Reducing Falls among Asian Community-dwelling Older People through Fall Prevention Programs: An Integrative Review

Authors

  • Hai Mai Ba RN, MNS, PhD, Faculty of Nursing, Hue University of Medicine and Pharmacy, Hue University, Hue 49000, Vietnam.
  • Katre Maasalu MD, PhD, Associate Professor, Department of Traumatology and Orthopedics, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia; Clinic of Traumatology and Orthopedics, Tartu University Hospital, Tartu, Estonia.
  • Binh Ho Duy MD, PhD, Faculty of Nursing, Hue University of Medicine and Pharmacy, Hue University, Hue 49000, Vietnam.

Keywords:

Accidental Falls, Physical exercise, Community-dwelling elderly, Asia

Abstract

           Falls among community-dwelling older people is a serious concern globally since they are recognized as a major cause of mortality and an increasing illness burden. This integrative review aimed to gain insight to the characteristics and effectiveness of fall prevention interventions among Asian community-dwelling older people. MEDLINE, CINAHL, Web of Sciences, and Embase databases were used to search for articles published between 2006 and 2020. The research was carried out in English or Vietnamese and combined the following inclusion criteria: fall prevention intervention, community-dwelling elderly, and results concerning fall-related outcomes.
           Thirteen studies from China, Thailand, Japan, and Iran met the inclusion criteria and were included in the study. The characteristics of fall prevention interventions were categorized into five main components: fall risk assessment, medication management, physical exercise, environmental modification, and health education. Overall, the effectiveness of fall prevention intervention significantly reduced fall rates and fall-related outcomes for community-dwelling older people in Asian countries. However, there were differences in intervention types, outcome measures, and time frames. This review emphasizes the importance of combined exercise intervention as an essential component in strengthening motor skills, balancing ability, and increasing physical condition. Future study should be conducted in big databases to avoid missing important studies, and additional research from Asia is essential to prepare for future challenges of reducing falls among the elderly in this area.

References

James SL, Lucchesi LR, Bisignano C, et al. The global burden of falls: global, regional and national estimates of morbidity and mortality from the Global Burden of Disease Study 2017. Inj Prev. 2020;26(Supp1):i3-i11. doi: 10.1136/injuryprev-2019-043286.

WHO. Fall [Internet]. 2021 [cited 2022 July 15]. Available from: https://www.who.int/news-room/fact-sheets/detail/falls

Shyamala T, Wong SF, Andiappan A, et al. Health promotion board–ministry of health clinical practice guidelines: falls prevention among older adults living in the community.SMJ. 2015;56:298-301. doi: 10.11622/smedj.2015073.

Romli MH, Tan MP, Mackenzie L, et al. Falls amongst older people in Southeast Asia: a scoping review. Public Health. 2017;145:96-112. doi: 10.1016/j.puhe. 2016.12.035.

Ha VT, Nguyen TN, Nguyen TX, et al. Prevalence and factors associated with falls among older outpatients. Int J Environ Res Public Health. 2021 Apr 12;18(8):4041.doi: 10.3390/ijerph18084041.

Chen TY, Cruz G, Vu CN, Saito Y. Falls among older adults in the Philippines and Vietnam: results from nationally representative samples. Innov Aging. 2021;5(Supp1):1033.doi: 10.1093/geroni/igab046.3696.

Nguyen CM. Fall in elderly people in Vietnam. 2020. Accessed 2020 Sept 1 (in Vietnamese).

Tricco AC, Thomas SM, Veroniki AA, et al. Comparisons of interventions for preventing falls in older adults: a systematic review and meta-analysis. JAMA. 2017;318(17):1687-99.doi: 10.1001/jama.2017.15006.

National Institute for Health and Care Excellence (UK). Falls: assessment and prevention of falls in older people,Clinical guideline [CG161]. London; 2013.

Pillay J, Riva JJ, Tessier LA, et al. Fall prevention interventions for older community-dwelling adults: systematic reviews on benefits, harms, and patient values and preferences.Syst Rev. 2021;10:18. doi:10.1186/s136 43-020-01572-7.

Ojo EO, Thiamwong L. Effects of nurse-led fall prevention programs for older adults: a systematic review. Pacific Rim Int J Nurs Res. 2022;26(3):417-31.

Hill KD, Suttanon P, Lin SI, et al. What works in falls prevention in Asia: a systematic review and meta-analysis of randomized controlled trials. BMC Geriatr. 2018;18:3. doi: 10.1186/s12877-017-0683-1.

Guirguis-Blake JM, Michael YL, Perdue LA, et al. Interventions to prevent falls in older adults: updated evidence report and systematic review for the US preventive services task force. JAMA. 2018;319:1705-16. doi:10.1001/jama.2017.21962.

Hopewell S, Copsey B, Nicolson P, et al. Multifactorial interventions for preventing falls in older people living in the community: a systematic review and meta-analysis of 41 trials and almost 20 000 participants. Br J Sports Med.2020;54:1340-50. doi: 10.1136/bjsports-2019-

Karuncharernpanit S, Hendricks J, Toye C. Perceptions of exercise for older people living with dementia in Bangkok, Thailand: an exploratory qualitative study. Int J Older People Nurs. 2016;11:166-75. doi: 10.1111/opn.12091.

Jagnoor J, Keay L, Jaswal N, et al. A qualitative study on the perceptions of preventing falls as a health priority among older people in Northern India. Inj Prev. 2014;20:29-34.doi: 10.1136/injuryprev-2012-040707.

