Implementing the evidence for preventing falls among community-dwelling older people: A systematic review

Goodwin, Victoria A; Jones-Hughes, Tracey; Thompson‐Coon, Jo; Boddy, Kate; Stein, Ken

doi:10.1016/j.jsr.2011.07.008

Cited by 53 publications

(56 citation statements)

References 30 publications

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“…This is in part supported by other research that suggests that merely viewing nature can reduce stress and anxiety. 35 Other studies also have suggested that physical activity may have a role in slowing cognitive decline 36 and in reducing falls, 37 both of which happen in the garden environment.…”

Section: Discussionmentioning

confidence: 99%

What Is the Impact of Using Outdoor Spaces Such as Gardens on the Physical and Mental Well-Being of Those With Dementia? A Systematic Review of Quantitative and Qualitative Evidence

Whear¹,

Thompson-Coon²,

Bethel³

et al. 2014

Journal of the American Medical Directors Association

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Section: Discussionmentioning

confidence: 99%

What Is the Impact of Using Outdoor Spaces Such as Gardens on the Physical and Mental Well-Being of Those With Dementia? A Systematic Review of Quantitative and Qualitative Evidence

Whear¹,

Thompson-Coon²,

Bethel³

et al. 2014

Journal of the American Medical Directors Association

Self Cite

176

143

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“…We have previously reported a systematic review of studies examining the quantitative evaluation of implementation strategies to reduce falls [15]; however, these study designs are unable to explore factors that influence the effects of implementation strategies. Therefore, the aim of this review is to identify key factors that act as barriers and facilitators to the effective implementation of evidence-based best practice in relation to the prevention of falls among community-dwelling older people.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing the implementation of fall-prevention programmes: a systematic review and synthesis of qualitative studies

et al. 2012

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BackgroundMore than a third of people over the age of 65 years fall each year. Falling can lead to a reduction in quality of life, mortality, and a risk of prolonged hospitalisation. Reducing and preventing falls has become an international health priority. To help understand why research evidence has often not been translated into changes in clinical practice, we undertook a systematic review and synthesis of qualitative research in order to identify what factors serve as barriers and facilitators to the successful implementation of fall-prevention programmes.MethodsWe conducted a review of literature published between 1980 and January 2012 for qualitative research studies that examined barriers and facilitators to the effective implementation of fall-prevention interventions among community-dwelling older people and healthcare professionals. Two reviewers independently screened studies for inclusion, extracted data, and assessed methodological quality according to predefined criteria. Findings were synthesised using meta-ethnography.ResultsOf the 5010 articles identified through database searching, 19 were included in the review. Analysis of the 19 studies revealed limited information about the mechanisms by which barriers to implementation of fall-prevention interventions had been overcome. Data synthesis produced three overarching concepts: (1) practical considerations, (2) adapting for community, and (3) psychosocial. A line of argument synthesis describes the barriers and facilitators to the successful implementation of fall-prevention programmes. These concepts show that the implementation of fall-prevention programmes is complex and multifactorial. This is the first systematic review and synthesis of qualitative studies to examine factors influencing the implementation of fall-prevention programmes from the perspectives of both the healthcare professional and the community-dwelling older person.ConclusionsThe current literature on barriers and facilitators to the implementation of fall-prevention programmes examines a variety of interventions. However, the ways in which the interventions are reported suggests there are substantial methodological challenges that often inhibit implementation into practice. We recommend that successful implementation requires individuals, professionals, and organisations to modify established behaviours, thoughts, and practice. The issues identified through this synthesis need to be fully considered and addressed if fall-prevention programmes are to be successfully implemented into clinical practice.

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“…Indeed, many older people have cognitive impairment and multimorbidities who require intervention despite challenges to uptake and adherence [12,13]. Hence, despite advances in knowledge as to the causes of falls and prevention strategies, a central challenge remains to effectively implement the evidence into practice [14][15][16].…”

Section: Discussionmentioning

confidence: 99%

Older people's participation and engagement in falls prevention interventions: Comparing rates and settings

Nyman

Victor

2014

European Geriatric Medicine

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Implementing the evidence for preventing falls among community-dwelling older people: A systematic review

Cited by 53 publications

References 30 publications

What Is the Impact of Using Outdoor Spaces Such as Gardens on the Physical and Mental Well-Being of Those With Dementia? A Systematic Review of Quantitative and Qualitative Evidence

What Is the Impact of Using Outdoor Spaces Such as Gardens on the Physical and Mental Well-Being of Those With Dementia? A Systematic Review of Quantitative and Qualitative Evidence

Factors influencing the implementation of fall-prevention programmes: a systematic review and synthesis of qualitative studies

Older people's participation and engagement in falls prevention interventions: Comparing rates and settings

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