Falls prevention interventions in older adults with cognitive impairment: a systematic review of reviews
Aim: This critical review explores the review material on falls prevention interventions in older adults with a cognitive impairment such as dementia. Method: A critical, systematic, review of review method was used. Five large electronic databases, MEDLINE, EMBASE, AMED, CINAHL, and the Cochran...
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| Format: | Article |
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Mark Allen Healthcare
2015
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| Online Access: | https://eprints.nottingham.ac.uk/40362/ |
| _version_ | 1848796038844907520 |
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| author | Booth, Victoria Logan, Pip Harwood, Rowan H. Hood, Victoria |
| author_facet | Booth, Victoria Logan, Pip Harwood, Rowan H. Hood, Victoria |
| author_sort | Booth, Victoria |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Aim: This critical review explores the review material on falls prevention interventions in older adults with a cognitive impairment such as dementia.
Method: A critical, systematic, review of review method was used. Five large electronic databases, MEDLINE, EMBASE, AMED, CINAHL, and the Cochrane electronic library, were searched. The search terms ‘falls’, ‘rehabilitation’, ‘falls prevention’, ‘interventions’, ‘cognitive impairment’, ‘dementia’, and ‘Alzheimer’s disease’, were used. All available reviews were marked against predetermined inclusion and exclusion criteria.
Results: There were seven reviews which met the inclusion criteria. Only one of the included reviews had a homogenous population of adults with a cognitive impairment. Exercise was the most commonly reported intervention, included in 91 studies and all seven reviews. Multifactorial and multicomponent falls prevention programmes were also frequently reported. Reports of efficacy were inconsistent for all interventions.
Conclusion: Evidence for falls prevention interventions for adults with cognitive impairment is varied and inconclusive. When compared to literature for falls interventions in healthy older adults, both primary and synthesis studies in older adults with cognitive impairment are lacking in quality, number and homogeneity of sample population and interventions. Promising results are emerging but clinical recommendations cannot be made at this time. |
| first_indexed | 2025-11-14T19:41:38Z |
| format | Article |
| id | nottingham-40362 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:41:38Z |
| publishDate | 2015 |
| publisher | Mark Allen Healthcare |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-403622020-05-04T17:11:23Z https://eprints.nottingham.ac.uk/40362/ Falls prevention interventions in older adults with cognitive impairment: a systematic review of reviews Booth, Victoria Logan, Pip Harwood, Rowan H. Hood, Victoria Aim: This critical review explores the review material on falls prevention interventions in older adults with a cognitive impairment such as dementia. Method: A critical, systematic, review of review method was used. Five large electronic databases, MEDLINE, EMBASE, AMED, CINAHL, and the Cochrane electronic library, were searched. The search terms ‘falls’, ‘rehabilitation’, ‘falls prevention’, ‘interventions’, ‘cognitive impairment’, ‘dementia’, and ‘Alzheimer’s disease’, were used. All available reviews were marked against predetermined inclusion and exclusion criteria. Results: There were seven reviews which met the inclusion criteria. Only one of the included reviews had a homogenous population of adults with a cognitive impairment. Exercise was the most commonly reported intervention, included in 91 studies and all seven reviews. Multifactorial and multicomponent falls prevention programmes were also frequently reported. Reports of efficacy were inconsistent for all interventions. Conclusion: Evidence for falls prevention interventions for adults with cognitive impairment is varied and inconclusive. When compared to literature for falls interventions in healthy older adults, both primary and synthesis studies in older adults with cognitive impairment are lacking in quality, number and homogeneity of sample population and interventions. Promising results are emerging but clinical recommendations cannot be made at this time. Mark Allen Healthcare 2015-06-04 Article PeerReviewed Booth, Victoria, Logan, Pip, Harwood, Rowan H. and Hood, Victoria (2015) Falls prevention interventions in older adults with cognitive impairment: a systematic review of reviews. International Journal of Therapy and Rehabilitation, 22 (6). pp. 289-296. ISSN 1759-779X cognitive impairment dementia falls fall interventions critical review http://dx.doi.org/10.12968/ijtr.2015.22.6.289 doi:10.12968/ijtr.2015.22.6.289 doi:10.12968/ijtr.2015.22.6.289 |
| spellingShingle | cognitive impairment dementia falls fall interventions critical review Booth, Victoria Logan, Pip Harwood, Rowan H. Hood, Victoria Falls prevention interventions in older adults with cognitive impairment: a systematic review of reviews |
| title | Falls prevention interventions in older adults with cognitive impairment: a systematic review of reviews |
| title_full | Falls prevention interventions in older adults with cognitive impairment: a systematic review of reviews |
| title_fullStr | Falls prevention interventions in older adults with cognitive impairment: a systematic review of reviews |
| title_full_unstemmed | Falls prevention interventions in older adults with cognitive impairment: a systematic review of reviews |
| title_short | Falls prevention interventions in older adults with cognitive impairment: a systematic review of reviews |
| title_sort | falls prevention interventions in older adults with cognitive impairment: a systematic review of reviews |
| topic | cognitive impairment dementia falls fall interventions critical review |
| url | https://eprints.nottingham.ac.uk/40362/ https://eprints.nottingham.ac.uk/40362/ https://eprints.nottingham.ac.uk/40362/ |