EFFECTIVENESS OF EDUCATIONAL INTERVENTIONS FOR FALL PREVENTION: A SYSTEMATIC REVIEW

Ximenes, Maria Aline Moreira; Brandão, Maria Girlane Sousa Albuquerque; Araújo, Thiago Moura de; Galindo Neto, Nelson Miguel; Barros, Lívia Moreira; Caetano, Joselany Áfio

doi:10.1590/1980-265X-TCE-2020-0558

Maria Aline Moreira Ximenes

Universidade Federal do Ceará, Programa de Pós-Graduação em Enfermagem. Fortaleza, Ceará, Brasil.

http://orcid.org/0000-0002-1674-3357

Maria Girlane Sousa Albuquerque Brandão

Universidade da Integração Internacional da Lusofonia Afro-Brasileira, Programa de Pós-Graduação em Enfermagem. Redenção, Ceará, Brasil.

http://orcid.org/0000-0002-9925-4750

Thiago Moura de Araújo

Universidade da Integração Internacional da Lusofonia Afro-Brasileira, Programa de Pós-Graduação em Enfermagem. Redenção, Ceará, Brasil.

http://orcid.org/0000-0002-3924-9570

Nelson Miguel Galindo Neto

Instituto Federal de Educação, Ciência e Tecnologia de Pernambuco, Pesqueira, Pernambuco, Brasil.

http://orcid.org/0000-0002-7003-165X

Lívia Moreira Barros

Universidade da Integração Internacional da Lusofonia Afro-Brasileira, Programa de Pós-Graduação em Enfermagem. Redenção, Ceará, Brasil.

http://orcid.org/0000-0002-9763-280X

Joselany Áfio Caetano

Universidade Federal do Ceará, Programa de Pós-Graduação em Enfermagem. Fortaleza, Ceará, Brasil.

http://orcid.org/0000-0002-0807-056X

CORRESPONDING AUTHOR
Maria Aline Moreira Ximenes aline.ximenes11@hotmail.com

CONTRIBUTION OF AUTHORITY

Study design: Ximenes MAM. Data collection: Ximenes MAM, Brandão MGSA. Data analysis and interpretation: Ximenes MAM, Brandão MGSA. Discussion of results: Ximenes MAM, Brandão MGSA. Writing and/or critical review of content: Araújo TM, Galindo Neto NM, Barros LM, Caetano JÁ. Final review and approval of the final version: Araújo TM, Galindo Neto NM, Barros LM, Caetano JÁ.

CONFLICT OF INTEREST

There is no conflict of interest.

EDITORS

Associated Editors: Mara Ambrosina de Oliveira Vargas, Gisele Cristina Manfrini, Monica Motta Lino. Editor-in-chief: Roberta Costa.

Database	Search structures
EMBASE	(falls OR “acidental falls” OR falling OR “fall risk” OR “falls prevention” OR “accident prevention”) AND (“health education” OR “health promotion” OR “patient education” OR “educational technology” OR “instructional technology”) AND (“clinical trial” OR “clinical trials (topic)”)
PuBMed	(“acidental falls” OR “falls prevention” OR “accident prevention”) AND (“health education” OR “patient education” OR “educational technology” OR “instructional technology”) AND (“clinical trial” OR “clinical trials as topic”)
Scopus
Web of Science	(falls OR “acidental falls” OR “fall risk” OR “falls prevention” OR “accident prevention”) AND (“health education” OR “health promotion” OR “patient education” OR “educational technology” OR “instructional technology”) AND (“clinical trial” OR “clinical trials as topic”)
CINAHL
Cochrane
SciELO	(falls OR “acidental falls” OR “accident prevention”) AND (“health education” OR “health promotion” OR “patient education” OR “educational technology” OR “instructional technology”)

