Falls prevention interventions for community-dwelling older people living in mainland China: a narrative systematic revi
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RESEARCH ARTICLE
Open Access
Falls prevention interventions for community-dwelling older people living in mainland China: a narrative systematic review Pengpeng Ye1,2*† , Yishu Liu1,3†, Jing Zhang4, Ke Peng1,5, Xuru Pan6, Yang Shen3, Shaoming Xiao6, Elizabeth Armstrong4,7, Yuliang Er2, Leilei Duan2, Rebecca Ivers1,4, Lisa Keay1,8 and Maoyi Tian1,3
Abstract Background: Falls in community-dwelling older people have been recognised as a significant public health issue in China given the rapidly growing aged population. Although there are several reviews documenting falls prevention programs for community-dwelling older adults, no systematic reviews of the scope and quality of falls prevention interventions in Mainland China exist. Therefore, the aim of this study was to systematically review falls prevention interventions for community-dwelling older people living in Mainland China. Methods: We systematically reviewed literature from Chinese and English databases. All types of randomised controlled trials (RCTs) and quasi-experimental studies published from 1st January 1990 to 30th September 2019 were included. Observational studies and studies in care facilities and hospitals were excluded. Narrative synthesis was performed to summarise the key features of all included studies. Quality assessment was conducted using the Cochrane Risk of Bias Tool and ROBINS-I tool for randomised and non-randomised studies respectively. Results: A total of 1020 studies were found, and 101 studies were included in the analysis. Overall, very few high quality studies were identified, and there was insufficient rigor to generate reliable evidence on the effectiveness of interventions or their scalability. Most interventions were multiple component interventions, and most studies focused on outcomes such as self-reported falls incidence or awareness of falls prevention. (Continued on next page)
* Correspondence: [email protected] † Pengpeng Ye and Yishu Liu contributed equally to this work. 1 The George Institute for Global Health, University of New South Wales, PO Box M201, Missenden Road, Sydney, NSW 2050, Australia 2 National Centre for Non-Communicable Disease Control and Prevention, Chinese Centre for Disease Control and Prevention, Beijing, China Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use
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