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Environmental interventions to prevent falls in community-dwelling older people: a meta-analysis of randomized trials

Environmental interventions to prevent falls in community-dwelling older people: a meta-analysis of randomized trials
Environmental interventions to prevent falls in community-dwelling older people: a meta-analysis of randomized trials
Objective. This study seeks to determine the efficacy of environmental interventions in reducing falls in community-dwelling older people.

Method. A systematic review and meta-analysis of randomized trials was performed.

Results. Pooled analysis of six trials (N = 3,298) demonstrated a 21% reduction in falls risk (relative risk [RR] = 0.79; 0.65 to 0.97). Heterogeneity was attributable to the large treatment effect of one trial. Analysis of a subgroup of studies with participants at high risk of falls (four trials, n = 570) demonstrated a clinically significant 39% reduction of falls (RR = 0.61; 0.47 to 0.79), an absolute risk difference of 26% for a number needed to treat four people.

Discussion. Home assessment interventions that are comprehensive, are well focused, and incorporate an environmental-fit perspective with adequate follow-up can be successful in reducing falls with significant effects. The highest effects are associated with interventions that are conducted with high-risk groups.
accidental falls, home visits, home assessment, occupational therapy, systematic review
0898-2643
954-971
Clemson, Lindy
e1e15505-0e42-4b91-92f3-43cc46733827
Mackenzie, Lynette
a70541e7-ca82-4457-a89a-6c5e2cef0a12
Ballinger, Claire
1495742c-90aa-4074-920e-95e6cc3d5380
Close, Jacqueline C.T.
1662cf19-9c0c-48db-bb9c-500830096fc8
Cumming, Robert G.
e076bc42-b9d6-458a-9a89-2756a2357254
Clemson, Lindy
e1e15505-0e42-4b91-92f3-43cc46733827
Mackenzie, Lynette
a70541e7-ca82-4457-a89a-6c5e2cef0a12
Ballinger, Claire
1495742c-90aa-4074-920e-95e6cc3d5380
Close, Jacqueline C.T.
1662cf19-9c0c-48db-bb9c-500830096fc8
Cumming, Robert G.
e076bc42-b9d6-458a-9a89-2756a2357254

Clemson, Lindy, Mackenzie, Lynette, Ballinger, Claire, Close, Jacqueline C.T. and Cumming, Robert G. (2008) Environmental interventions to prevent falls in community-dwelling older people: a meta-analysis of randomized trials. Journal of Aging and Health, 20 (8), 954-971. (doi:10.1177/0898264308324672). (PMID:18815408)

Record type: Article

Abstract

Objective. This study seeks to determine the efficacy of environmental interventions in reducing falls in community-dwelling older people.

Method. A systematic review and meta-analysis of randomized trials was performed.

Results. Pooled analysis of six trials (N = 3,298) demonstrated a 21% reduction in falls risk (relative risk [RR] = 0.79; 0.65 to 0.97). Heterogeneity was attributable to the large treatment effect of one trial. Analysis of a subgroup of studies with participants at high risk of falls (four trials, n = 570) demonstrated a clinically significant 39% reduction of falls (RR = 0.61; 0.47 to 0.79), an absolute risk difference of 26% for a number needed to treat four people.

Discussion. Home assessment interventions that are comprehensive, are well focused, and incorporate an environmental-fit perspective with adequate follow-up can be successful in reducing falls with significant effects. The highest effects are associated with interventions that are conducted with high-risk groups.

Full text not available from this repository.

More information

e-pub ahead of print date: 24 September 2008
Published date: December 2008
Keywords: accidental falls, home visits, home assessment, occupational therapy, systematic review
Organisations: Primary Care & Population Sciences

Identifiers

Local EPrints ID: 350528
URI: https://eprints.soton.ac.uk/id/eprint/350528
ISSN: 0898-2643
PURE UUID: 48436c10-f13e-49e6-9f71-50109e0b0c70

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Date deposited: 26 Mar 2013 12:02
Last modified: 16 Jul 2019 21:39

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Contributors

Author: Lindy Clemson
Author: Lynette Mackenzie
Author: Claire Ballinger
Author: Jacqueline C.T. Close
Author: Robert G. Cumming

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