研究背景：目前已發展出多項有效的老人跌倒預防介入策略，然而將實證研究實際應用時，醫師與健康照護專業人員卻面臨老年人跌倒預防行為遵從意願偏低之困境，故本研究針對老年人的跌倒預防知識、態度與社會資源，探討老年人從事跌倒預防行為的相關因素，以釐清可校正的跌倒預防行為影響因素。
研究方法：本研究為橫斷式調查，自2013年5月1日至10月31日於臺灣南部某醫學中心急診收案，針對65歲以上因跌倒至急診就醫之老年人以面訪方式完成結構式問卷。資料處理使用SPSS17.0版統計套裝軟體進行分析。
研究結果：本研究期間內共訪問206位因跌倒至急診就醫的老年人，有三項主要發現：(一)跌倒預防行為的家人支持、過去一年內的跌倒預防行為、跌倒預防行為的態度可有效解釋研究對象在未來一年內採取跌倒預防行為的意圖的49.3%變異量，其中影響效果最強的是跌倒預防行為的家人支持(β=.401，p<.001)、次為過去一年內的跌倒預防行為(β=.265，p<.001)、而跌倒預防行為的態度(β=.164，p<.05)的影響效果最弱；(二)少於二成的研究對象在過去一年內有採取下列跌倒預防行為：跌倒後請西醫師進行醫療評估及必要處置、跌倒後請西醫師檢視藥物、定期視力檢查、居家浴廁裝置扶手或放置防滑墊；(三)少於三成的研究對象在未來一年內同意採取下列跌倒預防行為：跌倒後請西醫師檢視藥物、定期視力檢查、居家浴廁裝置扶手或放置防滑墊。
結論：本研究發現影響跌傷老年人未來一年內採取跌倒預防行為意圖的最重要因素是家人對於跌倒預防行為的支持程度。家人支持的影響效果勝於其他變項，例：跌倒預防知識、過去的跌倒預防行為、老年人對跌倒預防行為的態度等。老年人的家人較不熟悉的跌倒預防策略有：居家浴廁裝置扶手或防滑墊、移除障礙物(如電線、地毯、門檻)、定期檢查老年人視力。醫療照護專業人員未來應警覺並強化家人(及主要照顧者)對跌倒預防策略的認識，提供家屬相關知識和協助，以增進老年人採取跌倒預防行為的意願。

Previous studies reveal that practitioners and health care professionals have been facing reluctant attitudes and low compliance from older people on fall prevention. This research is an in-depth study among older adults’ knowledge, attitudes and family supports on fall prevention in exploring interactions as well as key factors among these determinants and behaviors.
A total of 206 participants, older adults aged 65 and over, who visited the emergency department (ED) of a medical center in southern Taiwan due to fall, were enrolled from May 1 to October 31, 2013, with demographic information, underlying diseases and fall history collected via a questionnaire structured with four (4) facets, knowledge, attitudes, family supports and fall prevention behaviors.
There are three major findings out of this study. Firstly, top three key factors affecting the intention of older adults on fall prevention behaviors are family supports toward fall prevention behaviors, fall prevention behaviors adopt in the past year, and attitude toward fall prevention behaviors. Secondly, less than 20% of older adults conducted fall prevention behaviors in the past year, especially in consulting a physician for medical evaluation or medication reviews after a fall, doing routine eyesight examination, setting non-slip mats or installing rails in the bathroom. Thirdly, when it comes to behavior change, more than 60% of older adults are willing to consult a physician for medical evaluation after a fall, however, changes in other behaviors, such as medication reviews, are miner.

