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Disentangling interventions to reduce fear of falling in community-dwelling older people: a systematic review and meta-analysis of intervention components

Kruisbrink, Marlot; Crutzen, Rik; Kempen, Gertrudis I.J.M.; Delbaere, Kim; Ambergend, Ton; Cheung, Kei-Long; Kendrick, Denise; Iliffe, Steve; Zijlstra, G.A. Rixt

Authors

Marlot Kruisbrink

Rik Crutzen

Gertrudis I.J.M. Kempen

Kim Delbaere

Ton Ambergend

Kei-Long Cheung

DENISE KENDRICK denise.kendrick@nottingham.ac.uk
Professor of Primary Care Research

Steve Iliffe

G.A. Rixt Zijlstra



Abstract

Purpose: Fear of falling (FoF) is a common and debilitating problem for older people. Most multicomponent interventions show only moderate effects. Exploring the effective components may help in the optimization of treatments for FoF.

Materials and methods: In a systematic review of five scientific literature databases, we identified randomized controlled trials with older community-dwelling people that included FoF as an outcome. There was no restriction on types of interventions. Two reviewers extracted information about outcomes and content of interventions. Intervention content was coded with a coding scheme of 68 intervention components. We compared all studies with a component to those without using univariate meta-regressions.

Results: Sixty-six studies, reporting on 85 interventions, were included in the systematic review. In the meta-regressions (n=49), few components were associated with intervention effects at the first available follow up after the intervention, but interventions with meditation, holistic exercises (such as Tai Chi or Pilates) or body awareness were significantly more effective than interventions without these components. Interventions with self-monitoring, balance exercises, tailoring were less effective compared to those without these components.

Conclusions: The identified components may be important for the design and optimization of treatments to reduce FoF.

Citation

Kruisbrink, M., Crutzen, R., Kempen, G. I., Delbaere, K., Ambergend, T., Cheung, K., …Zijlstra, G. R. (2021). Disentangling interventions to reduce fear of falling in community-dwelling older people: a systematic review and meta-analysis of intervention components. Disability and Rehabilitation, https://doi.org/10.1080/09638288.2021.1969452

Journal Article Type Article
Acceptance Date Aug 13, 2021
Online Publication Date Sep 11, 2021
Publication Date Sep 11, 2021
Deposit Date Aug 23, 2021
Publicly Available Date Sep 12, 2022
Journal Disability and Rehabilitation
Electronic ISSN 1464-5165
Publisher Taylor & Francis Open
Peer Reviewed Peer Reviewed
DOI https://doi.org/10.1080/09638288.2021.1969452
Keywords meta-analysis, systematic review, fear of falling, falls efficacy, aged, accidental falls
Public URL https://nottingham-repository.worktribe.com/output/6088184
Publisher URL https://www.tandfonline.com/doi/full/10.1080/09638288.2021.1969452

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