Evidence map›Paper›PMID 39739447›Full record

ArticleJournal of the American Geriatrics Society2025

Examining Factors Influencing Older Adult Engagement in Fall Prevention: A Comparative Analysis Among Stakeholders.

Jessica M Wiseman, Carmen E Quatman, Catherine C Quatman-Yates

Abstract readComparative Study
In one paragraph

Article in Journal of the American Geriatrics Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

3 authors.

Jessica M WisemanDivision of Trauma, Department of Orthopaedics, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Carmen E QuatmanDivision of Trauma, Department of Orthopaedics, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Catherine C Quatman-YatesThe Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, Ohio, USA.

Funding

Transformative Solutions for Reducing Frequent 911 Fall Calls in the Homes of Patients with Cognitive ImpairmentsK76AG068435 · NIA · OHIO STATE UNIVERSITY · PI QUATMAN, CARMEN · 2021 to 2025
$1.2M
First Responders: An Innovative Approach to Better Predict and Prevent Falls in Older Adults in the CommunityR03AG060177 · NIA · OHIO STATE UNIVERSITY · PI QUATMAN, CARMEN · 2018 to 2019
$234k
Linda M. Cummins Simpson Research Endowment Fund for Rehabilitation Therapies for Mobility and ADLsNational Institute on Aging under the Grants for Early Medical/Surgical Specialists' Transition to Aging Research (GEMSSTAR) R03AG060177National Institute on Aging under the Paul B. Beeson Emerging Leaders Career Development Award in Aging K76AG068435NIA NIH HHS K76 AG068435NIA NIH HHS R03 AG060177
6 · The paper itself

Abstract

backgroundFalls are a leading cause of fatal and non-fatal injuries for older adults in the United States with significant consequences for health, mobility, and independence. Understanding what barriers influence older adult engagement is essential to facilitating uptake of evidence-based interventions to prevent falls and fall-related injuries.

methodsSemi-structured focus groups were held with 59 participants in three stakeholder groups: (1) community-dwelling older adults, (2) caregivers of older adults, and (3) healthcare providers who engage with older adults. Themes that emerged were categorized by the stakeholder group that identified them and evaluated using the social-ecological model and assigned to a level within that framework (individual, interpersonal, community, or societal).

resultsBarriers identified to older adult participation in fall prevention activities had the most themes emerge at the individual-level, which included denial; discomfort avoidance; fear of being a burden; pride; and self-perception. Interpersonal-level themes were the normalization of falls; healthcare provider attitude, behavior, and practices; social support; and well-intentioned family. Finally, the themes observed at the community level included cost; lack of education and awareness; limited healthcare resources; lack of transportation; and healthcare system timing and weaknesses. Some themes were identified across all stakeholder types, while others were recognized by only one or two. The only theme at the societal level was age-related stigma.

conclusionsThese findings demonstrate a variety of barriers across stakeholder types and provide valuable insights for developing strategies to effectively promote older adult participation in fall prevention activities to reduce falls and enhance healthy aging.

Indexed as

Accidental FallsAgedAged, 80 and overCaregiversFemaleFocus GroupsHumansIndependent LivingMaleMiddle AgedQualitative ResearchSocial SupportUnited Statesbarriers to participationfall preventionhealth promotionolder adultsocial‐ecological model

Identifiers

PMID39739447
PMCPMC11970216

What OpenQuestion holds

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Registered trials

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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.