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Interventions to Reduce Fear of Falling in Community‐Living Older People: A Systematic Review
Author(s) -
Zijlstra G. A. Rixt,
Van Haastregt Jolanda C. M.,
Van Rossum Erik,
Van Eijk Jacques Th. M.,
Yardley Lucy,
Kempen Gertrudis I. J. M.
Publication year - 2007
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.2007.01148.x
Subject(s) - psychological intervention , fear of falling , medicine , psycinfo , fall prevention , randomized controlled trial , gerontology , intervention (counseling) , falling (accident) , medline , systematic review , poison control , suicide prevention , physical therapy , psychiatry , environmental health , surgery , political science , law
The objective was to assess which interventions effectively reduce fear of falling in community‐living older people. An extensive search for relevant literature comprised a database search of PubMed, EMBASE, PsycINFO, and the Cochrane Central Register of Controlled Trials; expert consultation; and manually searching reference lists from potentially relevant papers. Randomized, controlled trials that assessed fear of falling in community‐living older people were included. Two independent reviewers extracted data from full papers on study characteristics, methodological quality, outcomes, and process characteristics of the intervention. The search identified 599 abstracts, and 19 papers met the inclusion criteria. Seven of those papers were identified using expert consultation. Fifty‐five percent of all validity items and 39% of process characteristic items were fulfilled across the 19 trials. Twelve of the 19 papers were of higher methodological quality. In 11 of these trials, fear of falling was lower in the intervention group than in the control group. Interventions that showed effectiveness were fall‐related multifactorial programs (n=5), tai chi interventions (n=3), exercise interventions (n=2), and a hip protector intervention (n=1). Three of these interventions explicitly aimed to reduce fear of falling. Several interventions, including interventions not explicitly aimed at fear of falling, resulted in a reduction of fear of falling in community‐living older people. Limited but fairly consistent findings in trials of higher methodological quality showed that home‐based exercise and fall‐related multifactorial programs and community‐based tai chi delivered in group format have been effective in reducing fear of falling in community‐living older people.