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The effects of fall prevention trials on depressive symptoms and fear of falling among the aged
 — a systematic review
Author(s)N Sjösten, S Vaapio, S-L Kivelä
Journal titleAging & Mental Health, vol 12, no 1, January 2008
PublisherTaylor & Francis, January 2008
Pagespp 30-46
Sourcehttp://www.tandfonline.com
KeywordsFalls ; Preventative medicine ; Depression ; Clinical surveys ; Literature reviews.
AnnotationThis systematic review aims to explore whether depressive symptoms and fear of falling have been used as outcome measures in fall prevention trials; and to determine the effects of fall prevention trials on these variables in older people. A literature search covering various medical databases was conducted to identify randomised controlled trials regarding the effects of fall prevention programmes on depressive symptoms and fear of falling in older people. Studies were classified according to the intervention method (single or multifactorial) and study results (positive/negative) regarding depressive symptoms and fear of falling. Methodological quality was assessed in relation to blinding at outcome assessment, follow-up, and whether intention-to-treat analysis was used. Depressive symptoms were used a an outcome measure in eight and fear of falling in 21 studies. A multifactorial approach seems the most effective method in reducing fear of falling, while some single methods such as T'ai Chi also seem beneficial. Little evidence was found relating to the effects of fall prevention trials on depressive symptoms. Fear of falling may be reduced by fall prevention programmes. More studies assessing the effects on depressive symptoms - especially among depressed older people - are needed. (RH).
Accession NumberCPA-080409206 A
ClassmarkOLF: LK2: ENR: 3G: 64A

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