Evidence map›Paper›PMID 41334070›Full record

SynthesisClinical interventions in aging2025

Care Partner Engagement in Fall Risk Management Programs for Community-Dwelling Older People with Cognitive Impairment: A Systematic Review.

Xiaoyi Zeng, Amelia Card, Namkee G Choi, Yuanjin Zhou

Abstract readSystematic Review
In one paragraph

Synthesis in Clinical interventions in aging, 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. Observational
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.

Xiaoyi ZengSchool of Social Work, The University of Texas at Austin, Austin, TX, USA.ORCID 0000-0001-5616-3376
Amelia CardSchool of Social Work, The University of Texas at Austin, Austin, TX, USA.
Namkee G ChoiSchool of Social Work, The University of Texas at Austin, Austin, TX, USA.ORCID 0000-0002-8382-1191
Yuanjin ZhouSchool of Social Work, The University of Texas at Austin, Austin, TX, USA.ORCID 0000-0003-2492-346X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Purpose: Older people with cognitive impairment (CI) are at significantly higher fall risk compared to those without CI. Their care partners' engagement is critical to facilitate their participation and adherence in fall risk management (FRM) programs. This systematic review aims to synthesize terms and measures of care partner engagement (CPE) in FRM programs for community-dwelling older people with CI, facilitators and barriers to CPE, and promising CPE enhancement strategies. Methods: We conducted a systematic search of eight databases and included relevant literature published between 1985 and 2024 through a manual search. Guided by a conceptual framework of CPE informed by existing literature, we conducted content analysis and thematic synthesis to address our research aims. We assessed the quality of included studies using the Mixed Methods Appraisal Tool. Results: Thirty-two studies were included in the synthesis. There was substantial heterogeneity of CPE terms and measures. CPE facilitators and barriers were summarized under three categories: older people with CI (eg, interest, health, and functional statuses), care partners (eg, motivation, perceived burden, caring relationships), and service providers or programs (eg, supportive instructors, service disruptions). CPE enhancement strategies (eg, tailored intervention content, provision of professional and social support) were summarized, with some (eg, using a discussion tool, providing flexible schedules) showing promising effects on CPE. Conclusion: Our review synthesized the common practice of CPE in FRM programs for community-dwelling older people with CI and introduced a novel conceptual framework to clarify the multidimensional nature of CPE. Our findings emphasized the urgent need to develop consistent language and validated measures for describing and assessing CPE. This review has also identified important considerations, including facilitators, barriers, and promising strategies to enhance CPE in these programs, informing the development of effective care-partner-engaged FRM programs for older people with CI.

Indexed as

Accidental FallsCaregiversCognitive DysfunctionRisk ManagementAgedAged, 80 and overHumansIndependent LivingSocial Supportbehavioral engagement participationcognitive impairmentfallsinformal caregivingintervention

Identifiers

PMID41334070
PMCPMC12666404

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.