Abstract
Aim: To investigate physiotherapists’ knowledge, beliefs and current practice around falls prevention in the setting of breast cancer.
Method: This cross-sectional study invited currently registered, practising Australian physiotherapists who care for people with breast cancer to participate. A comprehensive online survey was used to collect data that were analysed descriptively. Free-text responses were classified into key themes for analysis.
Results: Of the 52 physiotherapists who completed the preliminary screening questions, complete responses were received from 42 eligible physiotherapists, with broad representation across community and clinical practice settings. Despite the majority (71%) having specific training or access to falls educational resources, physiotherapists reported only moderate confidence in assessing falls risk (median 6, interquartile range (IQR) 4-8; scale 0 (not at all confident) - 10 (extremely confident)) and delivering falls prevention care (median 6, IQR 5-8). Whilst a small proportion used falls risk screening tools (29%), most assessed standing balance either as part of an overall mobility or functional assessment or by using a specific balance outcome measure (60%). Time constraints were the most frequently perceived barrier to including falls prevention activities within breast cancer care.
Conclusion: This preliminary study has identified some clear opportunities to optimise clinician confidence and skills to facilitate the uptake of best-practice falls prevention strategies in people with breast cancer.