@article{ref1,
title="Barriers and facilitators to older adults participating in fall-prevention strategies after transitioning home from acute hospitalization: a scoping review",
journal="Clinical interventions in aging",
year="2020",
author="Tzeng, Huey-Ming and Okpalauwaekwe, Udoka and Lyons, Elizabeth J.",
volume="15",
number="",
pages="971-989",
abstract="PURPOSE: Approximately, 14% of older adults aged 65 years and over experience a fall within 1 month post-hospital discharge. Adequate self-management may minimize the impact of these falls; however, research is lacking on why some older adults engage in self-management to prevent falls while others do not.   Methods: We conducted a scoping review to identify barriers and facilitators to older adults participating in fall-prevention strategies after transitioning home from acute hospitalization. Eligibility criteria were peer-reviewed journal articles published during 2009-2019 which were written in English and contained any of the following keywords or their synonyms: &quot;fall-prevention,&quot; &quot;older adults,&quot; &quot;post-discharge&quot; and &quot;transition care.&quot; We systematically and selectively summarized the findings of these articles using the Joanna Briggs Institute guidelines and the PRISMA-ScR reporting guidelines. Seven bibliographic databases were searched: PubMed/MEDLINE, ERIC, CINAHL, Cochrane Library, Scopus, PsycINFO, and Web of Science. We used the Capability-Opportunity-Motivation-Behavior (COM-B) model of health behavior change as a framework to guide the content, thematic analysis, and descriptive results.   Results: Seventeen articles were finally selected. The most frequently mentioned barriers and facilitators for each COM-B dimension differed. Motivation factors include such as older adults lacking inner drive and self-denial of being at risk for falls (barriers) and following-up with older adults and correcting inaccurate perceptions of falls and fall-prevention strategies (facilitators).   Conclusion: This scoping review revealed gaps and future research areas in fall prevention relative to behavioral changes. These findings may enable tailoring feasible fall-prevention interventions for older adults after transitioning home from acute hospitalization.<p /> <p>Language: en</p>",
language="en",
issn="1176-9092",
doi="10.2147/CIA.S256599",
url="http://dx.doi.org/10.2147/CIA.S256599"
}