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Care Partner Engagement in Fall Risk Management Programs for Community-Dwelling Older People with Cognitive
Xiaoyi Zeng1, Amelia Card1,2, Namkee G Choi1
1School of Social Work, The University of Texas at Austin, Austin, TX, USA.
Clinical Interventions in Aging
|December 3, 2025
Summary
Care partner engagement (CPE) is vital for fall risk management (FRM) in older adults with cognitive impairment (CI). This review identifies facilitators, barriers, and strategies to improve CPE, highlighting the need for consistent measures.
Area of Science:
- Gerontology
- Public Health
- Rehabilitation Science
Background:
- Older adults with cognitive impairment (CI) face elevated fall risks.
- Care partner engagement (CPE) is crucial for adherence to fall risk management (FRM) programs.
Purpose of the Study:
- To systematically review terms and measures of CPE in FRM for community-dwelling older adults with CI.
- To identify facilitators, barriers, and enhancement strategies for CPE in FRM programs.
Main Methods:
- Systematic search of eight databases and manual search (1985-2024).
- Content analysis and thematic synthesis guided by a conceptual framework.
- Quality assessment using the Mixed Methods Appraisal Tool.
Main Results:
- Thirty-two studies synthesized, revealing heterogeneity in CPE terms and measures.
- Facilitators and barriers identified across older adults with CI, care partners, and programs.
- Promising CPE enhancement strategies include tailored content, professional/social support, discussion tools, and flexible schedules.
Conclusions:
- A novel conceptual framework for CPE in FRM for older adults with CI was developed.
- Emphasized the need for consistent language and validated measures for CPE.
- Findings inform the development of effective care-partner-engaged FRM programs for this population.
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