Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/62552
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dc.contributor.authorLewis, Sharon Ren
dc.contributor.authorMcGarrigle, Lisaen
dc.contributor.authorPritchard, Michael Wen
dc.contributor.authorBosco, Alessandroen
dc.contributor.authorYang, Yangen
dc.contributor.authorGluchowski, Ashleyen
dc.contributor.authorSremanakova, Janaen
dc.contributor.authorBoulton, Elisabeth Ren
dc.contributor.authorGittins, Matthewen
dc.contributor.authorSpinks, Annelieseen
dc.contributor.authorRapp, Kilianen
dc.contributor.authorMacIntyre, Danielen
dc.contributor.authorMcClure, Roderick Jen
dc.contributor.authorTodd, Chrisen
dc.date.accessioned2024-09-05T00:49:40Z-
dc.date.available2024-09-05T00:49:40Z-
dc.date.issued2024-01-05-
dc.identifier.citationCochrane Database of Systematic Reviews, 2024(1), p. 1-78en
dc.identifier.issn1469-493Xen
dc.identifier.urihttps://hdl.handle.net/1959.11/62552-
dc.description.abstract<p><b>Background</b></p> <p>Around one-third of older adults aged 65 years or older who live in the community fall each year. Interventions to prevent falls can be designed to target the whole community, rather than selected individuals. These population-level interventions may be facilitated by different healthcare, social care, and community-level agencies. They aim to tackle the determinants that lead to risk of falling in older people, and include components such as community-wide polices for vitamin D supplementation for older adults, reducing fall hazards in the community or people's homes, or providing public health information or implementation of public health programmes that reduce fall risk (e.g. low-cost or free gym membership for older adults to encourage increased physical activity).</p> <p><b>Objectives</b></p> <p>To review and synthesise the current evidence on the effects of population-based interventions for preventing falls and fall-related injuries in older people. We defined population-based interventions as community-wide initiatives to change the underlying societal, cultural, or environmental conditions increasing the risk of falling.</p> <p><b>Search methods</b></p> <p>We searched CENTRAL, MEDLINE, Embase, three other databases, and two trials registers in December 2020, and conducted a top-up search of CENTRAL, MEDLINE, and Embase in January 2023.</p> <p><b>Selection criteria</b></p> <p>We included randomised controlled trials (RCTs), cluster RCTs, trials with stepped-wedge designs, and controlled non-randomised studies evaluating population-level interventions for preventing falls and fall-related injuries in adults ≥ 60 years of age. Population-based interventions target entire communities. We excluded studies only targeting people at high risk of falling or with specific comorbidities,or residents living in institutionalised settings.</p> <p><b>Data collection and analysis</b></p> <p>We used standard methodological procedures expected by Cochrane, and used GRADE to assess the certainty of the evidence. Weprioritised seven outcomes: rate of falls, number of fallers, number of people experiencing one or more fall-related injuries, number of people experiencing one or more fall-related fracture, number of people requiring hospital admission for one or more falls, adverse events,and economic analysis of interventions. Other outcomes of interest were: number of people experiencing one or more falls requiring medical attention, health-related quality of life, fall-related mortality, and concerns about falling.</p> <p><b>Main results</b></p> <p>We included nine studies: two cluster RCTs and seven non-randomised trials (of which five were controlled before-and-after studies (CBAs),and two were controlled interrupted time series (CITS)). The numbers of older adults in intervention and control regions ranged from 1,200 to 137,000 older residents in seven studies. The other two studies reported only total population size rather than numbers of older adults(67,300 and 172,500 residents). Most studies used hospital record systems to collect outcome data, but three only used questionnaire data in a random sample of residents" one study used both methods of data collection. The studies lasted between 14 months and eight years.</p> <p>We used Prevention of Falls Network Europe (ProFaNE) taxonomy to classify the types of interventions. All studies evaluated multicomponent falls prevention interventions. One study (n = 4542) also included a medication and nutrition intervention. We did not pool data owing to lack of consistency in study designs.</p>en
dc.languageenen
dc.publisherJohn Wiley & Sons Ltden
dc.relation.ispartofCochrane Database of Systematic Reviewsen
dc.titlePopulation-based interventions for preventing falls and fall-related injuries in older peopleen
dc.typeJournal Articleen
dc.identifier.doi10.1002/14651858.CD013789en
local.contributor.firstnameSharon Ren
local.contributor.firstnameLisaen
local.contributor.firstnameMichael Wen
local.contributor.firstnameAlessandroen
local.contributor.firstnameYangen
local.contributor.firstnameAshleyen
local.contributor.firstnameJanaen
local.contributor.firstnameElisabeth Ren
local.contributor.firstnameMatthewen
local.contributor.firstnameAnnelieseen
local.contributor.firstnameKilianen
local.contributor.firstnameDanielen
local.contributor.firstnameRoderick Jen
local.contributor.firstnameChrisen
local.profile.schoolSchool of Rural Medicineen
local.profile.emailrmcclure@une.edu.auen
local.output.categoryC1en
local.record.placeauen
local.record.institutionUniversity of New Englanden
local.publisher.placeUnited Kingdomen
local.identifier.runningnumberCD013789en
local.format.startpage1en
local.format.endpage78en
local.peerreviewedYesen
local.identifier.volume2024en
local.identifier.issue1en
local.contributor.lastnameLewisen
local.contributor.lastnameMcGarrigleen
local.contributor.lastnamePritcharden
local.contributor.lastnameBoscoen
local.contributor.lastnameYangen
local.contributor.lastnameGluchowskien
local.contributor.lastnameSremanakovaen
local.contributor.lastnameBoultonen
local.contributor.lastnameGittinsen
local.contributor.lastnameSpinksen
local.contributor.lastnameRappen
local.contributor.lastnameMacIntyreen
local.contributor.lastnameMcClureen
local.contributor.lastnameTodden
dc.identifier.staffune-id:rmcclureen
local.profile.orcid0000-0002-9067-8282en
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local.identifier.unepublicationidune:1959.11/62552en
dc.identifier.academiclevelAcademicen
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local.title.maintitlePopulation-based interventions for preventing falls and fall-related injuries in older peopleen
local.output.categorydescriptionC1 Refereed Article in a Scholarly Journalen
local.search.authorLewis, Sharon Ren
local.search.authorMcGarrigle, Lisaen
local.search.authorPritchard, Michael Wen
local.search.authorBosco, Alessandroen
local.search.authorYang, Yangen
local.search.authorGluchowski, Ashleyen
local.search.authorSremanakova, Janaen
local.search.authorBoulton, Elisabeth Ren
local.search.authorGittins, Matthewen
local.search.authorSpinks, Annelieseen
local.search.authorRapp, Kilianen
local.search.authorMacIntyre, Danielen
local.search.authorMcClure, Roderick Jen
local.search.authorTodd, Chrisen
local.uneassociationYesen
local.atsiresearchNoen
local.sensitive.culturalNoen
local.year.published2024en
local.fileurl.closedpublishedhttps://rune.une.edu.au/web/retrieve/0d2df9c6-4207-4d5c-9406-7f6ddad0692den
local.subject.for20203505 Human resources and industrial relationsen
local.date.end2024-
local.profile.affiliationtypeExternal Affiliationen
local.profile.affiliationtypeExternal Affiliationen
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local.profile.affiliationtypeExternal Affiliationen
local.profile.affiliationtypeUNE Affiliationen
local.profile.affiliationtypeExternal Affiliationen
local.date.moved2024-09-05en
Appears in Collections:Journal Article
School of Rural Medicine
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