Dataset Information

Environmental and behavioural interventions for reducing physical activity limitation and preventing falls in older people with visual impairment.

ABSTRACT:

SUBMITTER: E JY

PROVIDER: S-EPMC8095028 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature

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Environmental and behavioural interventions for reducing physical activity limitation and preventing falls in older people with visual impairment.

E Jian-Yu JY Li Tianjing T McInally Lianne L Thomson Katie K Shahani Uma U Gray Lyle L Howe Tracey E TE Skelton Dawn A DA

The Cochrane database of systematic reviews 20200903

<h4>Background</h4>Impairment of vision is associated with a decrease in activities of daily living. Avoidance of physical activity in older adults with visual impairment can lead to functional decline and is an important risk factor for falls. The rate of falls and fractures is higher in older people with visual impairment than in age-matched visually normal older people. Possible interventions to reduce activity restriction and prevent falls include environmental and behavioral interventions.< ...[more]

PMID: 32885841

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Project description:BackgroundLimited attention has been paid in the literature to multiple component fall prevention interventions that comprise two or more fixed combinations of fall prevention interventions that are not individually tailored following a risk assessment. The study objective was to determine the effect of multiple component interventions on fall rates, number of fallers and fall-related injuries among older people and to establish effect sizes of particular intervention combinations.MethodsMedline, EMBASE, CINAHL, PsychInfo, Cochrane, AMED, UK Clinical Research Network Study Portfolio, Current Controlled Trials register and Australian and New Zealand Clinical Trials register were systematically searched to August 2013 for randomised controlled trials targeting those aged 60 years and older with any medical condition or in any setting that compared multiple component interventions with no intervention, placebo or usual clinical care on the outcomes reported falls, number that fall or fall-related injuries. Included studies were appraised using the Cochrane risk of bias tool. Estimates of fall rate ratio and risk ratio were pooled across studies using random effects meta-analysis. Data synthesis took place in 2013.ResultsEighteen papers reporting 17 trials were included (5034 participants). There was a reduction in the number of people that fell (pooled risk ratio = 0.85, 95% confidence interval (95% CI) 0.80 to 0.91) and the fall rate (pooled rate ratio = 0.80, 95% CI 0.72 to 0.89) in favour of multiple component interventions when compared with controls. There was a small amount of statistical heterogeneity (I(2) =20%) across studies for fall rate and no heterogeneity across studies examining number of people that fell.ConclusionsThis systematic review and meta-analysis of randomised controlled trials found evidence that multiple component interventions that are not tailored to individually assessed risk factors are effective at reducing both the number of people that fall and the fall rate. This approach should be considered as a service delivery option.

Dataset Information

Environmental and behavioural interventions for reducing physical activity limitation and preventing falls in older people with visual impairment.

Publications

Environmental and behavioural interventions for reducing physical activity limitation and preventing falls in older people with visual impairment.

Similar Datasets

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