Falls Prevention Scanning Bulletin Volume 11 Issue 4

Personalized mobile health for elderly home care: a systematic review of benefits and challenges

Source: International Journal of Telemedicine and Applications

Follow this link for: the abstract

Date of publication: 16 January 2023,

 Publication type: Journal article

In a nutshell: Mobile health as one of the new technologies can be a proper solution to support care provision for the elderly and provide personalized care for them. This study is aimed at reviewing the benefits and challenges of personalized mobile health (PMH) for elderly home care. With a systematic review methodology, 1895 records were retrieved by searching four databases. After removing duplicates, 1703 articles remained. Following full-text examination, 21 articles that met the inclusion criteria were studied in detail, and the output was presented in different tables. The results indicated that 25% of the challenges were related to privacy, cybersecurity, and data ownership (10%), technology (7.5%), and implementation (7.5%). The most frequent benefits were related to cost-saving (17.5%), nurse engagement improvement (10%), and caregiver stress reduction (7.5%). In general, the number of benefits in this study was slightly higher than the challenges, but in order to use PMH technologies, the challenges presented in this study must be carefully considered and a suitable solution must be adopted. Benefits can also be helpful in persuading individuals and health-care providers. This study shed light on those points that need to be highlighted for further work in order to convert the challenges toward benefits. 

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.

What do functional neuroimaging studies tell us about the association between falls and cognition in older adults? A systematic review

Source: Ageing Research Reviews

Follow this link for the abstract

Date of publication: March 2023, Vol. 85

 Publication type: Journal article

In a nutshell: Impaired cognition is a known risk factor for falls in older adults. To enhance prevention strategies and treatment of falls among an aging global population, an understanding of the neural processes and networks involved is required. We present a systematic review investigating how functional neuroimaging techniques have been used to examine the association between falls and cognition in seniors. Peer-reviewed articles were identified through searching five electronic databases: 1) Medline, 2) PsycINFO, 3) CINAHL, 4) EMBASE, and 5) Pubmed. Key author, key paper, and reference searching was also conducted. Nine studies were included in this review. A questionnaire composed of seven questions was used to assess the quality of each study. EEG, fMRI, and PET were utilized across studies to examine brain function in older adults. Consistent evidence demonstrates that cognition is associated with measures of falls/falls risk, specifically visual attention and executive function. Our results show that falls/falls risk may be implicated with specific brain regions and networks. Future studies should be prospective and long-term in nature, with standardized outcome measures. Mobile neuroimaging techniques may also provide insight into brain activity as it pertains to cognition and falls in older adults in real-world settings.

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.

Implementation strategies to support fall prevention interventions in long-term care facilities for older persons: a systematic review

Source: BMC Geriatrics

Follow this link for the abstract

Date of publication: 25 January 2023, vol. 23 iss. 47

 Publication type: Journal article

In a nutshell: Falls are common among older people in long-term care facilities (LTCFs). Falls cause considerable morbidity, mortality and reduced quality of life. Of numerous interventional studies of fall prevention interventions in LTCFs, some reduced falls. However, there are challenges to implementing these interventions in real-world (non-trial) clinical practice, and the implementation techniques may be crucial to successful translation. This systematic review thus aimed to synthesise the evidence on implementation strategies, implementation outcomes and clinical outcomes included in fall prevention intervention studies.

 Length of publication: 38 pages

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Exercise based reduction of falls in communitydwelling older adults: a network meta-analysis

Source: European Review of Aging and Physical Activity

Follow this link for the abstracthttps://link.springer.com/article/10.1186/s11556-023-00311-w

Date of publication: 28 January vol. 20 iss. 1

 Publication type: Journal article

In a nutshell: Traditional meta-analyses with pairwise direct comparison revealed that a variety of exercise-based training interventions can prevent falls in community-dwelling older adults. This network meta-analysis adds value by comparing and ranking different exercise training strategies based on their effects on fall risk reductions determined by analysis of direct and indirect comparisons.

 Length of publication: 10 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.

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