The Effect of an Adjusted Health Belief Program on Fall Prevention Behaviors among Hospitalized Older Patients

  • Manita Raksree Student of Master of Nursing Science Program in Gerontological Nursing, Faculty of Nursing Mahidol University
  • Narirat Jitramontree Faculty of Nursing Mahidol University
  • Saovaluck JIirathummakoon Faculty of Nursing, HRH Princess chulabhorn College of Medical Science Rangsit University
Keywords: the adjusted health belief program, fall prevention behaviors, hospitalized older patients, health belief model


        This was a quasi-experimental research with a two groups post-test design to study the effects of an adjusted health belief program on fall prevention behaviors among hospitalized older patients in the surgical wards of King Chulalongkorn Memorial Hospital. The subjects were 62 older patients selected by inclusion criteria and divided into 31 subjects in the control group and 31 subjects in the experimental group. The control group received normal nursing, the experimental group received an adjusted health belief program developed under the concept of the Health Belief Model. The program includes an assessment of the risk factors and the risk of falls, education using multimedia communications; demonstrations and training and warning signs. The tools for data collection included: a demographic data form, fall prevention assessment of  hospitalized older patients. Data were analyzed using descriptive statistics and Chi-square test. The difference in the average fall prevention behavior score of elderly patients was compared using independent t-test.

        The results revealed that the experimental group who received the adjusted health belief program had a significantly higher average score of fall prevention behavior than those of the control group ( t = 10.42, p < .000 ). This study shows that elderly patients who underwent the program had better fall prevention behaviors than those who did not undergo the program. It is, therefore, recommended that the surgical wards apply this program to prevent falls among older patients.


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