Journal directory listing - Volume 63 (2018) - Journal of Research in Education Sciences【63(2)】June (Special Issue: Lifelong Learning and Senior Education)

(Special Issue) Effects of Fall Prevention Programs for Older Adults on Fall-Related Injuries: A Systematic Review and Meta-Analysis Author: Su-Fei Huang (Department of Senior Citizen Service,Mackay Junior College of Medicine, Nursing, and Management), Ting-Ting Yang(Wisdom Distribution Service Corporation), Shueh-Fen Chen(Department of Senior Citizen Care Welfare, Ching Kuo Institute of Management and Health), Li-Ting Lu(Department of Health Management for Elderly Society, University of Kang Ning), Jung-Yu Liao(Department of Tourism and Leisure Management, Vanung University)

Vol.&No.:Vol. 63, No.2
Date:June 2018
Pages:163-186
DOI:10.6209/JORIES.201806_63(2).0007

Abstract:
This study aimed to evaluate the effects of fall prevention programs on fall-related injuries, and the characteristics of these programs. The Cochrane Library, Medline, PubMed, PsycARTICLES, PsycINFO, ERIC, AgeLine, CINAHL, and the Psychology and Behavioral Sciences Collection databases were searched for randomized clinical trials on fall-related injuries among older adults from 1996 to 2016. A meta-analysis was performed to calculate the combined effects of fall prevention programs on fall-related injuries. A total of 33 research papers were included in the meta-analysis (68,736 participants). The meta-analysis found that fall prevention programs had a significant effect in preventing fall-related injuries (OR=0.86, 95% CI: 0.75-0.97), but a borderline-significant effect in preventing fractures (OR=0.80, 95% CI: 0.63-1.03). The fall prevention programs had a significant effect on fall-related injuries when both male and female participants were included in the study sample, interventions involved healthcare professionals, more than 20% of the patient population had a history of falling, interventions occurred in the community setting, and multiple interventions were used. Thus, fall prevention programs had a small but significant effect in preventing fall-related injuries but only a borderline effect in preventing fractures. When planning fall prevention programs, future policy makers and clinical workers should consider the different characteristics of older adults to propose appropriate intervention programs.

Keywords:accidental falls, fall prevention, injury, meta-analysis, older adults

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References:
  1. Alexander, B. H., Rivara, F. P., & Wolf, M. E. (1992). The cost and frequency of hospitalization for fall-related injuries in older adults. American Journal of Public Health, 82(7), 1020-1023. doi: 10.2105/AJPH.82.7.1020
  2. Baranzini, F., Diurni, M., Ceccon, F., Poloni, N., Cazzamalli, S., Costantini, C., …Callegari, C. (2009). Fall-related injuries in a nursing home setting: Is polypharmacy a risk factor? BMC Health Services Research, 9(1), 228. doi:10.1186/1472-6963-9-228
  3. Barker, A. L., Morello, R. T., Wolfe, R., Brand, C. A., Haines, T. P., Hill, K. D., ...Kamar, J. (2016). 6-PACK programme to decrease fall injuries in acute hospitals: Cluster randomised controlled trial. BMJ, 352. doi:10.1136/bmj.h6781
  4. Barnett, A., Smith, B., Lord, S. R., Williams, M., & Baumand, A. (2003). Community‐based group exercise improves balance and reduces falls in at‐risk older people: A randomised controlled trial. Age and Ageing, 32(4), 407-414. doi:10.1093/ageing/32.4.407
  5. Becker, C., Kron, M., Lindemann, U., Sturm, E., Eichner, B., Walter‐Jung, B., & Nikolaus, T. (2003). Effectiveness of a multifaceted intervention on falls in nursing home residents. Journal of the American Geriatrics Society, 51(3), 306-313. doi:10.1046/j.1532-5415.2003.51103.x
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APA FormatHuang, S. -F., Yang, T. -T., Chen, S. -F., Lu, L. -T., Liao, J -Y.(2018). Effects of Fall Prevention Programs for Older Adults on Fall-Related Injuries: A Systematic Review and Meta-Analysis. Journal of Research in Education Sciences, 63(2), 163-186. doi: 10.6209/JORIES.201806_63(2).0007