior are urgently needed. The aim of this study was to obtain a group of older people’s collective perspectives on newly developed prototypes of audio-visual (AV) falls prevention messages, and evaluate changes in their falls prevention behaviour after watching and discussing these. Methods: A mixed-method study using a community World Café forum approach. Results: Although the forum participants (n = 38) mostly responded positively to the three AV messages and showed a significant increase in their falls prevention capability and motivation after the forum, the participants collectively felt the AV messages needed a more inspirational call to action. The forum suggested this could be achieved by means of targeting the message and increasing the personal connection. Participants further suggested several alternatives to online falls prevention information, such as printed information in places in the community, as a means to increase opportunity to seek out falls prevention information. Conclusions: Falls prevention promotion messages need to be carefully tailored if they are to be more motivating to older people to take action to do something about their falls risk. A wider variety of revised and tailored AV messages, as one component of a community-wide falls prevention campaign, could be considered in an effort to persuade older people to take decisive action to do something about their falls risk. Trial registration: This study was registered prospectively: NCT03154788. Registered 11 May 2017

Family communication between children and their parents about inherited genetic conditions:A meta-synthesis of the research

In families affected by an inherited genetic condition, parents face a difficult task of having to communicate genetic risk information to their children. A systematic review of all major health and medical research databases was undertaken using current guidelines to identify original relevant research papers from 1980 to 2007, which explore the issues surrounding parents and their children's communication about inherited genetic risk. A total of 9698 abstracts were found of which 158 research papers were reviewed as potentially relevant. A final 17 papers were identified which met predefined inclusion and exclusion criteria. Using a meta-ethnographic approach, all identified studies' findings were analysed as primary data sources by three researchers, who independently identified the key concepts. A high level of congruence emerged between researchers, and agreed concepts were used to examine similarities and differences between papers. The findings informed the development of a narrative framework exploring the issues that related to parents' explanations of inherited genetic risk to their children, the reasons for sharing information, children's understanding of parents' explanations, the emotions evoked for family members and the support and guidance received from health professionals. Providing information, checking understanding, and explaining and managing the emotional feelings that arise were integral to supporting children's coping with genetic risk information. However, many parents struggled with one or more of these components and required more support specific to the child's developmental stage, and family members' transition of readjustment to the impact of the genetic condition.In families affected by an inherited genetic condition, parents face a difficult task of having to communicate genetic risk information to their children. A systematic review of all major health and medical research databases was undertaken using current guidelines to identify original relevant research papers from 1980 to 2007, which explore the issues surrounding parents and their children's communication about inherited genetic risk. A total of 9698 abstracts were found of which 158 research papers were reviewed as potentially relevant. A final 17 papers were identified which met predefined inclusion and exclusion criteria. Using a meta-ethnographic approach, all identified studies' findings were analysed as primary data sources by three researchers, who independently identified the key concepts. A high level of congruence emerged between researchers, and agreed concepts were used to examine similarities and differences between papers. The findings informed the development of a narrative framework exploring the issues that related to parents' explanations of inherited genetic risk to their children, the reasons for sharing information, children's understanding of parents' explanations, the emotions evoked for family members and the support and guidance received from health professionals. Providing information, checking understanding, and explaining and managing the emotional feelings that arise were integral to supporting children's coping with genetic risk information. However, many parents struggled with one or more of these components and required more support specific to the child's developmental stage, and family members' transition of readjustment to the impact of the genetic condition

Modeling habitat preferences of Caspian kutum, Rutilus frisii kutum (Kamensky, 1901) (Actinopterygii, Cypriniformes) in the Caspian Sea

Predicting and modeling of habitat preferences of fish is a very important issue for aquatic management. Classification trees (CTs) were used to predict the habitat preferences of the Caspian kutum (Rutilus frisii kutum, hereafter kutum) in the southern Caspian Sea. The applied model was optimized with genetic algorithm (GA) and greedy stepwise (GS) to select the most explanatory variables for predicting the presence/absence of kutum. The suitability index was considered to determine the quality and suitability of fish habitat in the sea. The results of Paired Student's t tests showed that there was a significant difference between predictive performances of models before and after variable selection methods. Both optimizers improved the predictive power of CTs and resulted in a better understanding of CTs by making a selection of the sea characteristics that were used as inputs to the models. The results show that the effect of different seasons, sea depth, and photosyntheticaly active radiation were the main predictors affecting the habitat preferences of kutum in the Caspian Sea. Constructed trees in combination with GA and GS showed high capability when applied to predict the habitat preferences of this valuable commercial fish species. Determining the habitat needs of the target fish will enhance local fisheries performances and the long-term conservation planning of the fish to implement the ecosystem-based management in the Caspian Sea