Falls prevention interventions for community-dwelling older people living in mainland China: a narrative systematic review

BMC Health Services Research

Yuliang Er¹  Leilei Duan¹  Jing Zhang²  Elizabeth Armstrong³  Shaoming Xiao⁴  Xuru Pan⁴  Yang Shen⁵  Pengpeng Ye⁶  Lisa Keay⁷  Rebecca Ivers⁸  Ke Peng⁹  Yishu Liu^1,10  Maoyi Tian^1,10 

[1] National Centre for Non-Communicable Disease Control and Prevention, Chinese Centre for Disease Control and Prevention, Beijing, China;School of Population Health, University of New South Wales, Sydney, Australia;School of Population Health, University of New South Wales, Sydney, Australia;Falls Balance and Injury Research Centre, Neuroscience Research Australia, Randwick, Australia;School of Public Health, Peking University Health Science Centre, Beijing, China;The George Institute for Global Health at Peking University Health Science Centre, Beijing, China;The George Institute for Global Health, University of New South Wales, PO Box M201, Missenden Road, 2050, Sydney, NSW, Australia;National Centre for Non-Communicable Disease Control and Prevention, Chinese Centre for Disease Control and Prevention, Beijing, China;The George Institute for Global Health, University of New South Wales, PO Box M201, Missenden Road, 2050, Sydney, NSW, Australia;School of Optometry and Vision Science, University of New South Wales, Sydney, Australia;The George Institute for Global Health, University of New South Wales, PO Box M201, Missenden Road, 2050, Sydney, NSW, Australia;School of Population Health, University of New South Wales, Sydney, Australia;The George Institute for Global Health, University of New South Wales, PO Box M201, Missenden Road, 2050, Sydney, NSW, Australia;School of Public Health, The University of Sydney, Sydney, Australia;The George Institute for Global Health, University of New South Wales, PO Box M201, Missenden Road, 2050, Sydney, NSW, Australia;The George Institute for Global Health at Peking University Health Science Centre, Beijing, China;

关键词: Falls prevention;    Interventions;    Older people;    Community;    China;   

DOI  :  10.1186/s12913-020-05645-0

来源: Springer

【 摘 要 】

BackgroundFalls in community-dwelling older people have been recognised as a significant public health issue in China given the rapidly growing aged population. Although there are several reviews documenting falls prevention programs for community-dwelling older adults, no systematic reviews of the scope and quality of falls prevention interventions in Mainland China exist. Therefore, the aim of this study was to systematically review falls prevention interventions for community-dwelling older people living in Mainland China.MethodsWe systematically reviewed literature from Chinese and English databases. All types of randomised controlled trials (RCTs) and quasi-experimental studies published from 1st January 1990 to 30th September 2019 were included. Observational studies and studies in care facilities and hospitals were excluded. Narrative synthesis was performed to summarise the key features of all included studies. Quality assessment was conducted using the Cochrane Risk of Bias Tool and ROBINS-I tool for randomised and non-randomised studies respectively.ResultsA total of 1020 studies were found, and 101 studies were included in the analysis. Overall, very few high quality studies were identified, and there was insufficient rigor to generate reliable evidence on the effectiveness of interventions or their scalability. Most interventions were multiple component interventions, and most studies focused on outcomes such as self-reported falls incidence or awareness of falls prevention.ConclusionThere is an opportunity to undertake an evaluation of a rigorously-designed, large-scale falls prevention program for community-dwelling older people in Mainland China. To help mitigate the rising burden of falls in Mainland China, recommendations for future falls prevention interventions have been made. These include: (1) target disadvantaged populations; (2) incorporate personalised interventions; and (3) investigate the effectiveness of those under-explored interventions, such as psychological, social environment, management of urinary incontinence, fluid or nutrition therapy and surgery. The study results will also potentially provide a useful evidence base for other low-and-middle income countries in a similar situation.

【 授权许可】

CC BY