Studies	Sample/ Losses	Locations	Educational interventions	Number of sessions/ Duration	Comparator	Result measures	Main results
Mora Pinzon M, et al., 201999. Mora Pinzon M, Myers S, Jacobs EA, Ohly S, Bonet-Vázquez M, Villa M, et al. “Pisando Fuerte”: an evidence-based falls prevention program for Hispanic/Latinos older adults: results of an implementation trial. BMC Geriatr [Internet]. 2019 [cited 2020 Sept 20];19(1):258. Available from: https://doi.org/10.1186/s12877-019-1273-1 https://doi.org/10.1186/s12877-019-1273-...	29 Latin elderly people/17%	Community institution	Educational group sessions, with discussions on fall prevention strategies.	Eight/ six months	Randomized single-arm clinical trial	Fall Behavioral Risk Scale (RcQ); Timed Up and Go (TUG); Adoption of individual protection behaviors.	In six months: there was a significant improvement in the mean of RcQ (p <0.001); In the TUG, there was no improvement (p=0.07); 57.9% continued to exercise, 94% adopted safer walking strategies and 67% performed at least one safety recommendation at home.
Hill, et al., 20151818. Hill AM, McPhail SM, Waldron N, Etherton-Beer C, Ingram K, Flicker L, et al. Fall rates in hospital rehabilitation units after individualised patient and staff education programmes: a pragmatic, stepped-wedge, cluster-randomised controlled trial. Lancet [Internet]. 2015 [cited 2020 Sept 27];385(9987):2592-9. Available from: https://doi.org/10.1016/S0140-6736(14)61945-0 https://doi.org/10.1016/S0140-6736(14)61...	3,606 elderly people/ none	Hospital	Personalized follow-up of fall risk prevention, using videos (DVD) and leaflets to record goals.	Three to five/ 12.5 months	Usual care	Audit of notification of cases of falls in the hospital.	There were fewer falls (p=0.003) and falls with injuries (p=0.06) in IG.
Potter, et al., 20141919. Potter P, Pion S, Klinkenberg D, Kuhrik M, Kuhrik N. An instructional DVD fall-prevention program for patients with cancer and family caregivers. Oncol Nurs Forum [Internet]. 2014 [cited 2020 Sept 27];41(5):486-94. Available from: https://doi.org/10.1188/14.ONF.486-494 https://doi.org/10.1188/14.ONF.486-494...	132 patients with cancer/ 42%	Hospital	Video fall prevention instructions and information leaflet. Delivery of a copy of a DVD video to be shown at home after discharge.	Free/ three months	Standard hospital video and information leaflet	Fall registration calendar; Fall Risk Awareness Questionnaire (FRAQ); Aware Fall Risk Scale.	Improvement in the Aware Fall Risk Scale (p <0.01); There were no differences in the FRAQ scores between the study groups (p=0.49); IG was more likely to report episodes of falls with injuries (p <0.05) and to make changes at home (p <0.05).
Taylor et al., 20172020. Taylor SF, Coogle CL, Cotter JJ, Welleford EA, Copolillo A. Community-dwelling older adults’ adherence to environmental fall prevention recommendations. J Appl Gerontol [Internet]. 2017 [cited 2020 Sept 27];38(6):755-74. Available from: https://doi.org/10.1177/0733464817723087 https://doi.org/10.1177/0733464817723087...	22 elderly people/ 8,3%	Home	Personalized education on fall prevention at home, with simulation of the identified environmental risk and practical guidelines to correct it.	Three/ six months	Widespread fall risk education	Confidence and Balance Scale; Observation based on forms created by the authors.	Best score on the confidence scale, with personalized environmental recommendations (p <0.05); Significant difference in the average of adherence to preventive care with personalized education (69%) compared to generalized (37%).
