Evidence map›Paper›PMID 39477532›Full record

ArticleInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2025

System-level interventions for fall risk assessment, fall prevention and fall injury prevention in long-term care facilities: a scoping review.

Dahee Wi, Andrew Ustach, Wonkyung Jung, Sungwon Lim, Hilaire J Thompson

Abstract readScoping Review
In one paragraph

Article in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Rethinking the relationship between ambulatory activity and falls in long-term care: risk versus reward.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Dahee Wi *Human Development Nursing Science, University of Illinois Chicago College of Nursing, Chicago, Illinois, USA dwi3@uic.edu.ORCID 0000-0002-8951-2816
Andrew Ustach *School of Public Health, University of Washington, Seattle, Washington, USA.
Wonkyung JungBoston College Connell School of Nursing, Chestnut Hill, Massachusetts, USA.ORCID 0000-0002-2778-8710
Sungwon LimDepartment of Nursing, Dongguk University - Wise Campus, Gyeongju, Korea (the Republic of).
Hilaire J ThompsonBiobehavioral Nursing and Health Informatics, University of Washington School of Nursing, Seattle, Washington, USA.ORCID 0000-0002-5472-478X

Funding

NCIPC CDC HHS R49 CE003087
6 · The paper itself

Abstract

objectivesOlder adults living in long-term care facilities (LTCFs) are at high risk for falls. Interventions to prevent falls and fall-related injury in this population may be individual-level or system-focused interventions. However, relatively little attention has been given to research on system-focused interventions. This scoping review seeks to synthesise previous studies on the effects of system-focused interventions for fall prevention in LTCFs.

methodsWe searched Ovid-Medline, CINAHL and Embase databases from 2007 to 2024 following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for Scoping Reviews. We conducted a narrative synthesis to summarise findings from the included studies.

resultsIn the initial search, 403 studies were identified and underwent title and abstract screening resulting in 116 articles retrieved for full-text review. 20 studies were included in the final data extraction. System-level fall prevention interventions evaluated in LTCFs include (1) multicomponent and multidisciplinary programmes, (2) environmental adaptations, (3) technological adaptations, and (4) staff education and training programmes. 11 out of 17 included quantitative studies reported significant effects of system-focused interventions to reduce falls in LTCFs.

conclusionsThis scoping review reveals the effectiveness of system-level fall prevention strategies in LTCFs. Enhancing training, customising tools and fostering a supportive leadership culture are vital for improving fall prevention practices in LTCFs.

Indexed as

Accidental FallsLong-Term CareNursing HomesWounds and InjuriesAgedHomes for the AgedHumansRisk AssessmentFallInterventionsOlder PeopleResidential Institution

Identifiers

PMID39477532
PMCPMC12041291

What OpenQuestion holds

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Registered trials

None linked

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.