A scoping review of fall hazards in the homes of older adults and development of a framework for assessment and intervention

被引:19
作者
Keglovits, Marian [1 ]
Clemson, Lindy [2 ]
Hu, Yi-Ling [3 ]
Nguyen, An [1 ]
Neff, Anna J. [1 ]
Mandelbaum, Caren [1 ]
Hudson, Margaret [1 ]
Williams, Rebecca [1 ]
Silianoff, Tara [1 ]
Stark, Susan [1 ]
机构
[1] Washington Univ, Sch Med, Program Occupat Therapy, 4444 Forest Pk Ave,MSC 8505-66-1, St Louis, MO 63108 USA
[2] Univ Sydney, Fac Med & Hlth, Sydney, NSW, Australia
[3] Wayne State Univ, Inst Gerontol, Detroit, MI 48202 USA
关键词
ageing; falls; home assessment; modification; occupational therapy research; ENVIRONMENTAL ASSESSMENT; PREVENTION PROGRAMS; RISK-FACTORS; PEOPLE; CIRCUMSTANCES; METAANALYSIS;
D O I
10.1111/1440-1630.12682
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Introduction Comprehensive evaluation and intervention provided by occupational therapists is effective in reducing the presence of fall hazards in the homes of older adults. The purpose of this study was to document known environmental hazards and to update a previous content analysis. A secondary goal reviewed a framework for evaluation and practice. Methods A comprehensive scoping review of published academic articles was performed from 1996 to 2019 to answer: What environmental hazards have been associated with falls in the homes of community-dwelling older adults? Data was extracted in a standardised critical appraisal worksheet and content analysis was conducted. A review of a conceptual framework for assessment and intervention was conducted by international experts (n = 6) in face-to-face interviews. Results Fourteen studies met the inclusion criteria for the scoping study. The studies reported 17 in-home environmental hazards: throw rugs/carpets, clutter, cords/wires, poorly placed light switches, items placed too low, items placed too high, no grab bars, toilet seats too low, uneven floor surfaces, slippery/wet surfaces, snowy/icy surfaces, backless/unsupportive shoes, unsteady stairs, inadequate lighting, inadequate heating/cooling, step stools without railings, and pets. Conclusion A comprehensive list of specific fall hazards in and around the homes of older adults and a guiding framework offers occupational therapists an evidence-based foundation for fall prevention efforts.
引用
收藏
页码:470 / 478
页数:9
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