Evidence map›Paper›PMID 41188749›Full record

ArticleBMC geriatrics2025

Barriers to reporting fear of falling and participation in fall prevention strategies among older adults in Pakistan: a qualitative study.

Soyba Nazir, Witaya Mathiyakom, Muhammad Awais Tassawar, Anong Tantisuwat

Abstract read
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Stigma of concerns about falling among older adults.European geriatric medicine · 2026
    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

4 authors.

Soyba Nazir *Depaertment of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University, Pathumwan,, Bangkok, 10330, Thailand.ORCID http://orcid.org/0000-0003-4561-1780
Witaya Mathiyakom *Department of Physical Therapy, California State University, Northridge, CA, 91330, United States of America.ORCID http://orcid.org/0000-0002-4801-7317
Muhammad Awais TassawarDepaertment of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University, Pathumwan,, Bangkok, 10330, Thailand.ORCID http://orcid.org/0009-0001-3220-1259
Anong Tantisuwat *Depaertment of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University, Pathumwan,, Bangkok, 10330, Thailand. anong.ta@chula.ac.th.ORCID http://orcid.org/0000-0003-3845-932X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFalls are a major public health concern among older adults, causing injuries, disability, and reduced quality of life (QoL). Fear of falling (FoF) increases fall risk, yet barriers to reporting FoF and participating in fall prevention strategies (FPS) remain underexplored in culturally diverse and resource-limited settings like Pakistan.

objectiveThis study aimed to explore the perceived barriers older adults faced in Pakistan in reporting FoF and engaging in FPS, providing insights for culturally sensitive interventions.

methodsA qualitative descriptive study was conducted with 12 community-dwelling older adults (aged 65-80 years) recruited using non-probability purposive sampling. Data was collected through semi-structured interviews, transcribed verbatim, and analyzed using thematic analysis. Trustworthiness was ensured through member checking, data triangulation, and investigator triangulation.

resultsThree main themes emerged. First, FoF and communication-participants hesitated to disclose FoF due to stigma, fear of losing independence, or dismissal by healthcare providers (HCPs). Second, barriers and attitudes toward FPS-logistical challenges, health-related issues, and personal beliefs hindered participation in FPS. Third, support systems and recommendations-financial, motivational, and professional support were emphasized for engagement in FPS. Both groups recommended tailored, accessible FPS and enhanced communication about FoF.

conclusionOlder adults in Pakistan face barriers to reporting FoF and participating in FPS. Culturally sensitive interventions with practical support, personalized care, and community resources are crucial. Findings emphasize the need for strategies to address barriers and enhance FPS participation in resource-limited settings.

Indexed as

Accidental FallsFearQualitative ResearchAgedAged, 80 and overFemaleHumansMalePakistanCommunication challengesFall prevention strategiesOlder adultsPerceived barriers

Identifiers

PMID41188749
PMCPMC12584383

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.