Roe B, Howell F, Riniotis K, et al. Older people and falls: health status, quality of life, lifestyle, care networks, prevention and views on service use following a recent fall. J Clin Nurs. 2009;18:2261-72. doi:10.1111/j.1365-2702.2008.02747.x.

Hua F, Yoshida S, Junling G, et al. Falls prevention in older age in Western Pacific Asia region. Medicine, Education; 2007.

Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005;52:546-53. doi: 10.1111/j.1365-2648.2005.03621.x.

Schardt C, Adams MB, Owens T, et al. Utilization of the PICO framework to improve searching PubMed for clinical questions. BMC Med Inform Decis Mak. 2007;7:16. doi:10.1186/1472-6947-7-16.

Lin MR, Hwang HF, Wang YW, et al. Community-based Tai Chi and its effect on injurious falls, balance, gait, and fear of falling in older people. Phys Ther. 2006;86:1189-201.doi: 10.2522/ptj.20040408.

Aberg AC, Halvorsen K, From I, et al. A study protocol for applying user participation and co-learning-lessons learned from the eBalance project. Int J Environ Res Public Health. 2017;14(5):512. doi: 10.3390/ijerph14050512.

Xia QH, Jiang Y, Niu CJ, et al. Effectiveness of a communitybased multifaceted fall-prevention intervention in active and independent older Chinese adults. Inj Prev. 2009;15:248-51. doi: 10.1136/ip.2008.020420.

Leung KS, Li CY, Tse YK, et al. Effects of 18-month low-magnitude high-frequency vibration on fall rate and fracture risks in 710 community elderly—a cluster-randomized controlled trial. Osteoporos Int. 2014;25:1785-95. doi:10.1007/s00198-014-2693-6.

Yeung PY, Chan W, Woo J. A community-based falls management exercise programme (FaME) improves balance, walking speed and reduced fear of falling. Prim Health Care Res Dev. 2015;16:138-46. doi: 10.1017/S1463423614000024.

Ueda T, Higuchi Y, Imaoka M, et al. Tailored education program using home floor plans for falls prevention in discharged older patients: a pilot randomized controlled trial. Arch Gerontol Geriatr. 2017;71:9-13. doi: 10.1016/j.archger.2017.02.010.

Kamei T, Kajii F, Yamamoto Y, et al. Effectiveness of a home hazard modification program for reducing falls in urban community-dwelling older adults: a randomized controlled trial. Jpn J Nurs Sci. 2015;12:184-97. doi:10.1111/jjns.12059.

Otaka Y, Morita M, Mimura T, et al. Establishment of an appropriate fall prevention program: a community-based study. Geriatr Gerontol Int. 2017;17:1081-89. doi:10.1111/ggi.12831.

Inokuchi S, Matsusaka N, Hayashi T, et al. Feasibility and effectiveness of a nurse-led community exercise programme for prevention of falls among frail elderly people: a multi-centre controlled trial. J Rehabil Med. 2007;39:479-85. doi:10.2340/16501977-0080.

Kittipimpanon K, Amnatsatsue K, Kerdmongkol P, et al. Development and evaluation of a community-based fall prevention program for elderly Thais. Pacific Rim Int J Nurs Res. 2012;16:222-35.

Suttanon P, Piriyaprasarth P, Krootnark K, et al. Effectiveness of falls prevention intervention programme in communitydwelling older people in Thailand: randomized controlled trial. Hong Kong Physiother J. 2018;38:1-11. doi: 10.1142/S1013702518500014.

Najafi-Ghezeljeh T, Ghasemifard F, Jafari‑Oori M. The effects of a multicomponent fall prevention intervention on fall prevalence, epression, and balance among nursing home residents. Nurs Midwifery Stud. 2019;8:78‑84.doi: 10.4103/nms.nms_88_17.

Dadgari A, Aizan Hamid T, Hakim MN, et al. Randomized control trials on Otago exercise program (OEP) to reduce falls among elderly community dwellers in shahroud, Iran. Iran Red Crescent Med J. 2016;18:e26340. doi: 10.5812/ircmj.26340.

Sze PC, Cheung WH, Lam PS, et al. The efficacy of a multidisciplinary falls prevention clinic with an extended step-down community program. Arch Phys Med Rehabil.2008;89: 1329-34. doi: 10.1016/j.apmr.2007.11.044.

Hauer K, Lamb SE, Jorstad EC, et al. Systematic review of definitions and methods of measuring falls in randomised controlled fall prevention trials. Age Ageing. 2006;35:5-10.doi: 10.1093/ageing/afi218.

Frieson CW, Tan MP, Ory MG, et al. Evidence-based practices to reduce falls and fall-related injuries among older adults. Frontiers Research Topics. 2018;6:222. doi: 10.3389/fpubh.2018.00222.

Costello E, Edelstein JE. Update on falls prevention for community-dwelling older adults: review of single and multifactorial intervention programs. JRRD. 2008;45(8):1135-52. doi: 10.1682/jrrd.2007.10.0169.

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Published

2022-09-12

How to Cite

1.
Hai Mai Ba, Katre Maasalu, Binh Ho Duy. Reducing Falls among Asian Community-dwelling Older People through Fall Prevention Programs: An Integrative Review. PRIJNR [Internet]. 2022 Sep. 12 [cited 2024 Oct. 6];26(4):658-73. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/259274