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The world falls guidelines: how is implementation progressing globally?
Lotta J Seppala1,2, Stephen R Lord3, Tahir Masud4
1Internal Medicine, Section of Geriatric Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands.
Age and Ageing
|August 12, 2025
Summary
Global efforts are underway to implement the World guidelines for falls prevention and management for older adults (WFG). Implementation progress varies significantly across countries, highlighting the need for adaptation and prioritization.
Area of Science:
- Gerontology
- Public Health
- Healthcare Policy
Background:
- Rising incidence of falls and related injuries in older adults globally.
- The World guidelines for falls prevention and management (WFG) offer evidence-based recommendations.
- Previous reports indicated varied implementation of WFG across Europe.
Purpose of the Study:
- To conduct a comprehensive global overview of the WFG implementation status.
- To identify progress and barriers in implementing WFG worldwide.
- To inform strategies for accelerating global falls prevention efforts.
Main Methods:
- Survey of experts involved in the WFG from 18 countries across multiple continents.
- Inquiry regarding the implementation status of WFG in their respective nations.
- Analysis of reported progress, ranging from advanced integration to minimal action.
Main Results:
- Implementation efforts for WFG are active in many surveyed countries, with progress varying widely.
- Reported barriers include limited resources, competing health priorities, and cultural differences in care.
- Advanced integration into guidelines/policies observed in some regions, while others show no/minimal action.
Conclusions:
- Global implementation of WFG shows encouraging signs but faces significant challenges.
- Adapting WFG to diverse healthcare systems and integrating falls prevention into national policies is crucial.
- Strengthening global collaboration and advocating for falls prevention as a public health priority are essential for progress.
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