Evidence map›Paper›PMID 41588716›Full record

ArticleAustralian occupational therapy journal2026

Supporting implementation of occupational therapy led Falls Hazard Reduction at Home: A scoping review.

Susan Melchert, Daniel Lowrie, Alison Pighills

Abstract readScoping Review
In one paragraph

Article in Australian occupational therapy journal, 2026. 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.

Susan MelchertCollege of Healthcare Sciences, James Cook University, Douglas, Queensland, Australia.ORCID 0009-0002-6735-9192
Daniel LowrieCollege of Healthcare Sciences, James Cook University, Douglas, Queensland, Australia.
Alison PighillsCollege of Healthcare Sciences, James Cook University, Douglas, Queensland, Australia.ORCID 0000-0002-4172-2056

Funding

Medical Research Future Fund 000068
6 · The paper itself

Abstract

introductionAccidental falls among older people pose a significant threat to both morbidity and mortality. Falls Hazard Reduction at Home (FHR@Home) when delivered by occupational therapists has been demonstrated as an effective fall prevention intervention. Despite the evidence, FHR@Home is not routinely implemented in practice. This scoping review seeks to explore existing literature to support implementation of FHR@Home by answering the question: 'What is known about implementation strategies used to support home and community environmental falls prevention intervention in health care?'

methodsThis review used the Joanna Briggs Institute (JBI) methodological guidance for the conduct of scoping reviews. A comprehensive search was conducted across electronic databases, government websites, and web-based search engines. Studies were included if they incorporated FHR@Home as part of their intervention and explicitly referenced implementation science or knowledge translation concepts. Data were extracted from the included studies and reported implementation strategies were mapped using the Expert Recommendations for Implementing Change (ERIC) taxonomy and their associated clusters. A separate thematic analysis process was also conducted. CONSUMER AND COMMUNITY INVOLVEMENT: There was no consumer and community involvement.

resultsNineteen studies met the inclusion criteria. All ERIC implementation strategy clusters are reported on in the studies. Strategies relating to engagement and education of stakeholders appear more often in the literature. Three themes were identified as having influence on implementation outcomes: (1) Home as a practice context; (2) Collaboration is key to success; and (3) Balance of assumed knowledge, experience and fidelity.

conclusionThe findings underscore the need for further research to explore how implementation strategies can better support occupational therapists in delivering FHR@Home, particularly in ways that respect the consumer's sense of home while maintaining fidelity to evidence-based protocols. Expanding the literature in this area will be beneficial to improve uptake and sustainability of FHR@Home practices.

Indexed as

Accidental FallsAccidents, HomeOccupational TherapyAgedHumanscommunity settingFalls Hazard Reduction at Homefalls preventionimplementation sciencescoping review

Identifiers

PMID41588716
PMCPMC12835576

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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.