Characteristics and Effectiveness of Fall Prevention Programs in Nursing Homes: A Systematic Review and Meta‐Analysis of Randomized Controlled Trials

Vlaeyen, Ellen; Coussement, Joke; Leysens, Greet; Elst, Elisa Van der; Delbaere, Kim; Cambier, Dirk; Denhaerynck, Kris; Goemaere, Stefan; Wertelaers, Arlette; Dobbels, Fabienne; Dejaeger, Eddy; Milisen, Koen

doi:10.1111/jgs.13254

Cited by 128 publications

(72 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…in older nursing home residents, the only single intervention that has reduced falls is vitamin D supplementation (20). Other interventions have been ineffective or inconsistent for falls although the rate of recurrent falls may be reduced (35). A multifactorial and interprofessional approach, determined by individual assessment of functional, medical, and social concerns, may be a more appropriate strategy to prevent falls in older people at high risk of falling (20,(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)36).…”

Section: Primary and Secondary Prevention Related To Fallsmentioning

confidence: 99%

A comprehensive fracture prevention strategy in older adults: The European union geriatric medicine society (EUGMS) statement

Blain¹,

Masud

Dargent-Molina

et al. 2016

European Geriatric Medicine

View full text Add to dashboard Cite

show abstract

Section: Primary and Secondary Prevention Related To Fallsmentioning

confidence: 99%

A comprehensive fracture prevention strategy in older adults: The European union geriatric medicine society (EUGMS) statement

Blain¹,

Masud

Dargent-Molina

et al. 2016

European Geriatric Medicine

View full text Add to dashboard Cite

show abstract

“…Preventative measures such as exercise, education and vitamin D supplements have been shown to have a non- or inconclusive effect in the residential care facility population (Avenell, Mak, & O’Connell, 2014; Bunn et al, 2014; Cameron et al, 2012). Although a review of complex multifactorial intervention programs has shown a reduction of recurrent fallers (Vlaeyen et al, 2015), there are considerable barriers for implementation outside the highly controlled circumstances of a study (Vlaeyen et al, 2017). As an alternative to active interventions, compliant flooring, defined as a flooring with some level of shock absorbency, has been suggested as a potential method for reducing the risk of fall-injuries among a frail elderly population (Lachance et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

There is more to life than risk avoidance – elderly people’s experiences of falls, fall-injuries and compliant flooring

Gustavsson

Jernbro

Nilson

2018

International Journal of Qualitative Studies on Health and Well

View full text Add to dashboard Cite

Purpose: Falls are the most common cause of injury in all ages and are especially difficult to prevent among residential care residents. Compliant flooring that absorbs energy generated within the fall, has been proposed as a measure to prevent fall-injury, however little is known regarding the implementation aspects in clinical settings. The aim of this study is to explore the experiences of falls, the risk of fall-injury, prevention in general and specifically compliant flooring as an injury preventative measure amongst frail elderly people living in a residential care facility with compliant flooring. Through this, generate a theory that further explains the underlying barriers of active prevention amongst elderly people. Method: We used the grounded theory method and conducted semi-structured in-depth interviews with eight elderly people in residential care (data collected between February and December 2017). Results: The identified categories were Falling as a part of life, Fearing the consequences and A wish to prevent falls and injuries. Through the results it was clear that There is more to life than risk avoidance, permeated the interviews, therefore forming the grounded theory. The interviewees viewed falls as something common and normal, and were uninterested in focusing on the risk of falls. Although they wanted to prevent falls, it was often difficult to integrate preventative measures into their everyday life. They embraced the idea of an injury-reducing compliant flooring, however their main interests lay elsewhere, preferring to focus on social interaction and issues concerning daily activities. Conclusions: The theory generated in this paper proposes explanations on the obstacles of implementing fall prevention measures in an elderly frail population. The findings give insights as to why interest and compliance for active fall prevention measures are low. We conclude that complaint flooring, from the perspective of the residents, can work well in residential care.

