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Care of the older person
Evaluating falls prevention strategies in community settings: marginal reduction on rate of falls with individual risk-based multifactorial interventions compared to ‘usual care’
  1. Amanda Lee,
  2. Mark Hayter
  1. Faculty of Health Sciences, University of Hull, Hull, UK
  1. Correspondence to Dr Amanda Lee, University of Hull, Hull HU67RX, UK; A.J.Lee{at}hull.ac.uk

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Commentary on: Hopewell S, Adedire O, Copsey BJ, et al. (2018) Multifactorial and multiple component interventions for preventing falls in older people living in the community. London: John Wiley & Sons.

Implications for practice and research

  • Multifactorial interventions may reduce fall rates in older people, whereas multiple component interventions may reduce risk of and rates of falls.However, evidence is low quality, so findings have limited implications to practice.

  • Further research is required to determine the effectiveness of more specific intervention strategies, particularly those related to exercise and adherence to interventional regimes.

Context

Falls are common in older populations and levels of frailty, increasing age, impairment of functional status (cognitive/physiological), reduced mobility and environmental factors increase risk.1 Identification and reduction of modifiable …

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