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Cited by 286

The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.

Older people's participation in and engagement with falls prevention interventions in community settings: an augment to the cochrane systematic review

Nyman, Samuel R., Victor, Christina R.·2012·Age and Ageing

Abstract

BACKGROUND: Randomised controlled trials (RCTs) of fall prevention conducted in community settings have recently been systematically reviewed. OBJECTIVE: To augment this review by analysing older people's participation in the trials and engagement with the interventions. DESIGN: Review of the 99 single and multifactorial RCTs included in the Cochrane systematic review of falls prevention interventions. SETTING: Community. PARTICIPANTS: Adults aged 60+/mean age minus one standard deviation of 60+. METHODS: Calculated aggregate data on recruitment (proportion who accepted the invitation to participate), attrition at 12 month follow-up (loss of participants), adherence (to intervention protocol) and whether adherence moderated the effect of interventions on trial outcomes. RESULTS: The median recruitment rate was 70.7% (64.2-81.7%, n = 78). At 12 months the median attrition rate including mortality was 10.9% (9.1-16.0%, n = 44). Adherence rates (n = 69) were ≥80% for vitamin D/calcium supplementation; ≥70% for walking and class-based exercise; 52% for individually targeted exercise; approximately 60-70% for fluid/nutrition therapy and interventions to increase knowledge; 58-59% for home modifications; but there was no improvement for medication review/withdrawal of certain drugs. Adherence to multifactorial interventions was generally ≥75% but ranged 28-95% for individual components. The 13 studies that tested for whether adherence moderated treatment effectiveness produced mixed results. CONCLUSIONS: Using median rates for recruitment (70%), attrition (10%) and adherence (80%), we estimate that, at 12 months, on average half of community-dwelling older people are likely to be adhering to falls prevention interventions in clinical trials.

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Metadata

Authors
Nyman, S. R., & Victor, C. R.
Venue
Age and Ageing
Published
2011-08-28
Volume
41
Issue
1
Pages
16-23
ISSN
  • 0002-0729 (ISSN-L)
  • 1468-2834
OpenAlex
W2154467603
Cited by
286
References
15
FWCI
3.57
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Older people's participation in and engagement with falls prevention interventions in community settings: an augment to the cochrane systematic review. https://app.cochat.ai/papers/10.1093/ageing/afr103
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Nyman, S. R., & Victor, C. R. (2012). Older people's participation in and engagement with falls prevention interventions in community settings: an augment to the cochrane systematic review. Age and Ageing. https://doi.org/10.1093/ageing/afr103

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