Evaluation of older people\u27s knowledge, awareness, motivation and perceptions about falls and falls prevention in residential aged care homes: A tale of two cities

Falls prevention strategies can only be effective in reducing falls amongst older people if they are adopted and enacted in their daily lives. There is limited evidence identifying what older people in residential aged care (RAC) homes understand about falls and falls prevention, or what may limit or enable their adoption of strategies. This study was conducted in two countries and explored older people’s knowledge and awareness of falls and their preferences, opportunities and motivation to undertake falls prevention strategies. A cross-sectional survey was administered to participants (N = 70) aged 65 years and over, living in six RAC homes in Perth, Australia and six RAC homes in Swansea, Wales, United Kingdom. Participants had limited knowledge about intrinsic falls risk factors and strategies to address these and frequently expressed self-blame regarding falling. Almost all (N = 67, 95.7%) participants felt highly motivated to maintain their current functional mobility and independence in everyday tasks. Key preferences for receiving falls prevention messages favoured a positive approach promoting wellness and independence (N = 41, 58.6%) via pictorial posters or brochures (N = 37, 52.9%) and small group discussions preferably with demonstrations (N = 18, 25.7%). Findings from this study may assist organisations and staff to more effectively engage with older people living in RAC about falls prevention and design targeted resources to address the motivations and preferences of this population

Evaluation of older people's knowledge, awareness, motivation and perceptions about falls and falls prevention in residential aged care homes: a tale of two cities

Falls prevention strategies can only be effective in reducing falls amongst older people if they are adopted and enacted in their daily lives. There is limited evidence identifying what older people in residential aged care (RAC) homes understand about falls and falls prevention, or what may limit or enable their adoption of strategies. This study was conducted in two countries and explored older people's knowledge and awareness of falls and their preferences, opportunities and motivation to undertake falls prevention strategies. A cross-sectional survey was administered to participants (N = 70) aged 65 years and over, living in six RAC homes in Perth, Australia and six RAC homes in Swansea, Wales, United Kingdom. Participants had limited knowledge about intrinsic falls risk factors and strategies to address these and frequently expressed self-blame regarding falling. Almost all (N = 67, 95.7%) participants felt highly motivated to maintain their current functional mobility and independence in everyday tasks. Key preferences for receiving falls prevention messages favoured a positive approach promoting wellness and independence (N = 41, 58.6%) via pictorial posters or brochures (N = 37, 52.9%) and small group discussions preferably with demonstrations (N = 18, 25.7%). Findings from this study may assist organisations and staff to more effectively engage with older people living in RAC about falls prevention and design targeted resources to address the motivations and preferences of this population

Secondary Legal Sources: A Selected Subject Bibliography of Treatises, Looseleaf Services and Form Books Sixth Edition

The sixth edition of this bibliography is a subject arrangement of selected English language treatises, looseleaf services and form books. Most of the works listed were published in this country, and all are in the collection of this law library. The object in revising this bibliography has been to present to law students of the University of Michigan a reasonably thorough listing of useful and current secondary sources covering domestic and international law. The inclusion of a work in this bibliography does not mean the Law Library is endorsing either the author\u27s sty le or the substance of the work. It does mean we believe the work to be useful in the research of our patrons. While this bibliography is by no means exhaustive in its coverage of secondary sources on any subject, it does identify most of the major works in a given area published after 1980 or kept current via looseleaf or pocket supplementation. Thus, it can best be used as a starting point for legal research. It is not, however, a substitute for Lexcalibur and the Public Catalog, which must be consulted during any serious research effort. In selecting titles for inclusion in the bibliography and in removing titles that had been in the fifth edition, we have been guided by a consideration of the currency of the material. The materials listed deal with the law in its current state. Other than indirectly, this bibliography is not designed to support retrospective research. We have indicated by use of the term current those treatises which have been kept up-to-date by some sort of supplementation. We have attempted to exclude works which are more polemical than expository. We have also excluded casebooks and most popular works on the law which, while possibly helpful to nonlawyers, would be of limited use to law students. We have not included books concerned with law reform, criticism of legal institutions or the social science aspects of law, except for those dealing with the sociology of law. Nor have we included works dealing with the law of a single region or state. Finally, we have not included reference works, such as general form books and encyclopedias, which cover a vast expanse of legal knowledge. On the other hand, listed books that deal with more than one subject are placed under all appropriate subject headings. This bibliography is current as of April 1992. We wish to acknowledge the extensive contribution of Barbara Vaccaro to this revision of the bibliography. We thank Mary Adah Malavolti and Ying Li for their patient, skillful and tireless work in the preparation of the document itself