Harper et al., 20172121. Harper KJ, Barton AD, Arendts G, Edwards DG, Petta AC, Celenza A. Controlled clinical trial exploring the impact of a brief intervention for prevention of falls in na emergency department. Emerg Med Australas [Internet]. 2017 [cited 2020 Sept 28];29(5):524-30. Available from: https://doi.org/10.1111/1742-6723.12804 https://doi.org/10.1111/1742-6723.12804...	412 elderly people/ 8,2%	Hospital	Brief educational intervention with individual discussion on risk of falling.	One/ six months	Usual care	Fall risk screening; Functional capacity; Self-report on the occurrence of falls; Hospital records.	Falls occurred in both groups during follow-up (OR 0.81, 95% CI 0.53 - 1.25, p=0.34); IG had fewer hospital admissions (p=0.002) and improved physical function (p=0.007).
Park et al., 20191010. Park BM, Ryu HS, Kwon KE, Lee CY. Development and effect of a fall prevention program based on the king's goal attainment theory for fall high-risk elderly patients in long-term care hospital. J Korean Acad Nurs [Internet]. 2019 [cited 2020 Sept 20];49(2):203-14. Available from: https://doi.org/10.4040/jkan.2019.49.2.203 https://doi.org/10.4040/jkan.2019.49.2.2...	124 elderly people/ 29%	NH	Group and individual education on goal setting, role of caregiver and nurse. Demonstration of prevention strategies through videos.	Six/ six months	Usual care	Morse Fall Scale; Numbers of notification of falls per 1,000 patients/day.	Lower rate of falls in IG; Number of falls per 1,000 patients/day went from 3.38 before the intervention to 1.69 after three months (p=0.044) and decreased from 3.26 to 0.76 after 6 months of intervention (p=0.049).
Troncoso et al., 20191111. Bustamante-Troncoso C, Herrera-López LM, Sánchez H, Pérez JC, Márquez-Doren F, Leiva S. Effect of a multidimensional intervention for prevention of falls in the eldery. Aten Primaria [Internet]. 2019 [cited 2020 Sept 22];52(10):722-30. Available from: https://doi.org/10.1016/j.aprim.2019.07.018 https://doi.org/10.1016/j.aprim.2019.07....	154 elderly people/ 16,8%	Home	Personalized home visit on fall prevention, with a risk management plan for falls and telephone follow-up.	Five/ five months	Usual care	Subjective awareness of fall risk; Calendar for registration of falls.	There was a difference in the means of perceiving the risk associated with walking (IG=13.83 and CG=12.40) and the presence of objects or furniture (IG=4.31 and CG=2.64); In IG, 7.9% suffered at least a fall in the five-month period and in CG 27.7% fell (p=0.004).
Ang et al., 20112222. Ang E, Mordiffi SZ, Wong HB. Evaluating the use of a targeted multiple intervention strategy in reducing patient falls in an acute care hospital: a randomized controlled trial. J Adv Nurs [Internet]. 2011 [cited 2020 Sept 28];67(9):1984-92. Available from: https://doi.org/10.1111/j.1365-2648.2011.05646.x https://doi.org/10.1111/j.1365-2648.2011...	1,822 patients adults/ none	Hospital	Educational session, with interventions according to participants’ risk factors; First, the specific fall risk was identified and then strategies were provided to reduce the specific risk of patients.	One/ eight months	Usual care	Incidence of falls in the hospital.	Fall incidence rates were 1.5% (95% CI 0.9-2.6) in CG and 0.4% (95% CI 0.2-1.1) in IG.