show abstract

“…Among the 108 potentially relevant publications, 59 were considered eligible for inclusion and 49 were excluded (Fig 1 and S2 Table). Twenty-eight of the included systematic reviews performed meta-analyses [34–59] and thirty-one systematic reviews reported results of the included studies as a narrative summary [60–91]. Fifty-seven out of 59 reviews used Pubmed to search for primary studies.…”

Section: Resultsmentioning

confidence: 99%

“…The next most frequent interventions fell under Environment in the form of environmental modifications (28 articles) [35, 38–40, 45, 46, 51, 52, 54–59, 63, 68, 70, 73, 74, 77, 78, 80–83, 86, 92], assistive and protective aids (24 reviews) [35, 38–40, 42, 43, 45, 51, 55, 56, 58, 59, 62, 63, 68, 70, 74, 77, 78, 82, 83, 86, 93, 94], staff education (15 SRs) [35, 38, 39, 45, 49, 51, 58, 59, 70, 73, 77, 78, 82, 83, 86] and vision assessment/correction (14 articles) [35, 36, 40, 45, 51, 55–59, 80–82, …”

Section: Resultsmentioning

confidence: 99%

Effectiveness of Non-Pharmacological Interventions to Prevent Falls in Older People: A Systematic Overview. The SENATOR Project ONTOP Series

Rimland¹,

Abraha²,

Dell’Aquila³

et al. 2016

PLoS ONE

View full text Add to dashboard Cite

BackgroundFalls are common events in older people, which cause considerable morbidity and mortality. Non-pharmacological interventions are an important approach to prevent falls. There are a large number of systematic reviews of non-pharmacological interventions, whose evidence needs to be synthesized in order to facilitate evidence-based clinical decision making.ObjectivesTo systematically examine reviews and meta-analyses that evaluated non-pharmacological interventions to prevent falls in older adults in the community, care facilities and hospitals.MethodsWe searched the electronic databases Pubmed, the Cochrane Database of Systematic Reviews, EMBASE, CINAHL, PsycINFO, PEDRO and TRIP from January 2009 to March 2015, for systematic reviews that included at least one comparative study, evaluating any non-pharmacological intervention, to prevent falls amongst older adults. The quality of the reviews was assessed using AMSTAR and ProFaNE taxonomy was used to organize the interventions.ResultsFifty-nine systematic reviews were identified which consisted of single, multiple and multifactorial non-pharmacological interventions to prevent falls in older people. The most frequent ProFaNE defined interventions were exercises either alone or combined with other interventions, followed by environment/assistive technology interventions comprising environmental modifications, assistive and protective aids, staff education and vision assessment/correction. Knowledge was the third principle class of interventions as patient education. Exercise and multifactorial interventions were the most effective treatments to reduce falls in older adults, although not all types of exercise were equally effective in all subjects and in all settings. Effective exercise programs combined balance and strength training. Reviews with a higher AMSTAR score were more likely to contain more primary studies, to be updated and to perform meta-analysis.ConclusionsThe aim of this overview of reviews of non-pharmacological interventions to prevent falls in older people in different settings, is to support clinicians and other healthcare workers with clinical decision-making by providing a comprehensive perspective of findings.

show abstract

Characteristics and Effectiveness of Fall Prevention Programs in Nursing Homes: A Systematic Review and Meta‐Analysis of Randomized Controlled Trials

Abstract: This meta-analysis failed to reveal a significant effect of fall prevention interventions on falls or fallers but, for the first time, showed that fall prevention interventions significantly reduced the number of recurrent fallers by 21%.

Cited by 128 publications

References 44 publications

A comprehensive fracture prevention strategy in older adults: The European union geriatric medicine society (EUGMS) statement

A comprehensive fracture prevention strategy in older adults: The European union geriatric medicine society (EUGMS) statement

There is more to life than risk avoidance – elderly people’s experiences of falls, fall-injuries and compliant flooring

Effectiveness of Non-Pharmacological Interventions to Prevent Falls in Older People: A Systematic Overview. The SENATOR Project ONTOP Series

Contact Info

Product

Resources

About