Sharon Elliott1, Natalie E Leland2. 1. Sharon Elliott, DHS, GCG, OTR/L, BCG, FAOTA, is Healthy Aging Specialist, Pitt County Council on Aging, Greenville, NC; sjelliottotr@gmail.com. 2. Natalie E. Leland, PhD, OTR/L, BCG, FAOTA, is Associate Professor, Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA, and Adjunct Faculty, Department of Health Services, Policy, and Practice, Brown University, Providence, RI.
Abstract
OBJECTIVE: Accidental falls among community-dwelling older adults are preventable and increase the risk of morbidity, hospitalization, and institutionalization. We updated and broadened a 2008 systematic review examining the evidence for the effectiveness of fall prevention interventions in improving fall-related outcomes, occupational performance, quality of life, and health care facility readmissions for community-dwelling older adults. METHOD: We searched and analyzed literature published from 2008 to 2015 from five electronic databases. RESULTS: Fifty articles met the inclusion criteria and were critically appraised and synthesized-37 provided Level I; 5, Level II; and 8, Level III evidence. Analysis was organized into four intervention themes: single component, multicomponent, multifactorial, and population based. Mixed evidence was found for single-component and multifactorial interventions, strong evidence was found for multicomponent interventions, and moderate evidence was found for population-based interventions. CONCLUSION: These findings can inform the delivery and integration of fall prevention interventions from acute care to community discharge.
OBJECTIVE: Accidental falls among community-dwelling older adults are preventable and increase the risk of morbidity, hospitalization, and institutionalization. We updated and broadened a 2008 systematic review examining the evidence for the effectiveness of fall prevention interventions in improving fall-related outcomes, occupational performance, quality of life, and health care facility readmissions for community-dwelling older adults. METHOD: We searched and analyzed literature published from 2008 to 2015 from five electronic databases. RESULTS: Fifty articles met the inclusion criteria and were critically appraised and synthesized-37 provided Level I; 5, Level II; and 8, Level III evidence. Analysis was organized into four intervention themes: single component, multicomponent, multifactorial, and population based. Mixed evidence was found for single-component and multifactorial interventions, strong evidence was found for multicomponent interventions, and moderate evidence was found for population-based interventions. CONCLUSION: These findings can inform the delivery and integration of fall prevention interventions from acute care to community discharge.
Authors: María Del Carmen Miranda-Duro; Laura Nieto-Riveiro; Patricia Concheiro-Moscoso; Betania Groba; Thais Pousada; Nereida Canosa; Javier Pereira Journal: Int J Environ Res Public Health Date: 2021-01-15 Impact factor: 3.390