Falls prevention in persons with intellectual disabilities: Development, implementation, and process evaluation of a tailored multifactorial fall risk assessment and intervention strategy

Smulders, Ellen; Enkelaar, L.; Schoon, Yvonne; Geurts, Alexander C. H.; Valk, Henny van Schrojenstein Lantman-de; Weerdesteyn, Vivian

doi:10.1016/j.ridd.2013.05.041

Cited by 22 publications

(48 citation statements)

References 40 publications

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“…those with epilepsy (Enkelaar et al, 2013, Smulders et al, 2013. As mentioned earlier, people with LDs and epilepsy can still experience non-seizure falls and be at increased risk of fractures due to side effects of anti-epileptic medication.…”

Section: Developing a Consensusmentioning

confidence: 92%

“…As their life expectancy increases (Hermans and Evenhuis, 2014), more may be prone to falls and fall injuries as they age, just like the wider population. A previous study of 78 older adults with mild to moderate LDs (aged 50 years and over) in the Netherlands found that, in a 12-month period, 46% had experienced at least one fall, of which 76% had resulted in injury (Enkelaar et al., 2013). However, Foran et al.…”

Section: Falls and Ageingmentioning

confidence: 98%

“…It is better to include people with epilepsy in studies but distinguish between non-seizure and seizure falls during data collection and analysis. In terms of measuring poor balance or gait issues, variation in physical outcome measures is also evident (Chiba et al, 2009;Enkelaar et al, 2013;Oppewal et al, 2013), and in two studies the carer's opinion of whether the person they care for/support has poor balance or coordination was the only measure included (Finlayson et al, 2010;Pal et al, 2014).…”

Section: Developing a Consensusmentioning

confidence: 99%

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Fall prevention for people with learning disabilities: key points and recommendations for practitioners and researchers

Finlayson

2018

TLDR

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Purpose The purpose of this paper is to provide a narrative review of what is currently known about the high rates of falls, and fall injuries, which are experienced by people with learning disabilities (LDs) throughout their lives. Design/methodology/approach Narrative review. Current evidence is summarised as key points and recommendations for practitioners and researchers. Findings People with LDs experience similar rates of falls as older adults in the wider population, but throughout their lives, or at an earlier age. Originality/value Key points and recommendations are summarised for practitioners and researchers to promote fall prevention strategies and interventions for people with LDs.

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Section: Developing a Consensusmentioning

confidence: 92%

Section: Falls and Ageingmentioning

confidence: 98%

Section: Developing a Consensusmentioning

confidence: 99%

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Fall prevention for people with learning disabilities: key points and recommendations for practitioners and researchers

Finlayson

2018

TLDR

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“…People with ID are highly likely to benefit from falls prevention services that are designed in a similar way to falls services for older people, 42 with additional tailoring for individual needs. 3 Nine of 22 studies investigating falls among people with ID identified were screened as appropriate to be included the review. It was not possible to pool data from all nine studies to determine the overall prevalence and incidence of falls for adults with ID living in the community because the study populations (age groups, living arrangements) differed, as did the study designs.…”

Section: Meta-analysismentioning

confidence: 99%

“…2 People with ID are particularly vulnerable to falling. [3][4][5] A diagnosis of ID is made when an individual had either an IQ score lower than 75 or limited intellectual and adaptive functioning, [4][5][6][7][8] as per the criteria defined in the American Psychological Society 9…”

Section: Introductionmentioning

confidence: 99%

Incidence and prevalence of falls in adults with intellectual disability living in the community: a systematic review

Bulsara

Downs

et al. 2019

JBI Database of Systematic Reviews and Implementation Reports

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Background Falls among adults with intellectual disability (ID) frequently cause physical injury and may negatively impact on quality of life. Studies investigating falls among people with ID have used differing methods and populations, making it difficult to determine the scope and extent of this problem. Objective To synthesize the best available evidence to determine the incidence and prevalence of falls among adults with ID. Inclusion criteria Types of participants This review considered all studies that included adults with ID aged 18 years and older. Condition The current review considered studies which reported percentage/numbers of individuals who fell, and the total number of falls and injurious falls sustained from a fall. Context Studies were included if they were conducted within community or residential settings. Studies that were conducted in hospitals were excluded. Types of studies Cohort studies, case-control and cross-sectional studies were included. Studies that used an experimental design, both randomized controlled and quasi experimental design were also included. Search Strategy Methods A three-step search strategy was undertaken for published and unpublished literature in English from 1990 to 2017. An initial search of MEDLINE and CINAHL was undertaken before a more extensive search was conducted using keywords and index terms across 11 electronic databases. Methodological Quality Two independent reviewers assessed the methodological quality of the included studies using Joanna Briggs Institute standardized critical appraisal instrument for prevalence studies (Joanna Briggs Institute Critical Appraisal Checklist for Studies Reporting Prevalence Data). Data extraction Data was extracted using the standardized extraction tool from the Joanna Briggs Institute's System of the Unified Management, Assessment and Review Information. Data that directly reported or could be used to calculate the incidence and prevalence of falls were extracted. Data synthesis Quantitative data for the number (proportion) of people who fell were pooled in statistical meta-analysis using STATA version 14. Data measuring incidence of falls (rate of falls for the duration of the study) and incidence of injurious falls (rate of falls resulting in one or more injuries for the duration of the study) could not be pooled in meta-analysis, hence results were presented in a narrative form including tables. Standard GRADE (Grading of Recommendations Assessment, Development and Evaluation) evidence assessment of outcomes is also reported. Results Nine studies were eligible for inclusion in this review. Eight articles were observational cohort studies which reported on the incidence/prevalence of falls as outcome measures, one article was a quasi-experimental study design. Overall the methodological quality of the included studies was considered moderate. The pooled proportion of people with ID who fell (4 studies, 854 participants) was 39% [95% CI (0.35%-0.43%), very low GRADE evidence]. The rate of falls (8 studies, 782 partici...

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Contextual factors related to the execution of knowledge strategies in intellectual disabilities organizations

Kersten

Taminiau

Weggeman

et al. 2022

Knowl Process Manag

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Falls prevention in persons with intellectual disabilities: Development, implementation, and process evaluation of a tailored multifactorial fall risk assessment and intervention strategy

Cited by 22 publications

References 40 publications

Fall prevention for people with learning disabilities: key points and recommendations for practitioners and researchers

Fall prevention for people with learning disabilities: key points and recommendations for practitioners and researchers

Incidence and prevalence of falls in adults with intellectual disability living in the community: a systematic review

Contextual factors related to the execution of knowledge strategies in intellectual disabilities organizations

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