Effectiveness of non-pharmacological interventions to prevent falls in older people: a systematic overview. The SENATOR Project ONTOP Series

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dc.contributor.author Rimland, Joseph M.
dc.contributor.author Abraha, Iosief
dc.contributor.author Dell’Aquila, Giuseppina
dc.contributor.author Cruz-Jentoft, Alfonso
dc.contributor.author Soiza, Roy
dc.contributor.author Gudmundsson, Adalsteinn
dc.contributor.author Petrovic, Mirko
dc.contributor.author O'Mahony, Denis
dc.contributor.author Todd, Chris
dc.contributor.author Cherubini, Antonio
dc.date.accessioned 2016-11-18T10:00:02Z
dc.date.available 2016-11-18T10:00:02Z
dc.date.issued 2016-08-25
dc.identifier.citation Rimland, J.M., Abraha, I., Dell’Aquila, G., Cruz-Jentoft, A., Soiza, R., Gudmundsson, A., Petrovic, M., O'Mahony, D., Todd, C. and Cherubini, A. (2016) ‘Effectiveness of non-pharmacological interventions to prevent falls in older people: a systematic overview. The SENATOR Project ONTOP Series’, PLoS ONE, 11(8), e0161579 (29pp). doi:10.1371/journal.pone.0161579 en
dc.identifier.volume 11 en
dc.identifier.issued 8 en
dc.identifier.startpage 1 en
dc.identifier.endpage 29 en
dc.identifier.issn 1932-6203
dc.identifier.uri http://hdl.handle.net/10468/3288
dc.identifier.doi 10.1371/journal. pone.0161579
dc.description.abstract Background: Falls are common events in older people, which cause considerable morbidity and mortality. Non-pharmacological interventions are an important approach to prevent falls. There are a large number of systematic reviews of non-pharmacological interventions, whose evidence needs to be synthesized in order to facilitate evidence-based clinical decision making. Objectives: To systematically examine reviews and meta-analyses that evaluated non-pharmacological interventions to prevent falls in older adults in the community, care facilities and hospitals. Methods: We searched the electronic databases Pubmed, the Cochrane Database of Systematic Reviews, EMBASE, CINAHL, PsycINFO, PEDRO and TRIP from January 2009 to March 2015, for systematic reviews that included at least one comparative study, evaluating any non-pharmacological intervention, to prevent falls amongst older adults. The quality of the reviews was assessed using AMSTAR and ProFaNE taxonomy was used to organize the interventions. Results: Fifty-nine systematic reviews were identified which consisted of single, multiple and multi-factorial non-pharmacological interventions to prevent falls in older people. The most frequent ProFaNE defined interventions were exercises either alone or combined with other interventions, followed by environment/assistive technology interventions comprising environmental modifications, assistive and protective aids, staff education and vision assessment/correction. Knowledge was the third principle class of interventions as patient education. Exercise and multifactorial interventions were the most effective treatments to reduce falls in older adults, although not all types of exercise were equally effective in all subjects and in all settings. Effective exercise programs combined balance and strength training. Reviews with a higher AMSTAR score were more likely to contain more primary studies, to be updated and to perform meta-analysis. Conclusions: The aim of this overview of reviews of non-pharmacological interventions to prevent falls in older people in different settings, is to support clinicians and other healthcare workers with clinical decision-making by providing a comprehensive perspective of findings. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Public Library of Science en
dc.rights © 2016, Rimland et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. en
dc.rights.uri https://creativecommons.org/licenses/by/4.0/ en
dc.subject Randomized controlled trials en
dc.subject Term care facilities en
dc.subject Whole-body vibration en
dc.subject Tai Chi en
dc.subject Exercise interventions en
dc.subject Cognitive impairment en
dc.subject Reduce falls en
dc.subject Physical exercise en
dc.subject Cataract surgery en
dc.title Effectiveness of non-pharmacological interventions to prevent falls in older people: a systematic overview. The SENATOR Project ONTOP Series en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Denis O'Mahony, Medicine, University College Cork, Cork, Ireland. T: +353-21-490-3000 E: denis.omahony@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.internal.rssid 372346094
dc.contributor.funder Seventh Framework Programme en
dc.description.status Peer reviewed en
dc.identifier.journaltitle PLoS ONE en
dc.internal.IRISemailaddress denis.omahony@ucc.ie en
dc.identifier.articleid e0161579
dc.relation.project info:eu-repo/grantAgreement/EC/FP7::SP1::HEALTH/305930/EU/Development and clinical trials of a new Software ENgine for the Assessment & Optimization of drug and non-drug Therapy in Older peRsons/SENATOR en
dc.relation.project info:eu-repo/grantAgreement/NHMRC/NHMRC Project Grants/512326/AU/Exercise therapy for prevention of falls in people with Parkinsons disease: a randomised controlled trial./ en


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© 2016, Rimland et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Except where otherwise noted, this item's license is described as © 2016, Rimland et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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