title: Implementing the evidence for preventing falls among community-dwelling older people: a systematic review.
abstract: OBJECTIVE
  The translation of the evidence-base for preventing falls among community-dwelling older people into practice has been limited. This study systematically reviewed and synthesised the effectiveness of methods to implement falls prevention programmes with this population.
  
  
  METHODS
  Articles published between 1980 and May 2010 that evaluated the effects of an implementation strategy. No design restrictions were imposed. A narrative synthesis was undertaken.
  
  
  RESULTS
  15 studies were identified. Interventions that involved the active training of healthcare professionals improved implementation. The evidence around changing the way people who fall are managed within primary care practices, and, layperson, peer or community delivered models was mixed.
  
  
  CONCLUSIONS
  Translating the evidence-base into practice involves changing the attitudes and behaviours of older people, healthcare professionals and organisations. However, there is a need for further evaluation on how this can be best achieved.
authors.affiliation: PenCLAHRC, Peninsula College of Medicine and Dentistry, University of Exeter, Veysey Building, Salmon Pool Lane, Exeter, UK, EX2 4SG. victoria.goodwin@pms.ac.uk
authors.forename: Victoria
authors.initials: V
authors.lastname: Goodwin
authors.forename: Tracey
authors.initials: T
authors.lastname: Jones-Hughes
authors.forename: Jo
authors.initials: J
authors.lastname: Thompson-Coon
authors.forename: Kate
authors.initials: K
authors.lastname: Boddy
authors.forename: Ken
authors.initials: K
authors.lastname: Stein
mesh_terms: D000056:Accident Prevention / Q000379:methods*; D000058:Accidental Falls / Q000517:prevention & control*; D000368:Aged; D000369:Aged, 80 and over; D019317:Evidence-Based Medicine; D006801:Humans; D057187:Independent Living; D057170:Translational Research, Biomedical