Fall prevention education to reduce fall risk among community‐dwelling older persons: A systematic review

Ong, Mei Fong; Soh, Kim Lam; Saimon, Rosalia; Wai, Myint Wai; Mortell, Manfred

doi:10.1111/jonm.13434

Cited by 30 publications

(16 citation statements)

References 32 publications

(120 reference statements)

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“…Many older individuals who live in urban neighbourhoods are still unaware of their odds of falling or deny their fall risk [ 15 , 16 ]. However, initiation of awareness must begin with education [ 17 ]. It will raise the awareness and enrich the knowledge of older adults in recognising their fall threats so that fall incidence is reduced and early prevention achieved [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Development of the Home-Based Fall Prevention Knowledge (HFPK) questionnaire to assess home-based fall prevention knowledge levels among older adults in China

Yang

Yao

et al. 2022

BMC Public Health

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Background Falls are one of the main reasons for mortality and morbidity in older adults. However, despite adoption of prevention strategies, the number of falls in older adults has not declined. This study aimed to develop a questionnaire to assess fall prevention knowledge and explore associated factors among Chinese community-dwelling older adults. Methods The Home-Based Fall Prevention Knowledge (HFPK) questionnaire was developed by Delphi expert consultation. We tested the internal consistency, reliability, and content validity of the HFPK. A total of 374 community-dwelling older adults participated in this study. The HFPK was used to assess their fall prevention knowledge. Results After being evaluated by 15 experts, the item content validity index ranged from 0.867 to 1, and the scale content validity index was 0.985, which met the criterion for content validity. Cronbach’s α coefficient was 0.933, which satisfied the reliability criterion. Stepwise linear regression analysis showed that fall prevention knowledge was significantly associated with having higher education, being female, having a higher monthly income, people who were public officials before retirement, and having fewer children (p < 0.05). Conclusion Fall prevention knowledge should be improved among older males and those with lower education, lower monthly income, people who were not public officials before retirement, and more children.

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Section: Introductionmentioning

confidence: 99%

Development of the Home-Based Fall Prevention Knowledge (HFPK) questionnaire to assess home-based fall prevention knowledge levels among older adults in China

Yang

Yao

et al. 2022

BMC Public Health

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“…Assessment of the risk of falling and providing preventive measures for the elderly that have been implemented in the community and the clinic increase the positive impact on the elderly or patients by reducing the incidence of elderly falls, which are a cause of morbidity and mortality 13 . In addition, providing prevention in the form of fall risk education conducted in the community can increase awareness of fall risk among the elderly, both changes in behavior and knowledge to improve quality of life 14 .…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Tandem Walks on Reducing the Risk of Falling in the Elderly: A Case Report

Hayati

Pramukti

Setiawan

2023

JHSP

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Objective: This case report aims to determine the effectiveness of tandem walking interventions in the elderly with a diagnosis of fall risk in the community. Methods: This case uses a case report involving one elderly person in a community with a high risk of falling category. The tandem walking intervention was carried out for ten days at least once a day, and a Tinetti Gait and Balance test was carried out to see the fall risk category before and after the tandem walking intervention was given. Results: After being given the tandem walking nursing intervention for ten days, although there was no change in the fall risk category, there was a decrease in the Tinetti Gait and Balance score compared to before the intervention. In addition, the elderly said that after doing tandem walking, their walk was more balanced, and they did not need assistance when walking by holding the wall around it like before. Conclusion: The results of this case report only involved one elderly, but the interventions provided can reduce this bias because they can reduce the risk score of falling Thus, case report can be used as an initial study for further research related to modification of tandem roads in the context of the elderly population in a larger sample with a true experiment design.

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“…This study was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) and Meta-analysis of Observational Studies in Epidemiology (MOOSE) reporting guidelines ( 18 , 19 ) (checklists presented in the Supplement ). This systematic review and meta-analysis were registered at International Prospective Register of Systematic Reviews (CRD42020155802).…”

Section: Methodsmentioning

confidence: 99%

Comparison of neoadjuvant immunotherapy versus routine neoadjuvant therapy for patients with locally advanced esophageal cancer: A systematic review and meta-analysis

et al. 2023

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BackgroundThe neoadjuvant use of immune checkpoint inhibitor combined with chemotherapy (nICT) or chemoradiotherapy (nICRT) in locally advanced esophageal cancer (EC) is currently an area of active ongoing research. Therefore, we carried out a comprehensive meta-analysis to compare the efficacy and safety of the new strategy with routine neoadjuvant strategy, which included neoadjuvant chemotherapy (nCT) and neoadjuvant chemoradiotherapy (nCRT).Patients and methodsMEDLINE (via PubMed), Embase (via OVID), ISI Web of Science database and Cochrane Library were included. And, all of them were searched for eligible studies between January, 2000 and February, 2023. The pathological complete response (pCR) and major pathological response (MPR) were primary outcome of our study. The second outcome of interest was R0 resection rate. Odds ratio (OR) and associated 95% CI were used as the effect indicators comparing the safety and efficiency of the neoadjuvant immunotherapy with the routine neoadjuvant therapy. Fixed-effect model (Inverse Variance) or random-effect model (Mantel-Haenszel method) was performed depending on the statistically heterogeneity.ResultsThere were eight trials with 652 patients were included in our meta-analysis. The estimated pCR rate was higher in the neoadjuvant immunotherapy group (OR =1.86; 95% CI, 1.25–2.75; I2 = 32.8%, P=0.166). The different results were found in the esophageal squamous cell carcinoma (ESCC) and esophageal adenocarcinoma (EAC) subgroups, the estimated OR was 2.35 (95%CI, 1.00–2.72; I2 = 30.9%, P=0.215) in the EAC subgroup, and 2.35 (95% CI, 1.20–4.54; I2 = 45.3%, P=0.161) in the ESCC subgroup, respectively. The neoadjuvant immunotherapy also showed the advantage in the MPR rates (OR =2.66; 95% CI, 1.69–4.19; I2 = 24.3%, P=0.252). There was no obvious difference between the neoadjuvant immunotherapy and routine neoadjuvant therapy with respect to surgical resection rate, R0 resection rate, surgical delay rate; while more treatment-related adverse events were observed for the neoadjuvant immunotherapy for pneumonitis/pneumonia (OR=3.46, 95% CI, 1.31–9.16; I2 = 67.3%, P=0.005) and thyroid dysfunction (OR=4.69, 95% CI, 1.53–14.36; I2 = 56.5%, P=0.032).ConclusionThe pooled correlations indicated that the neoadjuvant immunotherapy (both nICT and nICRT) could significantly increase the rates of pCR and MPR, compared with routine neoadjuvant therapy (both nCT and nCRT) in the treatment of locally advanced EC. The neoadjuvant immunotherapy and routine neoadjuvant therapy were with acceptable toxicity. However, randomized studies with larger groups of patients need to performed to confirm these results.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/, identifier CRD42020155802.

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Fall prevention education to reduce fall risk among community‐dwelling older persons: A systematic review

Cited by 30 publications

References 32 publications

Development of the Home-Based Fall Prevention Knowledge (HFPK) questionnaire to assess home-based fall prevention knowledge levels among older adults in China

Development of the Home-Based Fall Prevention Knowledge (HFPK) questionnaire to assess home-based fall prevention knowledge levels among older adults in China

The Effectiveness of Tandem Walks on Reducing the Risk of Falling in the Elderly: A Case Report

Comparison of neoadjuvant immunotherapy versus routine neoadjuvant therapy for patients with locally advanced esophageal cancer: A systematic review and meta-analysis

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