| |
Centre for Policy on Ageing | |
 | |
|
Falls prevention interventions for community-dwelling older persons with cognitive impairment
— a systematic review | | Author(s) | Heidi Winter, Kerrianne Watt, Nancye May Peel |
| Journal title | International Psychogeriatrics, vol 25, no 2, February 2013 |
| Publisher | Cambridge University Press, February 2013 |
| Pages | pp 215-227 |
| Source | journals.cambridge.org/ipg |
| Keywords | Falls ; At risk ; Cognitive impairment ; Living in the community ; Accident prevention ; Literature reviews. |
| Annotation | Globally, falls in older people are a leading cause of injury-related mortality and morbidity. Cognitive impairment is a well-known risk factor for falls in this population group. While there is now a large body of evidence to support effective interventions for falls reduction across care settings, very little is known about interventions in the vulnerable but increasing population of cognitively impaired community-dwelling older people. The aim of this systematic review was to investigate interventions designed to reduce falls in community-dwelling, cognitively impaired older adults. A literature search of databases was conducted to identify original research published in English, which met predefined inclusion and exclusion criteria for effective (non-pharmacological) falls prevention interventions in cognitively impaired community-dwelling people over 65 years of age. Data from the selected papers were extracted into tables and analysed according to study characteristics, measures, results and quality. The review identified 11 studies providing data from 1,928 participants. Interventions included exercise, health assessment and management of risk, multi-component and cognitive behavioural programmes and hip protectors as falls risk reduction strategies. Seven of the selected studies showed an intervention effect in decreasing falls risk, however only two of these showed a significant improvement in physical performance measures specifically in a cognitively impaired group. The diversity of interventions, study designs, populations and quality of the studies which met inclusion criteria resulted in conflicting evidence and inconclusive results for falls prevention interventions in this highly complex population. (JL). |
| Accession Number | CPA-130118208 A |
| Classmark | OLF: CA3: E4: K4: OQ: 64A |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|