Barker et al., 20192323. Barker A, Cameron P, Flicker L, Arendts G, Brand C, Etherton-Beer C, et al. Evaluation of RESPOND, a patient-centred program to prevent falls in older people presenting to the emergency department with a fall: a randomised controlled trial. PLoS Med [Internet]. 2019 [cited 2020 Sept 28];16(5):e1002807. Available from: https://doi.org/10.1371/journal.pmed.1002807 https://doi.org/10.1371/journal.pmed.100...	523 elderly people/ 17,7%	Home	Educational program with home fall risk assessment; Telephone guidance, coaching, goal setting and support for evidence-based risk factor management.	Three to four/two months	Usual care	Hospitalization rates Occurrence of fractures; Quality of life and deaths per person/year, during the 12-month study period.	There was no difference in injuries due to falls (p=0.374); The fracture rate was significantly lower in IG (p=0.03); There were no significant differences in other secondary outcomes between groups.
Naseri et al., 20192424. Naseri C, McPhail SM, Haines TP, Morris ME, Etherton‐Beer C, Shorr R et al. Evaluation of tailored falls education on older adults' behavior following hospitalization. J Am Geriatr Soc [Internet]. 2019 [cited 2020 Sept 28];67:2274-81. Available from: https://doi.org/10.1111/jgs.16053 https://doi.org/10.1111/jgs.16053...	390 elderly people/ 25%	Hospital	Educational intervention with individual and personalized discussion using leaflets and videos; Formulation of goals for post-discharge care, based on patient preferences.	One one-to-one session and three phone backups/six months	Usual care	Receiving formal or informal assistance to assist in patient care; Katz index; Lawton and Brody Scale; Practice of exercises.	There was no difference in engagement in preventing falls (p=0.3); Participants’ dependency levels remained high during follow-up; The proportion of all participants who exercised after hospital discharge increased by 30% (p=0.05).
Hill et al., 20112525. Hill AM, Hoffmann T, McPhail S, Beer C, Hill KD, Oliver D, et al. Evaluation of the sustained effect of inpatient falls prevention education and predictors of falls after hospital discharge follow-up to a randomized controlled trial. J Gerontol A Biol Sci Med Sci [Internet]. 2011 [cited 2020 Sept 28];66(9):1001-12. Available from: https://doi.org/10.1093/gerona/glr085 https://doi.org/10.1093/gerona/glr085...	1206 elderly people/ 87%	Hospital	IG 1 - individual education with a self-directed multimedia program on fall prevention, consisting of a DVD and a written handout; IG 2 - complete educational program, with multimedia educational package and additional monitoring by a health professional.	One/six months	Usual care	Falls occurred for six months after discharge.	CG had the lowest rates of falls (3.62/1,000 person-days), compared to the group with only materials (5.36/1,000 person-days) or the full program group (4.40/1,000 person-days) morning).
Hill et al., 20192626. Hill AM, McPhail SM, Haines TP, Morris ME, Etherton-Beer C, Shorr R, et al. Falls after hospital discharge: a randomized clinical trial of individualized multimodal falls prevention education. J Gerontol A Biol Sci Med Sci [Internet]. 2019 [cited 2020 Sept 28];74(9):1511-7. Available from: https://doi.org/10.1093/gerona/glz026 https://doi.org/10.1093/gerona/glz026...	390 elderly people/ 2%	Hospital	Individualized education, with printed materials and video with information on falls and specific prevention for the post-discharge period.	Seven/ six months	Usual care + education program on aspects of positive aging.	Falls rate in the six months after hospital discharge; Rate of harmful falls and proportion of participants who suffered one or more falls in that period;	There were no differences in the rates of falls between CG and IG (5.9/1,000 patients/day), in the six months after hospital discharge; 164 participants fell, 79 fell once (IG=43; CG=36), 46 fell twice (IG=26; CG=20) and 39 fell more than twice (IG=22; CG=17).
