A CDC Compendium of Effective Fall Interventions: What Works for Community-Dwelling Older Adults: 4th Edition
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Up-to-Date Info: To find the latest CDC information on this topic go to: https://www.cdc.gov/falls/interventions/falls-compendium.html

A CDC Compendium of Effective Fall Interventions: What Works for Community-Dwelling Older Adults: 4th Edition

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  • Personal Author:
  • Corporate Authors:
    National Center for Injury Prevention and Control (U.S.). Division of Injury Prevention.
  • Description:
    Introduction: Older adults value their independence, and a fall can signifcantly reduce their ability to remain self-sufcient. More than one in four people aged 65 and older fall each year, resulting in over 3 million emergency department (ED) visits.1,2 Injuries from falls treated in EDs include bruises, scrapes, and more serious injuries, such as traumatic brain injuries (TBI) and hip fractures.3-5 Falls also have a huge economic impact. Medical costs for fatal and nonfatal falls total $50 billion annually.6 However, we know that falls are not an inevitable result of aging. In recent years, systematic reviews of fall intervention studies have established that prevention interventions can reduce falls.7

    Purpose: This report is intended to showcase specifc interventions for which there is published evidence of the intervention’s ability to reduce falls among community-dwelling older adults. The compilation of this information can help public health practitioners, senior service providers, clinicians, and others who want to address falls in their community.

    Process: For this 4th edition of the Compendium, CDC gathered information about fall prevention studies that met the following criteria: Published in the peer-reviewed literature; Included community-dwelling adults aged 60 and older; Used a randomized controlled study design; Was specifcally designed to be a fall prevention intervention; Measured falls or the proportion of fallers as an outcome; Demonstrated statistically signifcant positive results in reducing older adult falls or fall injuries; Took place in a community or clinical setting; and, Were written or available in English. Studies were not included if they evaluated a fall prevention program that only targeted older adults with specifc health conditions, such as Parkinson’s disease. See Appendix A for additional details about the selection process and methods used for the earlier editions.

    Content: The Compendium classifes interventions into two main groups: single interventions and multifaceted interventions. Single interventions address a specifc fall risk factor (e.g., treating gait and balance issues with physical therapy). Single interventions are further categorized as exercise, home modifcation, and clinical interventions. Multifaceted interventions address multiple fall risk factors. Some multifaceted interventions include an assessment of each participant’s fall risk factors and provide an individually tailored intervention plan. Information about each intervention was obtained from the published study and if possible, by direct communication with the study’s principal investigator. Each is presented using a standardized format that includes a short summary of the intervention, study results, and a section describing additional details about the intervention. At the end of each section are tables comparing the participating populations, study characteristics, and intervention characteristics. The Compendium also contains appendices. These include fgures illustrating the intervention selection process; a bibliography of the research interventions; and supplemental materials, such as assessment instruments.

    Contents Include: Introduction; Single Interventions, Exercise, Home Modification, Clinical; Multifaceted Interventions; Appendix A: Intervention Study Selection Process; Appendix B: Bibliography of Compendium Studies and Supplemental Articles; and, Appendix C: Original Intervention Materials Adapted for the Compendium.

  • Content Notes:
    Suggested Citation: Burns ER, Kakara R, Moreland B. A CDC Compendium of Efective Fall Interventions: What Works for Community-Dwelling Older Adults. 4th ed. Atlanta, GA: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, 2022.

    Steadi_Compendium_2023_508.pdf

  • Subjects:
  • Series:
    Fall Interventions
  • Publisher:
    Centers for Disease Control and Prevention (U.S.)
  • Document Type:
    Text
  • Genre:
  • CIO:
    National Center for Injury Prevention and Control
  • Division:
    Division of Injury Prevention
  • Pages in Document:
    vi, 246 numbered pages
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