Research Article  |   May 2018
Occupational Therapy Fall Prevention Interventions for Community-Dwelling Older Adults: A Systematic Review
Author Affiliations
  • Sharon Elliott, DHS, GCG, OTR/L, BCG, FAOTA, is Healthy Aging Specialist, Pitt County Council on Aging, Greenville, NC; sjelliottotr@gmail.com
  • Natalie E. Leland, PhD, OTR/L, BCG, FAOTA, is Associate Professor, Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA, and Adjunct Faculty, Department of Health Services, Policy, and Practice, Brown University, Providence, RI
Article Information
Evidence-Based Practice / Geriatrics/Productive Aging / Special Section: Evidence Reviews
Research Article   |   May 2018
Occupational Therapy Fall Prevention Interventions for Community-Dwelling Older Adults: A Systematic Review
American Journal of Occupational Therapy, May 2018, Vol. 72, 7204190040p1-7204190040p11. doi:10.5014/ajot.2018.030494
American Journal of Occupational Therapy, May 2018, Vol. 72, 7204190040p1-7204190040p11. doi:10.5014/ajot.2018.030494
Abstract

OBJECTIVE. Accidental falls among community-dwelling older adults are preventable and increase the risk of morbidity, hospitalization, and institutionalization. We updated and broadened a 2008 systematic review examining the evidence for the effectiveness of fall prevention interventions in improving fall-related outcomes, occupational performance, quality of life, and health care facility readmissions for community-dwelling older adults.

METHOD. We searched and analyzed literature published from 2008 to 2015 from five electronic databases.

RESULTS. Fifty articles met the inclusion criteria and were critically appraised and synthesized—37 provided Level I; 5, Level II; and 8, Level III evidence. Analysis was organized into four intervention themes: single component, multicomponent, multifactorial, and population based. Mixed evidence was found for single-component and multifactorial interventions, strong evidence was found for multicomponent interventions, and moderate evidence was found for population-based interventions.

CONCLUSION. These findings can inform the delivery and integration of fall prevention interventions from acute care to community discharge.