Please use this identifier to cite or link to this item: http://bura.brunel.ac.uk/handle/2438/9228
Full metadata record
DC FieldValueLanguage
dc.contributor.authorBunn, F-
dc.contributor.authorDickinson, A-
dc.contributor.authorSimpson, C-
dc.contributor.authorNarayanan, V-
dc.contributor.authorHumphrey, D-
dc.contributor.authorGriffiths, C-
dc.contributor.authorMartin, W-
dc.contributor.authorVictor, C-
dc.date.accessioned2014-11-25T10:29:26Z-
dc.date.available2014-02-19-
dc.date.available2014-11-25T10:29:26Z-
dc.date.issued2014-
dc.identifier.citationBMC Nursing, 13(4):(2014)en_US
dc.identifier.issn1472-6955-
dc.identifier.urihttp://bura.brunel.ac.uk/handle/2438/9228-
dc.descriptionThis is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.en_US
dc.description.abstractBackground: Falls are a leading cause of mortality and morbidity in older people and the risk of falling is exacerbated by mental health conditions. Existing reviews have focused on people with dementia and cognitive impairment, but not those with other mental health conditions or in mental health settings. The objective of this review is to evaluate the effectiveness of fall prevention interventions for older people with mental health problems being cared for across all settings.Methods: A systematic review of fall prevention interventions for older people with mental health conditions. We undertook electronic database and lateral searches to identify studies reporting data on falls or fall related injuries. Searches were initially conducted in February 2011 and updated in November 2012 and October 2013; no date restrictions were applied. Studies were assessed for risk of bias. Due to heterogeneity results were not pooled but are reported narratively.Results: Seventeen RCTs and four uncontrolled studies met the inclusion criteria; 11 involved single interventions and ten multifactorial. Evidence relating to fall reduction was inconsistent. Eight of 14 studies found a reduction in fallers (statistically significant in five), and nine of 14 reported a significant reduction in rate or number of falls. Four studies found a non-significant increase in falls. Multifactorial, multi-disciplinary interventions and those involving exercise, medication review and increasing staff awareness appear to reduce the risk of falls but evidence is mixed and study quality varied. Changes to the environment such as increased supervision or sensory stimulation to reduce agitation may be promising for people with dementia but further evaluation is needed. Most of the studies were undertaken in nursing and residential homes, and none in mental health hospital settings.Conclusions: There is a dearth of falls research in mental health settings or which focus on patients with mental health problems despite the high number of falls experienced by this population group. This review highlights the lack of robust evidence to support practitioners to implement practices that prevent people with mental health problems from falling. © 2014 Bunn et al.; licensee BioMed Central Ltd.en_US
dc.description.sponsorshipQR grant from the University of Hertfordshire.en_US
dc.languageeng-
dc.language.isoenen_US
dc.subjectFallsen_US
dc.subjectMental healthen_US
dc.subjectOlder peopleen_US
dc.subjectSystematic reviewen_US
dc.titlePreventing falls among older people with mental health problems: A systematic reviewen_US
dc.typeArticleen_US
dc.identifier.doihttp://dx.doi.org/10.1186/1472-6955-13-4-
Appears in Collections:Dept of Clinical Sciences Research Papers

Files in This Item:
File Description SizeFormat 
FullText.pdf861.39 kBAdobe PDFView/Open


Items in BURA are protected by copyright, with all rights reserved, unless otherwise indicated.