Translating Falls Prevention Knowledge to Community-Dwelling Older PLWD: A Mixed-Method Systematic Review.
OBJECTIVE
Falls prevention evidence is strong, but little is known about uptake of strategies for people living with dementia (PLWD). This mixed-method systematic review aimed to integrate evidence of falls prevention efficacy with views/experiences of PLWD.


METHODS
Eight electronic databases were searched. Inclusion criteria included quantitative or qualitative studies examining knowledge translation of falls prevention strategies in community-dwelling PLWD and/or their caregiver. Study quality was assessed, and findings are narratively described.


RESULTS
Six quantitative and five qualitative studies were included. Study quality was mixed. Quantitative studies showed limited evidence of effectiveness on reduction in falls risk, falls and hospitalization rates, nursing home admission, decline in activities of daily living, and adherence to strategies. Qualitative themes showed inclusion of caregiver and health professionals as key to program success, but many factors influence participation.


CONCLUSIONS
Synthesizing the findings generated a new understanding of falls prevention for this high-risk group. A focus upon health professional and caregiver involvement and accommodation of individual preferences may result in increased engagement with falls prevention strategies.
Centre for Health Communication and Participation, Australian Institute for Primary Care & Ageing, La Trobe University, Bundoora, Victoria 3086, Australia. National Ageing Research Institute, Royal Melbourne Hospital, PO Box 2127, Victoria 3050, Australia. c.meyer@nari.unimelb.edu.au.
Claudia
C
Meyer
Centre for Health Communication and Participation, Australian Institute for Primary Care & Ageing, La Trobe University, Bundoora, Victoria 3086, Australia.
Sophie
S
Hill
National Ageing Research Institute, Royal Melbourne Hospital, PO Box 2127, Victoria 3050, Australia.
Briony
B
Dow
Centre for Health Communication and Participation, Australian Institute for Primary Care & Ageing, La Trobe University, Bundoora, Victoria 3086, Australia.
Anneliese
A
Synnot
School of Physiotherapy, Curtin University, Perth, Western Australia 6845, Australia.
Keith
K
Hill
D000058:Accidental Falls / Q000517:prevention & control*; D000061:Accidents, Home / Q000517:prevention & control*; D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003704:Dementia; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D057187:Independent Living; D036301:Qualitative Research; D016032:Randomized Controlled Trials as Topic
Dementia; Falls prevention; Knowledge translation