內政部統計處（2013）。內政統計月報─[1戶政、2民政]─1.6-現住人口按五歲年齡組分。2013年1月20日，取自：http://sowf.moi.gov.tw/stat/month/list.htm
行政院（2012）。中華民國建國一百年社會福利政策綱領：邁向公平包容與正義的新社會。2013年3月28日，取自：http://sowf.moi.gov.tw/18/02.htm
行政院經濟建設委員會人力規劃處（2010）。2010年至2060年臺灣人口推計。台北市：行政院經濟建設委員會。
行政院衛生福利部統計處（2013a）。民國101年主要死因分析。2014年2月5日，取自：http://www.mohw.gov.tw/cht/DOS/DisplayStatisticFile.aspx?d=13689&s=1
行政院衛生福利部統計處（2013b）。民國101年死因統計年報。2014年2月5日，取自：http://www.mohw.gov.tw/cht/DOS/DisplayStatisticFile.aspx?d=13718&s=1
行政院衛生署國民健康局（2006）。民國九十二年台灣地區中老年身心社會生活狀況長期追蹤(第五次)調查成果報告。行政院衛生署國民健康局台灣老人研究叢刊系列十。2013年3月27日，取自：http://www.bhp.doh.gov.tw/BHPNet/Web/HealthTopic/TopicArticle.aspx?id=200712270017&parentid=200712270002
行政院衛生署國民健康局（2007a）。臺灣中老年身心社會生活狀況長期追蹤(第六次)調查：96年度過去一年曾跌倒或摔倒之百分比。國民健康指標互動查詢網站。2013年4月22日，取自：https://olap.bhp.doh.gov.tw/search/ShowReport.aspx?mode=5&tarId=388&year=96&com_year=&ftype=SEX07,agelv&fvals=%,%&fpage=0&CityWhere=&CityName=&chart=1&addType=
行政院衛生署國民健康局（2007b）。臺灣中老年身心社會生活狀況長期追蹤(第六次)調查：96年度過去一年跌倒、摔倒者當中有印象導致骨折、骨裂或扭傷、脫臼之百分比。國民健康指標互動查詢網站。2013年4月22日，取自：https://olap.bhp.doh.gov.tw/search/ShowReport.aspx?mode=5&tarId=389&year=96&com_year=&ftype=SEX07,agelv&fvals=%,%&fpage=0&CityWhere=&CityName=&chart=1&addType=
行政院衛生署國民健康局（2008a）。民國96年健康行為危險因子監測系統、民國97年健康行為危險因子監測系統：96年度、97年度過去一年內，曾因事故傷害而看醫生之百分比。國民健康指標互動查詢網站。2013年4月22日，取自：https://olap.bhp.doh.gov.tw/search/ShowReport.aspx?mode=16&tarId=865&year=96&com_year=97&ftype=SEX,AGE&fvals=%,6&fpage=0&CityWhere=&CityName=&chart=1&addType=
行政院衛生署國民健康局（2008b）。民國96年健康行為危險因子監測系統、民國97年健康行為危險因子監測系統：96年度、97年度過去一年因事故傷害就醫者之事故傷害類型分布百分比。國民健康指標互動查詢網站。2013年4月22日，取自：https://olap.bhp.doh.gov.tw/search/ShowReport.aspx?mode=16&tarId=866&year=96&com_year=97&ftype=SEX,AGE&fvals=%,6&fpage=0&CityWhere=&CityName=&chart=1&addType=
行政院衛生署國民健康局（2009a）。98年國民健康訪問暨藥物濫用調查：98年度過去一年曾經跌倒/摔倒之百分比。國民健康指標互動查詢網站。2012年4月22日，取自：https://olap.bhp.doh.gov.tw/search/ShowReport.aspx?mode=1&tarId=850&year=98&com_year=&ftype=SEX,AGE&fvals=%,65/150/10&fpage=0&CityWhere=&CityName=&chart=1&addType=
行政院衛生署國民健康局（2009b）。老人健康促進計畫(2009-2012)。2012年12月23日，取自：http://www.bhp.doh.gov.tw/BHPNet/Web/HealthTopic/TopicArticle.aspx?id=201110210001&parentid=201109300006
吳錦蓉（2010）。急診醫療專業人員對老年人跌倒評估及處置之認知與現況分析。國立成功大學老年學研究所碩士論文，未出版，台南市。
林淑芬（2008）。機構高血壓老人預防跌倒行為之教育診斷─PRECEDE模式的應用。國立臺灣師範大學健康促進與衛生教育學系碩士論文，未出版，台北市。
林莉茹、李蘭、莊莉菁、郭寶貞、白璐（2010）。運用PRECEDE模式評估某社區之事故傷害問題。台灣衛誌，29(4)，314-325。
林夢蕙（2010）。臺北市士林區社區關懷據點老人預防跌倒行為及其相關因素探討。國立臺灣師範大學健康促進與衛生教育學系碩士論文，未出版，台北市。
凃金堂（2009）。教育測驗與評量。台北：三民。
陳仕瑜、林桑伊、陳清惠（2012）。跌倒預防門診病人遵行醫療照護建議之探討。榮總護理，29(1)，1-9。
陳曉容、黃子庭（2002）。老人因跌倒而就醫的健康照護需要及其相關因素之探討：前驅研究。長庚護理，13(1),1-10。
黃少君、陳曾基、周碧瑟（2005）。石牌地區老年人跌倒累積發生率及其相關因素之探討。台灣衛誌，24(2)，136-145。
葉兆斌、周明智、林怡芬、林錦源（2006）。跌倒患者至急診部就醫之臨床分析。中山醫學雜誌，17，169-178。
蔡益堅、葉純志、藍祚運、張文瓊、曾德運（2007）。1999年與2005年台灣地區老人跌倒狀況之比較─2005年國民健康訪問暨藥物濫用調查結果。國民健康訪問調查研究簡訊，9，1-15。
鄭以晨、曾雅梅、簡戊鑑（2011）。台灣2009年65歲以上老人跌墜傷患住院醫療利用及影響因子之探討。台灣老人保健學刊，7(1)，55–71。
Australian Government Department of Health and Ageing. (2010). Don't fall for it, falls can be prevented! A guide to preventing falls for elder people. Australia: Commonwealth of Australia.
