Barriers and facilitators to older adults participating in fall-prevention strategies after transitioning home from acute hospitalization: A scoping review

Huey Ming Tzeng, Udoka Okpalauwaekwe, Elizabeth J. Lyons

Research output: Contribution to journalReview article

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: “fall-prevention,” “older adults,” “post-discharge” and “transition care.” 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.

Original languageEnglish (US)
Pages (from-to)971-989
Number of pages19
JournalClinical interventions in aging
Volume15
DOIs
StatePublished - 2020

Keywords

  • Falls
  • Falls with injury
  • Older adults
  • Patient-centered care
  • Post-discharge care
  • Transition care

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Fingerprint Dive into the research topics of 'Barriers and facilitators to older adults participating in fall-prevention strategies after transitioning home from acute hospitalization: A scoping review'. Together they form a unique fingerprint.

  • Cite this