Evidence map›Paper›PMID 32267498›Full record

SynthesisThe Gerontologist2021

Intervention Characteristics Associated With a Reduction in Fear of Falling Among Community-Dwelling Older People: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

Marlot Kruisbrink, Kim Delbaere, Gertrudis I J M Kempen, Rik Crutzen, Ton Ambergen, Kei-Long Cheung, Denise Kendrick, Steve Iliffe, G A Rixt Zijlstra

Erratum issued Registry-linked trialOpen access · bronzeAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in The Gerontologist, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05889910 (Effectiveness of the Implementation of a Standardized Care Plan to Improve Fear of Falling and Incidence of Falls. FEARFALL_CARE Study), which is not on this map. Cited by 32 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 7 pooled it
12.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05889910 nacompletednot on this mapstarted 2023, after this paper: background citation

Effectiveness of the Implementation of a Standardized Care Plan to Improve Fear of Falling and Incidence of Falls. FEARFALL_CARE Study

TypeinterventionalSponsorGerencia de Atención Primaria, MadridRan2023 to 2024Enrolled163ConditionsFalls, Fear of Falling, NursingArmsHealth education workshop
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 7 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Exploring Indoor Home Environment Factors Influencing Fear of Falling: A Systematic Review.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

Marlot KruisbrinkCare and Public Health Research Institute, Department of Health Services Research, Maastricht University, Maastricht, the Netherlands.ORCID 0000-0002-9070-6511
Kim DelbaereNeuroscience Research Australia, School of Public Health and Community Medicine, UNSW, Randwick, New South Wales, Australia.
Gertrudis I J M KempenCare and Public Health Research Institute, Department of Health Services Research, Maastricht University, Maastricht, the Netherlands.
Rik CrutzenMaastricht University, Care and Public Health Research Institute, Department of Health Promotion, Maastricht, the Netherlands.
Ton AmbergenCare and Public Health Research Institute, Department of Methodology and Statistics, Maastricht University, Maastricht, the Netherlands.
Kei-Long CheungDepartment of Clinical Sciences, College of Health and Life Sciences, Brunel University, London, United Kingdom.
Denise KendrickDivision of Primary Care, School of Medicine, University of Nottingham, Nottingham, United Kingdom.ORCID 0000-0003-3603-6542
Steve IliffeResearch Department of Primary Care & Population Health, University College London, London, United Kingdom.
G A Rixt ZijlstraCare and Public Health Research Institute, Department of Health Services Research, Maastricht University, Maastricht, the Netherlands.
Maastricht University · NLBrunel University of London · GBUniversity College London · GBUniversity of Nottingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesFear of falling (FoF) is associated with decreased physical functioning and an increased fall risk. Interventions generally demonstrate moderate effects and optimized interventions are needed. Intervention characteristics, such as setting or delivery method may vary. We investigated which overarching intervention characteristics are associated with a reduction in FoF in community-dwelling older people. RESEARCH DESIGN AND

methodsA systematic review and meta-analysis of randomized controlled trials (RCTs) in community-dwelling older people without specific diseases was performed. Associations between intervention characteristics and standardized mean differences (SMD) were determined by univariate meta-regression. Sensitivity analyses were performed.

resultsData on 62 RCTs were extracted, 50 intervention groups were included in the meta-analysis. Most intervention characteristics and intervention types were not associated with the intervention effect. Supervision by a tai chi instructor (SMD: -1.047, 95% confidence interval [CI]: -1.598; -0.496) and delivery in a community setting (SMD: -0.528, 95% CI: -0.894; -0.161) were-compared to interventions without these characteristics-associated with a greater reduction in FoF. Holistic exercise, such as Pilates or yoga (SMD: -0.823, 95% CI: -1.255; -0.392), was also associated with a greater reduction in FoF. Delivery at home (SMD: 0.384, 95% CI: 0.002; 0.766) or with written materials (SMD: 0.452, 95% CI: 0.088; 0.815) and tailoring were less effective in reducing FoF (SMD: 0.687, 95% CI: 0.364; 1.011). DISCUSSION AND IMPLICATIONS: Holistic exercise, delivery with written materials, the setting and tailoring potentially represent characteristics to take into account when designing and improving interventions for FoF in community-dwelling older people. PROSPERO international prospective register of systematic reviews, registration ID CRD42018080483.

Indexed as

Accidental FallsTai JiAgedFearHumansIndependent LivingRandomized Controlled Trials as TopicAccidental fallsFalls self-efficacyIntervention effectiveness

Identifiers

PMID32267498
PMCPMC8361503
OpenAlexW3014611906

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.