Bell, A.J., Talbot-Stern, J.K., & Hennessy, A. (2000). Characteristics and outcomes of older paitients presenting to the emergency department after a fall: a retrospective analysis. The Medical Journal of Australia, 173, 179-182.
Boyd, R., & Stevens, J. (2009). Falls and fear of falling: burden, beliefs and behaviors. Age and Ageing, 38, 423–428.
Bunn, F., Dickinson, A., Barnett-Page, E., Mcinnes, E., & Horton, K. (2008). A systematic review of older people’s perceptions of facilitators and barriers to participation in falls-prevention intervention. Ageing and Society, 28(4), 449-472.
Calhoun, R., Meischke, H., Hammerback, K., Bohl, A., Poe, P., Williams B., & Phelan E.A. (2011). Older adults' perceptions of clinical fall prevention programs: a qualitative study. Journal of Aging Research, 2011, 1-7.
Close, J.C.T., Hooper, R., Glucksman, E., Jackson, S.H.D., & Swift, C.G. (2003). Predictors of falls in a high risk population: results from the prevention of fals in the elderly trial(PROFET). Emergency Medcine Journal, 20, 421-425.
Comans, T.A., Currin M.L., Quinn J., Tippett V., Rogers A., & Haines T.P.. (2013). Problems with a great idea: referral by prehospital rmergency services to a community-based falls-prevention service. Injury Prevention, 19, 134-138.
Fortinsky, R.H., Iannuzzi-Sucich, M., Baker, D.I., Gottschalk, M., King, M.B., Brown, C.J., & Tinetti, M.E. (2004). Fall-risk assessment and management in clinical practice: views from healthcare providers. The American Geriatrics Society, 52, 1522-1526.
Goodwin, V., Jones-Hughed, T., Thompson-Coon, J., Boddy, K., & Stein, K. (2011). Implementing the evidence for preventing falls among community-dwelling older people: A systematic review. Journal of Safety Research, 42, 443-451.
Gillespie, L.D., Robertson, M.C., Gillespie, W.J., Sherrington, C., Gates, S., Clemson, L.M., & Lamb, S.E. (2012). Interventions for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews, 9.
Hendriks, M.R.C., Bleijlevens, M.H.C., Van Haastregt, J.C.M., Crebolder, H.F.J.M., Diederiks, J.P.M., Evers, S.M.A.A., Mulder, W.J., Kempen, G.I.J.M., Van Rossum, E., Ruijgrok, J.M., Stalenhoef, P.A., & Van Eijk, J.T.M. (2008). Lack of effectiveness of a multidisciplinary fall-prevention program in elderly people at risk: a randomized, controlled trial. Journal of the American Geriatrics Society, 56, 1390-1397.
Hill, A., Hoffmann, T., Beer, C., Mcphail, S., Hill, K.D., Oliver, D., Brauer, S.G., & Haines, T.P. (2011). Fall after discharge from hospital: is there a gap between older peoples’ knowledge about fall prevention strategies and the research evidence? The Gerontologist, 51, 653-662.
Horne, M., Speed, S., Skelton, D., & Todd, C. (2009). What do community-dwelling Caucasian and South Asian 60-70 year olds think about exercise for fall prevention? Age and Ageing, 38, 68–73.
Horton, K., & Dickinson, A. (2011). The role of culture and diversity in the prevention of falls among older Chinese people. Canadian Journal on Aging, 30(1), 57-66.
Katz, S., Down, T.D., Cash, H.R., & Grotz, R.C. (1970). Progress in the development of the index of ADL. The Gerontologist, 10(1), 20-30.
Katz, S., Ford, A.B., Moskowitz, R.W., Jackson, B.A., & Jaffe, M.W. (1963). Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial function. The Journal of the American Medical Association, 185(12), 914-919.
Kellogg International Working Group on the Prevention of Falls by the Elderly. (1987). The Prevention of Falls in Later Life. Danish Medical Bulletin, 34, 1–24.
Kwan, M.M.S., Close, J.C.T., Wong, A.K.W., & Lord, S.R. (2011). Fall incidence, risk factors, and consequence in Chinese older people: a systematic review. Journal of the American Geriatrics Society, 59, 536-543.
Lester, P., & Bishop, L.K. (2000). Handbook of tests and measurement in education and the social sciences. Lanham, Maryland: The Scarecrow Press.
Lord, S.R., Sherrington, C., & Menz, H.B. (2001). Falls in older people: Risk factiors and strategies for prevention. Cambridge, UK: Cambridge University Press.
Mercy, J.A., Rosenberg, M.L., Powell, K.E., Broome, C.V., & Roper, W.L. (1993). Public health policy for preventing violence. Health Affairs, 12(4), 7-29.