Schepens et al., 20122727. Schepens SL, Panzer V, Goldberg A. Randomized controlled trial comparing tailoring methods of multimedia-based fall prevention education for community-dwelling older adults. Am J Occup Ther [Internet]. 2011 [cited 2020 Sept 30];65(6):702-9. Available from: https://doi.org/10.5014/ajot.2011.001180 https://doi.org/10.5014/ajot.2011.001180...	68 elderly people/ 22%	Home	IG 1 - presentation of vignettes, with specific daily situations, narrated in the first person and which included risks of falls; IG 2 - the same intervention as IG 1 was carried out including setting goals and strategies for preventing falls.	One/ One month	No intervention	Identification of situations with risks of falling during pre- and post-test.	The number of fall risks identified in the post-test was significantly higher than the number identified in the pre-test for IG 1 (p=0.004), IG 2 (p=0.002), but not for CG (p=0 , 96); IG 1 identified more risks of falling than CG (p=0.029) as well as IG 2 (p=0.007).
Hill et al., 20132828. Hill AM, Etherton-Beer C, Haines TP. Tailored education for older patients to facilitate engagement in falls prevention strategies after hospital discharge: a pilot randomized controlled trial. PLoS ONE [Internet]. 2013 [cited 2020 Sept 30];8(5):e63450. Available from: https://doi.org/10.1371/journal.pone.0063450 https://doi.org/10.1371/journal.pone.006...	50 elderly people/ 4%	Hospital	Delivery of written and video materials, followed by individual discussion sessions, with educators beside patients.	Two sessions and a phone backup/One month	Usual care	Involvement in fall prevention strategies in the month after discharge; Self-awareness risk and knowledge about fall prevention strategies after hospital discharge.	IG was significantly more experienced, confident and motivated to be involved in fall prevention strategies after receiving health education (p <0.01); One month after discharge, 87.5% participants in IG agreed that knowledge levels increased (p=0.01).
Ueda et al., 20172929. Ueda T, Higuchi Y, Imaoka M, Todo E, Kitagawa T, Ando S. Tailored education program using home floor plans for falls prevention in discharged older patients: A pilot randomized controlled trial. Arch Gerontol Geriatr [Internet]. 2017 [cited 2020 Sept 30];71:9-13. Available from: https://doi.org/10.1016/j.archger.2017.02.010 https://doi.org/10.1016/j.archger.2017.0...	60 elderly people/ 13.3%	Home	Individualized education aimed at changing habits according to individual risks; Exercise guidance.	One/ One month	Intervention on exercises to prevent falls	Occurrence of falls recorded by patients in a calendar provided by the researcher.	No falls occurred in IG (n=25) during follow-up; Two participants (7.7%) fell in CG (n=26); IG had 75% fewer falls than CG.
Kuhlens- chmidt et al., 20163030. Kuhlenschmidt ML, Reeber C, Wallace C, Chen Y, Barnholtz-Sloan J, Mazanec SR. Tailoring education to perceived fall risk in hospitalized patients with cancer: a randomized, controlled trial. Clin J Oncol Nurs [Internet]. 2016 [cited 2020 Sept 30];20(1):84-9. Available from: https://doi.org/10.1188/16.CJON.84-89 https://doi.org/10.1188/16.CJON.84-89...	91 adult patients/ none	Hospital	Video application developed by the researcher; Education with printed leaflet on risks of falling; Discussion with the research nurse.	One/ Not reported	Hospital standard education leaflet	Perceived fall risk and willingness to ask for help.	There was a difference in the proportion of patients who perceived themselves to be at high risk for pre- and post-intervention falls (p=0.01); No change was seen in the confidence or willingness to ask for help in the intervention group.

