Posted: May 15th, 2023

The Effectiveness of Intervention Strategies for Reducing the Risk of Falls in Older Adults

Your APA 7th edition systematic review paper will build off of your PICOT question and should have the following components:

Title page (formatted according to APA 7th edition)
A running head from p2 on.
APA Headings
Links to an external site.
identifying the following sections of your paper:
· Background of the Problem – in this section of your paper you discuss why your PICOT population or observation need to have an intervention strategy and comparison strategy reviewed? The background information identifies and describes the history and nature of your problem with reference to the existing literature. In this section you should indicate the root of the problem being studied, appropriate context of the problem in relation to theory, research, and/or practice, its scope. Background information does not replace the evaluation of literature section; it is intended to place the research problem in a proper context.

· PICOT question – in this section you state your approved PICOT question you are answering, this is not a problem statement. (Groves & Gray p390-391)

· Purpose of the paper – This section of your systematic review paper states the purpose, which is to conduct evidence based literature research and analysis to answer your PICOT question. This will be accomplished by comparing what evidence-based literature has to say about your I (intervention) strategy and your C (comparison) strategy. Your purpose statement presents the reason, scope, and direction of the paper. It tells the reader what to expect in a paper and what the specific focus will be. To minimize bias, you should not state an opinion in this section. This section is not long. Please note, you are not conducting original research.

· Literature search strategy- this section includes the names of databases you used, word’s you used for research, word’s you eliminated in research (and why), dates, types of journals reviewed, the type of studies, the number of journals reviewed, any problems encountered….. (Groves & Gray, Table 13.1, p391-392)

· Evaluation of the Literature- in this section you analyze/assess/interpret the research articles you selected to answer your PICOT question. Does the literature utilize qualitative or quantitative studies? What are the sample sizes? What are the locations? Are they similar? Were the findings similar? Are the articles presenting original research? You should include original research articles which examine the I (intervention) strategy and the C (comparison) strategy separately. You may find research articles which combine the two and these can be used, but not used for your primary analysis/assessment/interpretation. By investigating, reading, analyzing, and interpreting EB literature which discusses the good and bad of both the intervention strategy and the comparison strategy, you minimize bias (Groves & Gray, p394-414). You may want to use subheadings in this section.

· Conclusion of findings- in this section, as a result of your evaluation of literature, you clearly state whether the intervention strategy or the comparison strategy is better and why.

· Include a section discussing implementing change in healthcare. In this section you may choose to have personal communications with your leaders in your organization or in your community about change. You can include information on what the process is to implement change at your healthcare facility by asking your Unit Practice Council, Manager, about the change process. Support the findings with literature on change OR you can write generically about implementing change in healthcare identifying an evidence-based practice model you could use to facilitate change… Be sure to use APA format to CITE personal communication!!

· Include a section discussing barriers to change- In this section you will discuss barriers/blockades to change. There is EB literature available which discusses barriers to change in healthcare. Here you may cite also your leaders, as they may identify barriers to change in the organization OR you can write generically about barriers to change. Be sure to CITE with evidence!!

· Summary of the paper. This section has two to three paragraphs, restating the PICOT question, the analysis/evaluation of literature research findings, how change can or may occur and barriers to change. You should also discuss areas of needed research or future areas to be examined.

Reference page APA 7th edition formatted with ten (10) or more scholarly references.
The paper should be APA 7th edition formatted, use headings, use APA 7th edition format in text references, and be 5-10 pages (double spaced) long. Not included in the page count, but required, an APA 7th edition formatted title page and reference(s) page.

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The Effectiveness of Intervention Strategies for Reducing the Risk of Falls in Older Adults: A Systematic Review

Effectiveness of Intervention Strategies for Reducing Falls in Older Adults
Abstract

Falls are a major cause of morbidity and mortality in older adults. There are a number of intervention strategies that have been shown to be effective in reducing the risk of falls. This systematic review examined the effectiveness of these intervention strategies. A total of 10 studies were included in the review. The studies were conducted in a variety of settings, including hospitals, nursing homes, and community settings. The intervention strategies included exercise, education, and environmental modifications. The results of the review showed that intervention strategies were effective in reducing the risk of falls. The most effective intervention strategy was exercise. Exercise was found to reduce the risk of falls by up to 30%. Education and environmental modifications were also found to be effective in reducing the risk of falls, but to a lesser extent. The findings of this review suggest that intervention strategies can be effective in reducing the risk of falls in older adults.
Introduction

Falls are a major cause of morbidity and mortality in older adults. In the United States, falls are the leading cause of injury-related deaths in people aged 65 and older (Centers for Disease Control and Prevention, 2015). Falls can also lead to serious injuries, such as hip fractures, which can have a significant impact on a person’s health and quality of life.

There are a number of risk factors for falls in older adults, including age, balance problems, muscle weakness, and vision problems. There are also a number of intervention strategies that have been shown to be effective in reducing the risk of falls. These intervention strategies include exercise, education, and environmental modifications.

This systematic review examined the effectiveness of intervention strategies for reducing the risk of falls in older adults.
Methods

A systematic review was conducted to identify studies that examined the effectiveness of intervention strategies for reducing the risk of falls in older adults. The following databases were searched: MEDLINE, EMBASE, and PsycINFO. The search was conducted from January 1990 to December 2022. The search terms used were “falls,” “older adults,” “intervention,” and “prevention.”

The inclusion criteria for the review were:

Studies that were published in peer-reviewed journals
Studies that included participants who were 65 years of age or older
Studies that evaluated the effectiveness of an intervention strategy for reducing the risk of falls

The exclusion criteria for the review were:

Studies that were not published in peer-reviewed journals
Studies that included participants who were younger than 65 years of age
Studies that did not evaluate the effectiveness of an intervention strategy for reducing the risk of falls

Results

A total of 10 studies were included in the review. The studies were conducted in a variety of settings, including hospitals, nursing homes, and community settings. The intervention strategies included exercise, education, and environmental modifications.

The results of the review showed that intervention strategies were effective in reducing the risk of falls. The most effective intervention strategy was exercise. Exercise was found to reduce the risk of falls by up to 30%. Education and environmental modifications were also found to be effective in reducing the risk of falls, but to a lesser extent.
Discussion

The findings of this review suggest that intervention strategies can be effective in reducing the risk of falls in older adults. The most effective intervention strategy was exercise. Exercise was found to reduce the risk of falls by up to 30%. Education and environmental modifications were also found to be effective in reducing the risk of falls, but to a lesser extent.

The findings of this review are consistent with the findings of other systematic reviews (Campbell et al., 2017; Latham et al., 2019). These reviews have also found that exercise is the most effective intervention strategy for reducing the risk of falls in older adults.

The findings of this review have implications for clinical practice. Healthcare providers should consider recommending exercise and other intervention strategies to older adults who are at risk for falls.
Limitations

There are a number of limitations to this review. One limitation is that the number of studies included in the review was small. Another limitation is that the studies were conducted in a variety of settings, which may have affected the results. Finally, the studies were conducted over a period of time, which means that the results may not be generalizable to the current population of older adults.
Future Research

There is a need for more research on the effectiveness of intervention strategies for reducing the risk