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e-Counseling for Fall Prevention in Older Adults: Scoping Review
Lina Safarina1, Cecep Eli Kosasih2, Iqbal Pramukti2
1Department of Nursing, Faculty of Nursing, Universitas Achmad Yani, Cimahi, West Java, Indonesia.
JMIR Aging
|May 26, 2026
Summary
Digital e-counseling effectively prevents falls in older adults by addressing physical and behavioral factors. This scalable strategy shows significant reductions in fall incidence and improved mobility.
Area of Science:
- Gerontology
- Digital Health
- Public Health
Background:
- Falls are a leading cause of injury and mortality in older adults globally.
- Digital health e-counseling offers a scalable solution for fall prevention.
- Interventions target physical, behavioral, and cognitive risk factors.
Purpose of the Study:
- To map the scope, characteristics, and outcomes of e-counseling interventions for fall prevention.
- Focus on adults aged 60 years and older.
- Utilized scoping review methodology.
Main Methods:
- Searched major databases (PubMed, ScienceDirect, CINAHL, ProQuest) for studies from January 2019 to May 2025.
- Included digital or telehealth-based counseling interventions for fall prevention.
- Synthesized data descriptively and appraised methodological quality.
Main Results:
- Included 13 studies from diverse global regions.
- e-Counseling modalities varied: VR, mobile apps, teleconsultations, wearables.
- Reported outcomes: 15-90.9% fall reduction, improved balance/mobility, increased risk awareness, enhanced self-efficacy.
Conclusions:
- e-Counseling is a promising, scalable approach for fall prevention in older adults.
- Benefits observed in physical and behavioral domains.
- Future research needed on long-term effectiveness, equity, and healthcare integration.
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