Home hazard modification programs for reducing falls in older adults: a systematic review and meta-analysis

PeerJ

article

Charupa Lektip¹  Sirawee Chaovalit³  Apichai Wattanapisit⁴  Sarawut Lapmanee⁶  Jiraphat Nawarat¹  Weeranan Yaemrattanakul³ 

[1] Movement Sciences and Exercise Research Center, Walailak University;Department of Physical Therapy, School of Allied Health Sciences, Walailak University;Department of Physical Therapy, Faculty of Medicine, Prince of Songkla University;School of Medicine, Walailak University;Walailak University Hospital;Department of Basic Medical Sciences, Faculty of Medicine, Siam University

关键词: Falls;    Home modifications;    Home assessment;    Older adults;    Systematic reviews;   

DOI  :  10.7717/peerj.15699

学科分类：社会科学、人文和艺术（综合）

来源: Inra

【 摘 要 】

ObjectiveThis study aims to assess the effect of home modification in preventing falls in older adults.MethodsA systematic review and meta-analysis of randomized studies were performed. The review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and was registered prospectively. Five electronic databases were systematically searched for related articles. The titles and abstracts of the articles found using the key search phrases—home modification and falling—were screened using inclusion and exclusion criteria. The Cochrane risk of bias tool was used to evaluate the studies’ methodology.ResultsA total of 12 trials were included. A meta-analysis was conducted using 10 studies with n = 1, 960 participants showing a clinically meaningful 7% reduction in falls (risk ratio = 0.93; 0.87–1).ConclusionsFalls can be significantly reduced with the use of home modification interventions that are thorough, well-focused, have an environmental-fit perspective, and have adequate follow-up.

【 授权许可】

CC BY