A systematic review of older people's perceptions of facilitators and barriers to participation in fall prevention interventions

Frances Bunn, Angela Dickinson, Elaine Barnett-Page, Elizabeth Mcinnes, Khim Horton

Research output: Contribution to journalLiterature reviewpeer-review

162 Citations (Scopus)
483 Downloads (Pure)

Abstract

The prevention of falls is currently high on the health policy agenda in the United Kingdom, which has led to the establishment of many falls-prevention services. If these are to be effective, however, the acceptability of services to older people needs to be considered. This paper reports a systematic review Of Studies of older people's perceptions of these interventions. The papers for review were identified by searching electronic databases, checking reference lists, and contacting experts. Two authors independently screened the studies and extracted data on the factors relating to participation in, or adherence to, falls-prevention strategies. Twenty-four studies were identified, of which 12 were qualitative. Only one study specifically examined interventions that promote participation in falls-prevention programmes; the others explored older people's attitudes and views. The factors that facilitated participation included social support, low intensity exercise, greater education, involvement in decision-making, and a perception of the programmes as relevant and life-enhancing. Barriers to participation included fatalism, denial and under-estimation of the risk of falling, poor self-efficacy, no previous history of exercise, fear of falling, poor health and functional ability, low health expectations and the stigma associated with programmes that targeted older people.

Original languageEnglish
Pages (from-to)449-472
Number of pages24
JournalAgeing and Society
Volume28
Issue number4
DOIs
Publication statusPublished - 2008

Keywords

  • health attitudes
  • health-related behaviour
  • adherence
  • older people
  • falls prevention
  • systematic review
  • QUALITATIVE RESEARCH
  • HIP-FRACTURES
  • HEALTH-CARE
  • COMMUNITY
  • ADULTS
  • EPIDEMIOLOGY
  • OSTEOPOROSIS
  • SURVIVAL
  • EXERCISE
  • VIEWS

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