Bakgrund: Människan i Sverige lever i högre grad allt längre, vilket genererarenväxande äldre population. Studier visar att fallrisken ökar i takt med stigande ålderoch att allt fler människor behöver söka vård efter en fallolycka. Många fall skullekunna förhindras om multidisciplinära insatser impliceras i högre grad inomfallpreventivt arbete. Syfte: Beskriva det multidisciplinära teamets erfarenheter avfallförebyggande åtgärder för personer över 65 år. Metod: En systematisklitteraturstudie tillämpades för att systematiskt söka, granska och analysera forskningför att besvarastudiens syfte. Resultat: Resultatet utgick från 9 vetenskapliga artiklar.Två teman framkom; positiva faktorer i teambaserat arbete & negativa faktorer iteambaserat arbete. Konklusion: Fler människor kommer behöva vård, därförbehöver kunskapen kring teamsamverkan, kommunikation och preventiva insatserstärkas. Oavsett profession när behovet av utbildning och träning inom samverkan envital faktor för att arbeta preventivt, då multidisciplinära insatser har påvisatreducerad fallrisk / Background: People in Sweden are increasingly living longer, which generates asteady growing elderly population. Studies has showed that the risk of fallingincreases with rising age ant that more and more people need to seek care after a fallaccident. Many cases could be prevented if multidisciplinary efforts are involved to atgreater extent within fall prevention work. Purpose: To describe the multidisciplinaryteam`s experiences of fall prevention measures for people over 65 years of age.Method: A systematic literature study was applied to systematically search, reviewand analyze research to answer the purpose of the study. Result: The result was basedon 9 scientific articles. Two themes emerged: positive factors in team-based work &negative factors in team-based work. Conclusion: More people will need care in thefuture, therefore are need and knowledge around team cooperation, communication,and preventive efforts in need of strengthening. Regardless of profession is the needfor education and training within cooperation a crucial factor for workingpreventively, as multidisciplinary intervention has demonstrated reduced risk of fall.

Abstract Background: Physiotherapists’ knowledge, attitude and practice patterns in falls prevention are studied mainly in middle- and high-income countries. This study aims to develop and validate a questionnaire for studying the attitude, self-reported knowledge and clinical practice of Rwandan physiotherapists in falls prevention of older adults.  Method: In a cross sectional design the content, face and cross-cultural validity was tested on four Swedish experts and four Rwandan physiotherapists. Test-retest was performed with 20 Rwandan physiotherapists and descriptive data was summarized for these physiotherapists. Content validity index (CVI) was calculated per item and scale, and face validity index with face validity index (FVI) per item and scale. Interviews complemented the face validity scorings for cross-cultural validation. Test-retest was analysed with intraclass correlation coefficient(ICC). Results were categorized into individual, behavioural and environmental factors, in line with the Social Cognitive Theory.  Results:  The questionnaire attained a satisfactory degree of content validity with content validity index per item(I-CVI) and scale-level content validity index based on the average method (S-CVI/Ave) of 0.96. Questionnaire had satisfactory face validity with a face validity index per item (I-FVI) and scale-level face validity index based on the average method (S-FVI/Ave) of 0.89. The questionnaire was shown to be pertinent to Rwandan physiotherapists’ context. The test-retest stability of the questionnaire was non-significant. Most physiotherapists emphasized individual rather than environmental or behavioral risk factors for falls and in falls prevention treatment.  Conclusion: The content and face validity as well as cross-culture validity of preliminary questionnaire of falls prevention were acceptable. Further research in this area is essential to complete validation and to improve the reliability of the questionnaire. The study highlights the importance of application of social cognitive theory in studying how physiotherapists consider the complexity of factors contributing to falls.

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