Studies	Risks of bias
Studies	Domain 1 Sequence generation	Domain 2 Effect attributed to the intervention	Domain 3 Incomplete results data	Domain 4 Result measurement	Domain 5 Reported result	General RoB*
Mora Pinzon et al., 201999. Mora Pinzon M, Myers S, Jacobs EA, Ohly S, Bonet-Vázquez M, Villa M, et al. “Pisando Fuerte”: an evidence-based falls prevention program for Hispanic/Latinos older adults: results of an implementation trial. BMC Geriatr [Internet]. 2019 [cited 2020 Sept 20];19(1):258. Available from: https://doi.org/10.1186/s12877-019-1273-1 https://doi.org/10.1186/s12877-019-1273-...	High risk	Low risk	Low risk	High risk	Low risk	High risk
Hill et al., 20151818. Hill AM, McPhail SM, Waldron N, Etherton-Beer C, Ingram K, Flicker L, et al. Fall rates in hospital rehabilitation units after individualised patient and staff education programmes: a pragmatic, stepped-wedge, cluster-randomised controlled trial. Lancet [Internet]. 2015 [cited 2020 Sept 27];385(9987):2592-9. Available from: https://doi.org/10.1016/S0140-6736(14)61945-0 https://doi.org/10.1016/S0140-6736(14)61...	Low risk	Low risk	Low risk	Low risk	Low risk	Low risk
Potter et al., 20141919. Potter P, Pion S, Klinkenberg D, Kuhrik M, Kuhrik N. An instructional DVD fall-prevention program for patients with cancer and family caregivers. Oncol Nurs Forum [Internet]. 2014 [cited 2020 Sept 27];41(5):486-94. Available from: https://doi.org/10.1188/14.ONF.486-494 https://doi.org/10.1188/14.ONF.486-494...	Uncertain risk	High risk	Low risk	Low risk	Low risk	High risk
Taylor et al., 20172020. Taylor SF, Coogle CL, Cotter JJ, Welleford EA, Copolillo A. Community-dwelling older adults’ adherence to environmental fall prevention recommendations. J Appl Gerontol [Internet]. 2017 [cited 2020 Sept 27];38(6):755-74. Available from: https://doi.org/10.1177/0733464817723087 https://doi.org/10.1177/0733464817723087...	Uncertain risk	Low risk	Low risk	High risk	Low risk	High risk
Harper et al., 20172121. Harper KJ, Barton AD, Arendts G, Edwards DG, Petta AC, Celenza A. Controlled clinical trial exploring the impact of a brief intervention for prevention of falls in na emergency department. Emerg Med Australas [Internet]. 2017 [cited 2020 Sept 28];29(5):524-30. Available from: https://doi.org/10.1111/1742-6723.12804 https://doi.org/10.1111/1742-6723.12804...	Uncertain risk	High risk	Low risk	Uncertain risk	Low risk	High risk
Park et al., 20191010. Park BM, Ryu HS, Kwon KE, Lee CY. Development and effect of a fall prevention program based on the king's goal attainment theory for fall high-risk elderly patients in long-term care hospital. J Korean Acad Nurs [Internet]. 2019 [cited 2020 Sept 20];49(2):203-14. Available from: https://doi.org/10.4040/jkan.2019.49.2.203 https://doi.org/10.4040/jkan.2019.49.2.2...	Low risk	Low risk	Low risk	Uncertain risk	Low risk	Uncertain risk
Troncoso et al., 20191111. Bustamante-Troncoso C, Herrera-López LM, Sánchez H, Pérez JC, Márquez-Doren F, Leiva S. Effect of a multidimensional intervention for prevention of falls in the eldery. Aten Primaria [Internet]. 2019 [cited 2020 Sept 22];52(10):722-30. Available from: https://doi.org/10.1016/j.aprim.2019.07.018 https://doi.org/10.1016/j.aprim.2019.07....	Uncertain risk	Low risk	Low risk	Uncertain risk	Low risk	Uncertain risk
Ang et al., 20112222. Ang E, Mordiffi SZ, Wong HB. Evaluating the use of a targeted multiple intervention strategy in reducing patient falls in an acute care hospital: a randomized controlled trial. J Adv Nurs [Internet]. 2011 [cited 2020 Sept 28];67(9):1984-92. Available from: https://doi.org/10.1111/j.1365-2648.2011.05646.x https://doi.org/10.1111/j.1365-2648.2011...	Low risk	Low risk	Low risk	Low risk	Low risk	Low risk
