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Review
. 2025 Jun 1;10(2):87-107.
doi: 10.22540/JFSF-10-087. eCollection 2025 Jun.

Factors Influencing the Implementation of Evidence-Based Falls Prevention Interventions for Older Persons Living in Residential long-term care settings - An Umbrella Review of Systematic Reviews

Anthony Scerri  1 , Stephen Lungaro-Mifsud  2
Affiliations
Review

Factors Influencing the Implementation of Evidence-Based Falls Prevention Interventions for Older Persons Living in Residential long-term care settings - An Umbrella Review of Systematic Reviews

Anthony Scerri et al. J Frailty Sarcopenia Falls. .

Abstract

Falls among older adults in residential long-term care (RLTC) remain a significant concern, with prevention efforts often yielding inconsistent results due to the complexity of implementation. This umbrella review synthesised evidence from ten systematic reviews to explore the factors influencing the implementation of falls prevention interventions in RLTC, using the i-PARIHS framework. Six EBSCO databases and Scopus were searched without date or language limiters. Risk of bias was assessed using the AMSTAR-2 checklist. The review was conducted in accordance with the PRIOR guideline for overviews of reviews. Seventy-three specific factors were identified. Interventions that are simple, engaging, tailored, and supported by leadership were more effectively adopted. Staff knowledge, clarity of roles, and multidisciplinary collaboration and co-design further facilitated implementation, while organisational constraints such as limited resources, rigid routines, and under-resourcing posed substantial barriers. External contextual influences, including funding mandates and policy frameworks. Moreover, this review identified four factors that did not fall under any of the key characteristics of the i-PARIHS framework: the technological fit of innovations, the health status of residents, changes within the RLTC population, and facilitators' skills in navigating complexity. This review underscores the importance of contextually sensitive, system-wide strategies that consider the evolving realities of RLTC.

Keywords: Falls prevention; Implementation; Older adults; Residential long-term care; Umbrella review.

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Figures

Figure 1
Figure 1
PRISMA flowchart.
Figure 2
Figure 2
Overlap matrix and heatmap of primary studies in the selected reviews.
See this image and copyright information in PMC

References

    1. Rapp K, Becker C, Cameron ID, König HH, Büchele G. Epidemiology of falls in residential aged care:analysis of more than 70,000 falls from residents of residential long-term care settings. BMC Geriatrics. 2012;12(1):19. - PubMed
    1. Meulenbroeks I, Mercado C, Gates P, Nguyen A, Seaman K, Wabe N, Silva SM, Zheng WY, Debono D, Westbrook J. Effectiveness of fall prevention interventions in residential aged care and community settings:an umbrella review. BMC geriatrics. 2024 Jan 19;24(1):75. - PMC - PubMed
    1. Montero-Odasso M, Van Der Velde N, Martin FC, Petrovic M, Tan MP, Ryg J, Aguilar-Navarro S, Alexander NB, Becker C, Blain H, Bourke R. World guidelines for falls prevention and management for older adults:a global initiative. Age and ageing. 2022 Sep;51(9):afac205. - PMC - PubMed
    1. National Institute for Health and Care Excellence. Falls in older people:assessing risk and prevention. NICE. 2013. From: https://www.nice.org.uk/guidance/cg161/chapter/Recommendations . - PubMed
    1. Pillay J, Gaudet L, Saba A, Vandermeer S, Ashiq B, Wingert A. R, &Hartling A. L. (2024). Falls prevention interventions for community-dwelling older adults:systematic review and meta-analysis of benefits, harms, and patient values and preferences. Systematic Reviews. 13(1):289. - PMC - PubMed

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