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Implementing a Falls Conversation Package in General Practice: A Service Evaluation
Savita Ramkumar1, Isaa Khan1, Gabrielle Oh1
1Faculty of Medicine, Imperial College London, London W12 0BZ, UK.
Journal of Clinical Medicine
|August 13, 2026
Summary
A brief falls prevention program in primary care increased patient knowledge and reported actions but did not reduce falls or fear. Further research is needed to confirm effectiveness.
Area of Science:
- Gerontology
- Public Health
- Primary Care Medicine
Background:
- Falls prevention advice in primary care often lacks practical application for patients.
- A brief, non-clinical intervention was developed to address this gap.
Purpose of the Study:
- To evaluate the feasibility and impact of a Falls Conversation package in an urban general practice.
- To assess changes in falls prevention knowledge, fear of falling, and activity avoidance.
Main Methods:
- A 12-week quality improvement project involving patients aged 65+.
- Intervention included surveys, information, a home-safety checklist, and a one-action prompt.
- Matched pre-post outcomes and follow-up actions were analyzed.
Main Results:
- Significant increase in project-specific knowledge scores (p < 0.001).
- 61.3% of participants reported taking at least one action post-intervention.
- No significant reduction in fear of falling or activity avoidance was observed.
Conclusions:
- The Falls Conversation package is feasible for primary care implementation.
- The intervention improved knowledge and self-reported actions but requires further study for clinical effectiveness.
- Controlled trials with validated measures and objective outcomes are recommended.
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