Evidence map›Paper›PMID 41110132›Full record

ArticleAge and ageing2025

Existing psychological interventions addressing concerns about falling in older adults: a scoping review.

Bianca Nicklen, Kim Delbaere, Toby Jack Ellmers

Abstract readScoping Review
In one paragraph

Article in Age and ageing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

3 authors.

Bianca NicklenDepartment of Brain Sciences, Imperial College London, London W6 8RP, UK.
Kim DelbaereSchool of Health Science, Faculty of Medicine and Health, University of New South Wales (UNSW) Sydney, Australia.ORCID 0000-0002-5655-0234
Toby Jack EllmersDepartment of Brain Sciences, Imperial College London, London W6 8RP, UK.ORCID 0000-0001-9595-6360

Funding

Economic and Social Research council London Interdisciplinary Social Sciences Doctoral Training Programme studentship ES/P000703/1Sir Henry Wellcome Fellowship 222747/Z/21/ZWellcome Trust
6 · The paper itself

Abstract

aimsConcerns about falling (CaF) are common in older adults. They are associated with increased falls and reduced quality of life. This scoping review aimed to (i) explore the psychological interventions that exist to address CaF in older adults and (ii) determine their feasibility and acceptability.

methodsThe Arksey and O'Malley framework was used to identify all intervention studies that utilised a psychologically informed method to target CaF in older adults. Searches were conducted on five databases (Medline, CINAHL, Embase, Psychinfo and Scopus).

resultsThis review included 32 interventions (21 randomised controlled trials, five non-controlled trials, two non-randomised controlled trials and four case studies), comprising of 3674 participants. Thirteen different psychologically informed methods were used across interventions. Cognitive behavioural therapy (CBT) was the most common (n = 15), followed by exposure therapy (n = 4) and motivational interviewing (n = 3). Most interventions significantly reduced CaF. The median total dose across all interventions was 5 hours 40 minutes. CBT interventions tended to last the longest (median = 8 × 60-minute sessions). The shortest efficacious intervention involved a single ~20-minute session of motivational interviewing.

conclusionNumerous psychologically informed techniques are currently used to address CaF-with CBT being the most common. However, the time and resource demands of many interventions may challenge their integration into clinical practice. Future work should explore the perspectives of those working in falls prevention services, and older adults themselves, to identify the most feasible and acceptable way to clinically manage CaF.

Indexed as

Accidental FallsAgingCognitive Behavioral TherapyHealth Knowledge, Attitudes, PracticeAgedAged, 80 and overAge FactorsFemaleHumansMaleMotivational InterviewingQuality of LifeTreatment OutcomeCaFclinical practiceinterventionsolder adultsreviews

Identifiers

PMID41110132
PMCPMC12535764

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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.