This systematic review assessed all good quality research considering the effect of the primary care practitioner on reducing falls. 61 research papers were assessed.
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Hi Dawn – my thoughts about this are as follows:- the multifactorial intervention is needed to identify the reason why a person is falling (explained falls) but may only need a single intervention to support that person. This may be different with unexplained falls. I hope that makes sense!
Jane Barratt
Senior Occupational Therapist
I totally agree Jane, and this is always the problem with research, limited by attempting to “power” studies to show effect, researchers cannot easily show how they tailored the intervention to suit the individual or indeed whether the individual actually had all the expected interventions. Whereas for Vit D and exercise studies, they are single interventions that can be tracked etc etc
We in Primary Care NHS therapy are very keen to develop robust integrated services in falls. It does seem vital to always do a thorough multidisciplinary assessment to facilitate up to date and effective evidence based interventions alongside the recording quality data. The issues are around coordinating the rehabilitation process with research.
Hello Guys
I am looking for this “consensus document describing a common
data set for fall prevention interventions; the routine use of
these assessment instruments and procedures will enhance
the quality and comparability of future trials …” that was mentioned at the annals 2010 in the review of interventions to prevent falls in community dwelling patients! WOuld you know where is it on this website? I had just registered here!
Thank you very much
Rafael
Hi Rafael, the Taxonomy Manual can be found by clicking this link (http://profane.co/wp-content/uploads/2012/04/Falls_Taxonomy.pdf) and further information can be found in the paper in Trials (http://www.ncbi.nlm.nih.gov/pubmed/21586143). Hope this helps.
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