Don't lose sight of the importance of the individual in effective falls prevention interventions
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Falls remain a major public health problem, despite strong growth in the research evidence of effective single and multifactorial interventions, particularly in the community setting. A number of aspects of falls prevention require individual tailoring, despite limitations being reported regarding some of these, including questions being raised regarding the role of falls risk screening and falls risk assessment. Being able to personalise an individual's specific risk and risk factors, increase their understanding of what interventions are likely to be effective, and exploring options of choice and preference, can all impact upon whether or not an individual undertakes and sustains participation in one or more recommendations, which will ultimately influence outcomes. On all of these fronts, the individual patient receiving appropriate and targeted interventions that are meaningful, feasible and that they are motivated to implement, remains central to effective translation of falls prevention research evidence into practice.
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Cameron, I.; Dyer, S.; Panagoda, C.; Murray, G.; Hill, Keith; Cumming, R.; Kerse, N. (2018)Background: Falls in care facilities and hospitals are common events that cause considerable morbidity and mortality for older people. This is an update of a review first published in 2010 and updated in 2012. Objectives: ...
Apikomonkon, Hataichanok (2003)Numerous Thai older people fall each year. Although it has been shown that only 3.1% of fallers sustained fractures (Nevitt, Cumming, Kidd, & Black, 1989), injuries in older people are often more serious. For example, ...
Individually-tailored multifactorial intervention to reduce falls in the Malaysian Falls Assessment and Intervention Trial (MyFAIT): A randomized controlled trialTan, P.; Khoo, E.; Chinna, K.; Saedon, N.; Zakaria, M.; Zahedi, A.; Ramli, N.; Khalidin, N.; Mazlan, M.; Chee, K.; Abidin, I.; Nalathamby, N.; Mat, S.; Jaafar, M.; Khor, H.; Khannas, N.; Majid, L.; Tan, K.; Chin, A.; Kamaruzzaman, S.; Poi, P.; Morgan, K.; Hill, Keith; MacKenzie, L.; Tan, M. (2018)Objective: To determine the effectiveness of an individually-tailored multifactorial intervention in reducing falls among at risk older adult fallers in a multi-ethnic, middle-income nation in South-East Asia. Design: ...