TY - JOUR PY - 2012// TI - Systematic review of the effect of home modification and fall prevention programs on falls and the performance of community-dwelling older adults JO - American journal of occupational therapy A1 - Chase, Carla A. A1 - Mann, Kathryn A1 - Wasek, Sarah A1 - Arbesman, Marian SP - 284 EP - 291 VL - 66 IS - 3 N2 - This systematic review explored the impact of fall prevention programs and home modifications on falls and the performance of community-dwelling older adults. It was conducted as part of the American Occupational Therapy Association's Evidence-Based Practice Project. Thirty-three articles were analyzed and synthesized. The strongest results were found for multifactorial programs that included home evaluations and home modifications, physical activity or exercise, education, vision and medication checks, or assistive technology to prevent falls. Positive outcomes included a decreased rate of functional decline, a decrease in fear of falling, and an increase in physical factors such as balance and strength. The strength of the evidence for physical activity and home modification programs provided individually was moderate. Implications for practice, education, and research are also discussed.
Language: en
LA - en SN - 0272-9490 UR - http://dx.doi.org/10.5014/ajot.2012.005017 ID - ref1 ER -