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Review
. 2025 Jul 16:18:4033-4044.
doi: 10.2147/JMDH.S535977. eCollection 2025.

Evidence Based Strategies for Preventing Falls in Community-Dwelling Older Adults

Xiang An  1 , YuanXin Pan  1 , ChenHong He  1 , Yi Liang  1
Affiliations
Review

Evidence Based Strategies for Preventing Falls in Community-Dwelling Older Adults

Xiang An et al. J Multidiscip Healthc. .

Abstract

Objective: To evaluate and summarize the best evidence for fall prevention measures in community-dwelling elderly individuals.

Methods: A systematic search was conducted in databases including UpToDate, BMJ Best Practice, the Joanna Briggs Institute (JBI) Evidence-Based Healthcare Center, National Guidelines Clearinghouse, China Medical Guidelines Network, NICE, Scottish Intercollegiate Guidelines Network, and the Ontario Nurses' Association website. Additional searches were performed in the Cochrane Library, CINAHL, PubMed, Embase, China National Knowledge Infrastructure (CNKI), Wanfang, and VIP databases for clinical decisions, guidelines, evidence summaries, systematic reviews, and expert consensus related to fall prevention in community-dwelling elderly individuals. The methodological quality of included literature was assessed, and evidence was extracted and synthesized based on key themes.

Results: A total of 3 guidelines, 1 expert consensus, and 12 systematic reviews were included. Twenty-six pieces of evidence were summarized across 8 areas: fall risk screening, fall risk assessment, exercise interventions, medication management, environmental safety, health education, psychological interventions, and multifactorial interventions.

Conclusion: The best evidence for fall prevention in community-dwelling elderly individuals was summarized, providing an evidence-based foundation for community healthcare providers to implement fall prevention measures.

Keywords: community; evidence-based nursing; falls; older adults; prevention.

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Conflict of interest statement

The authors declare no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Screening flow chart for literature.
See this image and copyright information in PMC

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