Interventions to reduce falls in community‐dwelling adults with intellectual disability: a systematic review.
Background: People with intellectual disability have a high risk of falls and falls‐related injuries. Although people with intellectual disability are at increased risk of falls, there is a need to better understand the efficacy of interventions that can help reduce falls and address risk factors in...
| Publicado en: | Journal of Intellectual Disability Research Vol. 67; no. 11; pp. 1073 - 1096 |
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| Autores principales: | , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Nov2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=172804072&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 172804072 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09642633 EUL jtl: Journal of Intellectual Disability Research issn: 09642633 maglogo: Y pubinfo: dt: Nov2023 vid: 67 iid: 11 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 172804072 172804072 172804072 10.1111/jir.13066 172804072 ppf: 1073 ppct: 23 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Interventions to reduce falls in community‐dwelling adults with intellectual disability: a systematic review. aug: au: Lalor, A. Callaway, L. Koritsas, S. Curran‐Bennett, A. Wong, R. Zannier, R. Hill, K. affil: Rehabilitation Ageing and Independent Living (RAIL) Research Centre, Monash University, Melbourne Victoria,, Australia sug: subj: Accidental Falls Prevention and Control Community Living In Old Age Intellectual Disability Health Services for Persons with Disabilities Human Male Female Adult Aged United States Systematic Review Medline Psycinfo CINAHL Database Cochrane Library Quality of Life Sample Size Risk Assessment Descriptive Statistics Adult: 19-44 years Aged: 65+ years Male Female ab: Background: People with intellectual disability have a high risk of falls and falls‐related injuries. Although people with intellectual disability are at increased risk of falls, there is a need to better understand the efficacy of interventions that can help reduce falls and address risk factors in this population. This systematic review aimed to evaluate the type, nature and effectiveness of interventions undertaken to reduce falls with community‐dwelling adults with intellectual disability and the quality of this evidence. Method: Four electronic databases were searched: Ovid MEDLINE, PsycINFO, CINAHL Plus and the Cochrane Library. Studies were included if they involved people aged 18 years or over, at least 50% of study participants had intellectual disability, participants were community‐dwelling, and the study evaluated any interventions aiming to reduce falls. Study quality was assessed using the National Institutes of Health study quality assessment tools. Reporting of the review followed Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines. Results: Seven studies were eligible for review, with a total of 286 participants and mean age of 50.4 years. As only one randomised trial was identified, a narrative synthesis of results was undertaken. Five studies evaluated exercise interventions, one evaluated a falls clinic programme, and one evaluated stretch fabric splinting garments. Methodological quality varied (two studies rated as good, four as fair, and one as poor). Exercise interventions varied in terms of exercise type and dosage, frequency and intensity, and most did not align with recommendations for successful falls prevention exercise interventions reported for older people. While the majority of studies reported reduced falls, they differed in methods of reporting falls, and most did not utilise statistical analyses to evaluate outcomes. Conclusion: This review identified a small number of falls prevention intervention studies for people with intellectual disability. Although several studies reported improvements in fall outcomes, ability to draw conclusions about intervention effectiveness is limited by small sample sizes and few studies. Further large‐scale research is required to implement and evaluate falls prevention interventions specifically for adults with intellectual disability. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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