Secondary Legal Sources: A Selected Subject Bibliography of Treatises, Looseleaf Services and Form Books Sixth Edition

The sixth edition of this bibliography is a subject arrangement of selected English language treatises, looseleaf services and form books. Most of the works listed were published in this country, and all are in the collection of this law library. The object in revising this bibliography has been to present to law students of the University of Michigan a reasonably thorough listing of useful and current secondary sources covering domestic and international law. The inclusion of a work in this bibliography does not mean the Law Library is endorsing either the author\u27s sty le or the substance of the work. It does mean we believe the work to be useful in the research of our patrons. While this bibliography is by no means exhaustive in its coverage of secondary sources on any subject, it does identify most of the major works in a given area published after 1980 or kept current via looseleaf or pocket supplementation. Thus, it can best be used as a starting point for legal research. It is not, however, a substitute for Lexcalibur and the Public Catalog, which must be consulted during any serious research effort. In selecting titles for inclusion in the bibliography and in removing titles that had been in the fifth edition, we have been guided by a consideration of the currency of the material. The materials listed deal with the law in its current state. Other than indirectly, this bibliography is not designed to support retrospective research. We have indicated by use of the term current those treatises which have been kept up-to-date by some sort of supplementation. We have attempted to exclude works which are more polemical than expository. We have also excluded casebooks and most popular works on the law which, while possibly helpful to nonlawyers, would be of limited use to law students. We have not included books concerned with law reform, criticism of legal institutions or the social science aspects of law, except for those dealing with the sociology of law. Nor have we included works dealing with the law of a single region or state. Finally, we have not included reference works, such as general form books and encyclopedias, which cover a vast expanse of legal knowledge. On the other hand, listed books that deal with more than one subject are placed under all appropriate subject headings. This bibliography is current as of April 1992. We wish to acknowledge the extensive contribution of Barbara Vaccaro to this revision of the bibliography. We thank Mary Adah Malavolti and Ying Li for their patient, skillful and tireless work in the preparation of the document itself

Evaluation of two Massive Open Online Courses (MOOCs) in genomic variant interpretation for the NHS workforce

Abstract Background The implementation of the National Genomic Medicine Service in the UK has increased patient access to germline genomic testing. Increased testing leads to more genetic diagnoses but does result in the identification of genomic variants of uncertain significance (VUS). The rigorous process of interpreting these variants requires multi-disciplinary, highly trained healthcare professionals (HCPs). To meet this training need, we designed two Massive Open Online Courses (MOOCs) for HCPs involved in germline genomic testing pathways: Fundamental Principles (FP) and Inherited Cancer Susceptibility (ICS). Methods An evaluation cohort of HCPs involved in genomic testing were recruited, with additional data also available from anonymous self-registered learners to both MOOCs. Pre- and post-course surveys and in-course quizzes were used to assess learner satisfaction, confidence and knowledge gained in variant interpretation. In addition, granular feedback was collected on the complexity of the MOOCs to iteratively improve the resources. Results A cohort of 92 genomics HCPs, including clinical scientists, and non-genomics clinicians (clinicians working in specialties outside of genomics) participated in the evaluation cohort. Between baseline and follow-up, total confidence scores improved by 38% (15.2/40.0) (95% confidence interval [CI] 12.4–18.0) for the FP MOOC and 54% (18.9/34.9) (95%CI 15.5–22.5) for the ICS MOOC (p < 0.0001 for both). Of those who completed the knowledge assessment through six summative variant classification quizzes (V1–6), a mean of 79% of respondents classified the variants such that correct clinical management would be undertaken (FP: V1 (73/90) 81% Likely Pathogenic/Pathogenic [LP/P]; V2 (55/78) 70% VUS; V3 (59/75) 79% LP/P; V4 (62/72) 86% LP/LP. ICS: V5 (66/91) 73% VUS; V6 (76/88) 86% LP/P). A non-statistically significant higher attrition rate was seen amongst the non-genomics workforce when compared to genomics specialists for both courses. More participants from the non-genomics workforce rated the material as “Too Complex” (FP n = 2/7 [29%], ICS n = 1/5 [20%]) when compared to the specialist genomics workforce (FP n = 1/43 [2%], ICS n = 0/35 [0%]). Conclusions After completing one or both MOOCs, self-reported confidence in genomic variant interpretation significantly increased, and most respondents could correctly classify variants such that appropriate clinical management would be instigated. Genomics HCPs reported higher satisfaction with the level of content than the non-genomics clinicians. The MOOCs provided foundational knowledge and improved learner confidence, but should be adapted for different workforces to maximise the benefit for clinicians working in specialties outside of genetics