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Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty

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Implementing exercise programs to prevent falls: systematic descriptive review.

Victoria Shier¹, Eric Trieu², David A Ganz³

¹Pardee RAND Graduate School, RAND Corporation, 1776 Main St, Santa Monica, CA, 90407, USA. vshier@prgs.edu.

Injury Epidemiology

|October 18, 2016

Summary

This summary is machine-generated.

Primary care providers can help older adults prevent falls by referring them to exercise programs. Both home-based and group programs are effective, with varying costs and benefits.

Keywords:

Descriptive systematic review Exercise program Fall prevention

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Area of Science:

Gerontology
Preventive Medicine
Exercise Science

Background:

The United States Preventive Services Task Force recommends exercise for fall prevention in older adults.
Implementation of exercise programs within routine healthcare for fall prevention remains understudied.

Approach:

Qualitative literature review examining exercise program implementation for fall prevention in healthcare settings.
Synthesis of program features, implementation challenges, and facilitators.

Key Points:

Primary care providers (PCPs) are crucial for identifying at-risk individuals and promoting participation in fall prevention exercise programs.
Both home-based and group-based exercise programs demonstrate effectiveness in fall prevention, each with distinct advantages and disadvantages regarding adherence, supervision, and socialization.
Program costs vary significantly, from under $2 per week for combined home and weekly classes to over $100 per week for frequent individual sessions.

Conclusions:

Healthcare systems need to better integrate community-based fall prevention exercise programs.
Understanding program characteristics and tradeoffs (e.g., home vs. group) is essential for tailoring referrals to patient needs and local resources.
PCPs play a vital role in patient recruitment, and tools like registries can support effective referrals.