Determinants influencing the implementation of multifactorial falls risk assessment and multidomain interventions in community- dwelling older people: a systematic review-Reference-Cited by-同舟云学术

Determinants influencing the implementation of multifactorial falls risk assessment and multidomain interventions in community- dwelling older people: a systematic review

Published:2024-07 Issue:7 Volume:53 Page:
ISSN:0002-0729
Container-title:Age and Ageing
language:en
Short-container-title:

Author:

Vandervelde Sara¹²^ORCID,Van den Bosch Natalie³⁴,Vlaeyen Ellen¹²⁵,Dierckx de Casterlé Bernadette³⁴,Flamaing Johan⁶⁷⁸,Belaen Goedele¹²,Tuand Krizia⁹,Vandendriessche Thomas⁹,Milisen Koen¹²⁸

Affiliation:

1. KU Leuven , Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, , Kapucijnenvoer 7 bus 7001, Leuven 3000 , Belgium

2. Centre of Expertise for Falls and Fracture Prevention Flanders , Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, , Kapucijnenvoer 7 bus 7001, Leuven 3000 , Belgium

3. KU Leuven , Department of Public Health and Primary Care, , Kapucijnenvoer 7 bus 7001, Leuven 3000 , Belgium

4. Academic Centre for Nursing and Midwifery , Department of Public Health and Primary Care, , Kapucijnenvoer 7 bus 7001, Leuven 3000 , Belgium

5. Hasselt University , Faculty of Medicine and Life Sciences, Agoralaan, 3590 Diepenbeek , Belgium

6. KU Leuven , Department of Public Health and Primary Care, , Kapucijnenvoer 7 bus 7001 3000 Leuven , Belgium

7. Gerontology and Geriatrics , Department of Public Health and Primary Care, , Kapucijnenvoer 7 bus 7001 3000 Leuven , Belgium

8. KU Leuven, University Hospital Leuven , Department of Geriatric Medicine, Herestraat 49 3000 Leuven , Belgium

9. KU Leuven Libraries, 2Bergen – Learning Centre Désiré Collen , Herestraat 49, 3000 Leuven , Belgium

Abstract

Abstract Background Multifactorial falls risk assessment and multidomain interventions are recommended by the World guidelines for falls prevention and management. To successfully implement these interventions, it is important to understand determinants influencing the implementation. Methods A literature search was conducted for this systematic review on the 3 December 2021 and updated on the 3 April 2023 in five databases: PubMed (including MEDLINE), EMBASE (via Embase.com), Cochrane Central Register of Controlled Trials (via Cochrane Library), Web of Science Core Collection and CINAHL (via EBSCO). Studies were included if they reported on determinants influencing the implementation of a multifactorial falls risk assessment and/or multidomain interventions in community-dwelling older people. Editorials, opinion papers, systematic reviews and studies focusing on one population (e.g. Parkinson) were excluded. Two researchers independently screened the articles on title, abstract and full text. The quality was evaluated based on a sensitivity analysis. ‘The Comprehensive Integrated Checklist of Determinants of practice’ was used to categorise the determinants. Results Twenty-nine studies were included. Determinants were classified as barriers (n = 40) and facilitators (n = 35). The availability of necessary resources is the most reported determinant. Other commonly reported determinants are knowledge, intention/beliefs and motivation at the levels of older people and healthcare professionals, fitting of the intervention into current practice, communication, team and referral processes and financial (dis)incentives. Conclusions Mapping of the barriers and facilitators is essential to choose implementation strategies tailored to the context, and to enhance the uptake and effectiveness of a multifactorial falls risk assessment and/or multidomain interventions.

Publisher

Oxford University Press (OUP)

Link

https://academic.oup.com/ageing/article-pdf/53/7/afae123/58383128/afae123.pdf

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