Claudia Meyer1, Sophie Hill2, Briony Dow3, Anneliese Synnot2, Keith Hill4. 1. Centre for Health Communication and Participation, Australian Institute for Primary Care & Ageing, La Trobe University, Bundoora, Victoria 3086, Australia. National Ageing Research Institute, Royal Melbourne Hospital, PO Box 2127, Victoria 3050, Australia. c.meyer@nari.unimelb.edu.au. 2. Centre for Health Communication and Participation, Australian Institute for Primary Care & Ageing, La Trobe University, Bundoora, Victoria 3086, Australia. 3. National Ageing Research Institute, Royal Melbourne Hospital, PO Box 2127, Victoria 3050, Australia. 4. School of Physiotherapy, Curtin University, Perth, Western Australia 6845, Australia.
Abstract
PURPOSE OF THE STUDY: Falls prevention evidence is strong, but little is known about uptake of strategies for people living with dementia (PLWD). This mixed-method systematic review aimed to integrate evidence of falls prevention efficacy with views/experiences of PLWD. DESIGN AND METHODS: Eight electronic databases were searched. Inclusion criteria included quantitative or qualitative studies examining knowledge translation of falls prevention strategies in community-dwelling PLWD and/or their caregiver. Study quality was assessed, and findings are narratively described. RESULTS: Six quantitative and five qualitative studies were included. Study quality was mixed. Quantitative studies showed limited evidence of effectiveness on reduction in falls risk, falls and hospitalization rates, nursing home admission, decline in activities of daily living, and adherence to strategies. Qualitative themes showed inclusion of caregiver and health professionals as key to program success, but many factors influence participation. IMPLICATIONS: Synthesizing the findings generated a new understanding of falls prevention for this high-risk group. A focus upon health professional and caregiver involvement and accommodation of individual preferences may result in increased engagement with falls prevention strategies.
PURPOSE OF THE STUDY: Falls prevention evidence is strong, but little is known about uptake of strategies for people living with dementia (PLWD). This mixed-method systematic review aimed to integrate evidence of falls prevention efficacy with views/experiences of PLWD. DESIGN AND METHODS: Eight electronic databases were searched. Inclusion criteria included quantitative or qualitative studies examining knowledge translation of falls prevention strategies in community-dwelling PLWD and/or their caregiver. Study quality was assessed, and findings are narratively described. RESULTS: Six quantitative and five qualitative studies were included. Study quality was mixed. Quantitative studies showed limited evidence of effectiveness on reduction in falls risk, falls and hospitalization rates, nursing home admission, decline in activities of daily living, and adherence to strategies. Qualitative themes showed inclusion of caregiver and health professionals as key to program success, but many factors influence participation. IMPLICATIONS: Synthesizing the findings generated a new understanding of falls prevention for this high-risk group. A focus upon health professional and caregiver involvement and accommodation of individual preferences may result in increased engagement with falls prevention strategies.
Authors: Elissa Burton; Vinicius Cavalheri; Richard Adams; Colleen Oakley Browne; Petra Bovery-Spencer; Audra M Fenton; Bruce W Campbell; Keith D Hill Journal: Clin Interv Aging Date: 2015-02-09 Impact factor: 4.458
Authors: Tamsin Peach; Kristian Pollock; Veronika van der Wardt; Roshan das Nair; Pip Logan; Rowan H Harwood Journal: PLoS One Date: 2017-05-19 Impact factor: 3.240