Mosby Inc. (2012). Mosby's Medical Dictionary. 9th ed. Ed. Marie T. O'Toole. Canada: Elsevier Science Health Science Division, 673.
Noonan, R.K., Sleet, D.A., & Stevens, J.A. (2011). Closing the gap: a research agenda to accelerate the adoption and effective use of proven older adult fall prevention strategies. Journal of Safety Research, 42, 427-430.
Nyman, S.R., & Victor, C.R. (2011). Older people’s recruitment, sustained participation, and adherence to fall prevention interventions in institutional settings: a supplement to Cochrane systematic review. Age and Ageing, 40, 430-436.
Panel on Prevention of Falls in Older Persons, American Geriatrics Society, British Geriatrics Society. (2011). Summary of the updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. Journal of the American Geriatrics Society, 59, 148–157.
Rubenstein, L.Z., & Josephson, K.R. (2006). Falls and their prevention in elderly people: What does the evidence show? The Medical Clinics of North America, 90, 807-824.
Scheffer, A.C., Hensbroek, P.B., Dijk, N., Luitse, J.S.K., Goslings, J.C., Luigies, R.H., & Rooij, S.E. (2013). Risk factors associated with visiting or not visiting the accident & emergency department after a fall. BioMed Central Health Services Research, 13, 286.
Scheffer, A.C., Schuurmans, M.J., Dijk, N.V., Hooft, T.V.D., & Rooij, S.E.D. (2008). Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons. Age and Ageing, 37, 19-24.
Scott, V., Peck, S., & Kendall, P. (2004). Prevention of Falls and Injuries Among the Elderly: A Special Report from the Office of the Provincial Health Officer. Victoria BC: Provincial Health Office, BC Ministry of Health Services.
Sleet, D.A., Moffett D.B., & Stevens J. (2008). CDC's research portfolio in older adult fall prevention: A review of progress, 1985-2005, and future research directions. Journal of Safety Research, 39, 259-267.
Snooks, H.A., Halter, M., Close, J.C.T., Cheung, W.Y., Moore, F., & Roberts, S.E. (2006). Emergency care of older people who fall: a missed oppurtunity. Quality and Safety in Health Care, 15, 390-392.
Stevens, J.A., Baldwin, G.T., Ballesteros, M.F., Noonan, R.K., & Sleet, D.A. (2010). An older adult falls research agenda from a pblic halth perspective. Clinics in Geriatric Medicine, 26, 767-779.
Stevens, J.A., Noonan, R.K., & Rubenstein, L.Z. (2010). Older adult fall prevention: perceptions, beliefs and behaviors. American Journal of Lifestyle Medicine, 4, 16-20.
Van Nieuwenhuizen, R.C., Van Dijk, N., Van Breda, F.G., Scheffer, A.C., Korevaar, J.C., Van Der Cammen, T.J., Lips, P., Goslings, J.C., & De Rooij, S.E. (2010). Assessing the prevalence of modifiable risk factors in older patients visiting an ED due to a fall using the CAREFALL Triage Instrument. American Journal of Emergency Medicine, 28, 994-1001.
World Health Organization. (2002). Active Ageing: A Policy Framework. Geneva, Switzerland: World Health Organization.
World Health Organization. (2007). Global report on falls prevention in older age. Geneva, Switzerland: World Health Organization.
World Health Organization Regional Office for Europe. (2012). Strategy and action plan for healthy ageing in Europe, 2012-2020. Denmark: World Health Organization Regional Office for Europe.
Yardley, L., Bishop, F.L., Beyer, N., Hauer, K., Kempen, G.I.J.M., Piot-Ziegler, C., Todd, C.J., Cuttelod, T., Horne, M., Lanta, K., & Holt, A.R. (2006). Older people’s views of fall-prevention interventions in six European countries. The Gerontologist, 46(5), 650-660.
Yardley, L., Donovan-Hall, M., Francis, K., & Todd, C. (2006). Older people's views of advice about falls prevention: a qualitative study. Health Education Research, 21, 4, 508-517.
Yardley, L., Donovan-Hall, M., Francis, K., & Todd, C. (2007). Attitudes and beliefs that predict older people's intention to undertake strength and balence training. Journal of Gerontology: PSYCHOLOGICAL SCIENCES, 62B, 2, 119-125.
Yardley, L., Kirby, S., Ben-Shlomo, Y., Gilbert, R., Whitehead, S., & Todd, C. (2008). How likely are older people to take up different falls prevention activities? Preventive Medicine, 47, 554-558.
Yeung, P., Woo, J., Yim, V.W., & Rainer, T.H. (2009). Heterogeneity of health profiles of older people presenting to an accident and emergenct department with a fall. International Journal of Gerontology, 3(3), 156-162.