The environment and falls prevention: Do environmental modifications make a difference?
نویسنده
چکیده
Background and Aims: Environmental modification is a strategy widely recommended in many falls prevention programs. However the effectiveness of such a strategy has not been well established. This study aimed to evaluate published research related to falls prevention and environmental modification for older people. Method: A review of research conducted between 1993 and 2004 was undertaken. Ageline, Cinahl and OvidMedline databases were searched using falls prevention, home modifications, environmental modifications and occupational therapy as key words. Results: Eighteen articles were found relating to community and institutional dwellings and the relevance of environmental modifications. Conclusion: There is some evidence to support the use of environmental modification as a strategy in falls prevention for older people particularly in association with multidisciplinary/multifactorial programs targeted to those people with a history of falls.
منابع مشابه
Home environment risk factors for falls in older people and the efficacy of home modifications.
Most homes contain potential hazards, and many older people attribute their falls to trips or slips inside the home or immediate home surroundings. However, the existence of home hazards alone is insufficient to cause falls, and the interaction between an older person's physical abilities and their exposure to environmental stressors appears to be more important. Taking risks or impulsivity may...
متن کاملFall Prediction and Prevention Systems: Recent Trends, Challenges, and Future Research Directions
Fall prediction is a multifaceted problem that involves complex interactions between physiological, behavioral, and environmental factors. Existing fall detection and prediction systems mainly focus on physiological factors such as gait, vision, and cognition, and do not address the multifactorial nature of falls. In addition, these systems lack efficient user interfaces and feedback for preven...
متن کاملAdherence to occupational therapist recommendations for home modifications for falls prevention.
OBJECTIVE This study examined adherence to home modification recommendations made by an occupational therapist and attempted to identify predictors of adherence. METHOD An experienced occupational therapist visited the homes of 178 people (mean age = 764 years) to evaluate for and recommend appropriate home modifications for falls prevention. One year later, a research assistant visited these...
متن کاملEffects of falls prevention interventions on falls outcomes for hospitalised adults: protocol for a systematic review with meta-analysis
INTRODUCTION Falls are a major global public health problem and leading cause of accidental or unintentional injury and hospitalisation. Falls in hospital are associated with longer length of stay, readmissions and poor outcomes. Falls prevention is informed by knowledge of reversible falls risk factors and accurate risk identification. The extent to which hospital falls are prevented by eviden...
متن کاملThe cost effectiveness of a home hazard reduction program to reduce falls among older persons.
BACKGROUND The effectiveness of individual components (other than exercise) of multifactorial intervention packages aimed to reduce the incidence of falls in older people is uncertain. There have been no randomised trials of home modifications alone for the prevention of falls. OBJECTIVES To estimate the cost-effectiveness of just one component of a multifactorial approach to falls prevention...
متن کامل