Barker et al., 20192323. Barker A, Cameron P, Flicker L, Arendts G, Brand C, Etherton-Beer C, et al. Evaluation of RESPOND, a patient-centred program to prevent falls in older people presenting to the emergency department with a fall: a randomised controlled trial. PLoS Med [Internet]. 2019 [cited 2020 Sept 28];16(5):e1002807. Available from: https://doi.org/10.1371/journal.pmed.1002807 https://doi.org/10.1371/journal.pmed.100...	Low risk	Low risk	Low risk	Low risk	Low risk	Low risk
Naseri et al., 20192424. Naseri C, McPhail SM, Haines TP, Morris ME, Etherton‐Beer C, Shorr R et al. Evaluation of tailored falls education on older adults' behavior following hospitalization. J Am Geriatr Soc [Internet]. 2019 [cited 2020 Sept 28];67:2274-81. Available from: https://doi.org/10.1111/jgs.16053 https://doi.org/10.1111/jgs.16053...	Uncertain risk	Uncertain risk	Low risk	High risk	Low risk	High risk
Hill et al., 20112525. Hill AM, Hoffmann T, McPhail S, Beer C, Hill KD, Oliver D, et al. Evaluation of the sustained effect of inpatient falls prevention education and predictors of falls after hospital discharge follow-up to a randomized controlled trial. J Gerontol A Biol Sci Med Sci [Internet]. 2011 [cited 2020 Sept 28];66(9):1001-12. Available from: https://doi.org/10.1093/gerona/glr085 https://doi.org/10.1093/gerona/glr085...	Low risk	Low risk	Low risk	Low risk	Low risk	Low risk
Hill et al., 20192626. Hill AM, McPhail SM, Haines TP, Morris ME, Etherton-Beer C, Shorr R, et al. Falls after hospital discharge: a randomized clinical trial of individualized multimodal falls prevention education. J Gerontol A Biol Sci Med Sci [Internet]. 2019 [cited 2020 Sept 28];74(9):1511-7. Available from: https://doi.org/10.1093/gerona/glz026 https://doi.org/10.1093/gerona/glz026...	Low risk	Low risk	Low risk	Low risk	Low risk	Low risk
Schepens et al., 20122727. Schepens SL, Panzer V, Goldberg A. Randomized controlled trial comparing tailoring methods of multimedia-based fall prevention education for community-dwelling older adults. Am J Occup Ther [Internet]. 2011 [cited 2020 Sept 30];65(6):702-9. Available from: https://doi.org/10.5014/ajot.2011.001180 https://doi.org/10.5014/ajot.2011.001180...	Low risk	Uncertain risk	Low risk	Low risk	Low risk	Uncertain risk
Hill et al., 20132828. Hill AM, Etherton-Beer C, Haines TP. Tailored education for older patients to facilitate engagement in falls prevention strategies after hospital discharge: a pilot randomized controlled trial. PLoS ONE [Internet]. 2013 [cited 2020 Sept 30];8(5):e63450. Available from: https://doi.org/10.1371/journal.pone.0063450 https://doi.org/10.1371/journal.pone.006...	Low risk	Low risk	Low risk	Low risk	Low risk	Low risk
Ueda et al., 20172929. Ueda T, Higuchi Y, Imaoka M, Todo E, Kitagawa T, Ando S. Tailored education program using home floor plans for falls prevention in discharged older patients: A pilot randomized controlled trial. Arch Gerontol Geriatr [Internet]. 2017 [cited 2020 Sept 30];71:9-13. Available from: https://doi.org/10.1016/j.archger.2017.02.010 https://doi.org/10.1016/j.archger.2017.0...	Low risk	Uncertain risk	Low risk	Low risk	Low risk	Uncertain risk
Kuhlenschmidt et al., 20163030. Kuhlenschmidt ML, Reeber C, Wallace C, Chen Y, Barnholtz-Sloan J, Mazanec SR. Tailoring education to perceived fall risk in hospitalized patients with cancer: a randomized, controlled trial. Clin J Oncol Nurs [Internet]. 2016 [cited 2020 Sept 30];20(1):84-9. Available from: https://doi.org/10.1188/16.CJON.84-89 https://doi.org/10.1188/16.CJON.84-89...	Low risk	High risk	Low risk	Low risk	Low risk	High risk

[1] CORRESPONDING AUTHOR
Maria Aline Moreira Ximenes aline.ximenes11@hotmail.com

Brasil

Brasil

EFFECTIVENESS OF EDUCATIONAL INTERVENTIONS FOR FALL PREVENTION: A SYSTEMATIC REVIEW

EFECTIVIDAD DE LAS INTERVENCIONES EDUCATIVAS PARA LA PREVENCIÓN DE CAÍDAS: REVISIÓN SISTEMÁTICA

ABSTRACT

Objective:

Method:

Results:

Conclusion: