Knowledge to Action Framework component Intervention with PLWD and their caregiver
Identify the problem A gap in the research was identified via the systematic review
Adapt knowledge to local context Local context will be identified through an interview with PWD and caregiver – to understand falls and falls prevention from their perspective, in the context of their lives and their homes
Identifying barriers to knowledge use Through the initial interview and questionnaires to understand falls risk, functional capacity, dementia severity, activity level, self-efficacy, caregiver burden.
Select, tailor, implement intervention High falls risk factors will be identified through the FROP-Com questionnaire, with each risk factor being identified for participant’s readiness to change a given behavior using Prochaska’s stages of change model.
Monitor knowledge use Up to six home visits will be conducted over 6 months, utilizing strategies to move participants through the stages of change for each high falls risk factor. Goal setting is used at each visit.
Evaluate outcomes Evaluation of individual goals is conducted at each home visit.
At 6 months an interview is conducted; a repeat of baseline questionnaires; a review of adherence to strategies; and an action plan for the following 6 months established.
Sustain knowledge use Participants do not have any active intervention between 6 and 12 months of the intervention. A survey will be conducted at 12 months to establish feasibility and sustainability of the intervention, and factors influencing these.
Table 2: Components of the Knowledge to Action Framework for the intervention with PLWD and their caregiver.