Article
Health Care Sciences & Services
Lucia Prieto-Contreras, Francisco M. Martinez-Arnau, David Sancho-Cantus, Laura Cubero-Plazas, Pilar Perez-Ros
Summary: This study aims to assess the prevalence of falls in community-dwelling frail older people aged 70 years and older, and identifies screening strategies based on comprehensive geriatric assessments to detect increased risk of falling and recurrent falling. The study found that among the 229 participants, 121 (54.9%) had fallen in the previous 12 months, and 20 of these (16.5%) were recurrent fallers (>= 2 falls). A score of 20 points or more on the Falls Efficacy Scale International is predictive of falling, with a sensitivity of 51.7% and a specificity of 73.9%. Polypharmacy, Short Physical Performance Battery score of 8 points or less, and Falls Efficacy Scale International score of 20 points or more can be used to screen for recurrent falling.
Article
Health Care Sciences & Services
Sophie M. Weiss, Matthew Castelo, Barbara Liu, Mireille Norris
Summary: To address the COVID-19 pandemic, the Sunnybrook Health Sciences Centre modified its fall prevention program (FPP) to be delivered virtually. This study compared patients assessed virtually with those assessed in-person to examine equitable accessibility. A retrospective chart review compared virtual patients assessed during the pandemic with historic in-person patients. The study found that virtual patients were similarly frail as in-person controls, but had increased use of walking aids, medications, assistance with instrumental activities of daily living (IADLs), and cognitive impairment.
Article
Multidisciplinary Sciences
Rebecca Hui Shan Ong, Milawaty Nurjono, Junisha Jumala, Raymond Choon Chye Teo, Gek Kheng Png, Poh Choo Tan, Mong Nee Kee, Hong Choon Oh, Moi Kim Wee, Karen Lai Ming Kan, Lina Farhana Binte Rosle, Christopher Tsung Chien Lien, Shou Lin Low
Summary: This article presents a study on a 6-month community fall prevention exercise program. The research aims to evaluate the program's effectiveness in improving functional outcomes in older adults and reducing fall rates. The findings will provide guidance for the nationwide implementation and scaling of the Steady Feet program.
Article
Geriatrics & Gerontology
Maaike van Gameren, Emiel O. Hoogendijk, Natasja M. van Schoor, Daniel Bossen, Bart Visser, Judith E. Bosmans, Mirjam Pijnappels
Summary: This study aimed to investigate the associations between physical activity and falls, and fractures, and whether frailty modifies this association. The study found no association between physical activity and falls, as well as fractures. Frailty was identified as a risk factor for falls and fractures, but it did not modify the association with physical activity.
Article
Medicine, General & Internal
Julie Woodfield, Ellie Edlmann, Polly L. Black, Julia Boyd, Phillip Correia Copley, Gina Cranswick, Helen Eborall, Catriona Keerie, Sadaquate Khan, Julia Lawton, David J. Lowe, John Norrie, Angela Niven, Matthew J. Reed, Susan Deborah Shenkin, Patrick Statham, Andrew Stoddart, James Tomlinson, Paul M. Brennan
Summary: This study aims to compare the effectiveness of management in a hard collar versus management without a collar for older or frail adults with a new odontoid fracture. The study will assess multiple outcomes including quality of life, pain scores, and neck disability index. The results will be disseminated through scientific publications and lay summaries.
Article
Geriatrics & Gerontology
Yuanyuan Chen, Hui Du, Mi Song, Ting Liu, Pei Ge, Yue Xu, Hongying Pi
Summary: Older stroke patients with reduced balance and mobility are more susceptible to fear of falling (FOF), which can lead to excessive activity restriction, poor balance, and recurrent falls. This study investigated the interaction between FOF and fall risk in older stroke patients and found that FOF is influenced by depression, fall history, poor balance ability, and limited physical activity. Attention should be paid to FOF during stroke recovery and fall prevention, and a multifaceted intervention program should be designed to address FOF and prevent falls.
Article
Oncology
Cecilia Margareta Lund, Kirsten Kjeldgaard Vistisen, Anne Pries Olsen, Pernille Bardal, Martin Schultz, Troels Gammeltoft Dolin, Finn Ronholt, Julia Sidenius Johansen, Dorte Lisbeth Nielsen
Summary: In the GERICO study, geriatric interventions compared with standard care increased the number of older, vulnerable patients with colorectal cancer completing adjuvant chemotherapy, and may improve the burden of illness and mobility.
BRITISH JOURNAL OF CANCER
(2021)
Article
Geriatrics & Gerontology
Yuqian Luo, Christina E. Miyawaki, Maritta A. Valimaki, Siyuan Tang, Hongyu Sun, Minhui Liu
Summary: Anxiety symptoms appear to be an independent risk factor for future fear of falling and activity restrictions in older adults, while depressive symptoms are not.
Article
Medicine, General & Internal
Roberto Bernabei, Francesco Landi, Riccardo Calvani, Matteo Cesari, Susanna Del Signore, Stefan D. Anker, Raphael Bejuit, Philippe Bordes, Antonio Cherubini, Alfonso J. Cruz-Jentoft, Mauro Di Bari, Tim Friede, Carmen Gorostiaga Ayestaran, Harmonie Goyeau, Palmi Jonsson, Makoto Kashiwa, Fabrizia Lattanzio, Marcello Maggio, Luca Mariotti, Ram R. Miller, Leocadio Rodriguez-Manas, Regina Roller-Wirnsberger, Ingrid Ryznarova, Joachim Scholpp, Annemie M. W. J. Schols, Cornel C. Sieber, Alan J. Sinclair, Anna Skalska, Timo Strandberg, Achille Tchalla, Eva Topinkova, Matteo Tosato, Bruno Vellas, Stephan von Haehling, Marco Pahor, Ronenn Roubenoff, Emanuele Marzetti
Summary: A multicomponent intervention reduces the risk of mobility disability in older adults with physical frailty and sarcopenia (SPPB scores of 3-7), and improves physical performance, muscle strength, and appendicular lean mass.
BMJ-BRITISH MEDICAL JOURNAL
(2022)
Article
Medicine, General & Internal
Scott R. Garrison, Erik Youngson, Danielle A. Perry, Farah N. Campbell, Michael R. Kolber, Christina Korownyk, Gary Michael Allan, Lee Green, Jeffrey Bakal
Summary: BedMed-Frail explores the risks and benefits of switching antihypertensives from morning to bedtime in a frail population at greater risk of hypotensive adverse effects. It is a prospective parallel randomised trial involving hypertensive continuing care residents in Alberta, Canada. The primary outcome is a composite of all-cause death or hospitalisation for cardiovascular events.
Article
Medicine, General & Internal
Kim de Nooijer, Lara Pivodic, Nele Van den Noortgate, Peter Pype, Lieve Van den Block
Summary: This pilot study will assess the feasibility and preliminary effectiveness of the Frailty+ intervention for frail older people discharged from hospital in Flanders, Belgium. The study will evaluate recruitment, randomization, acceptability of the intervention, retention in the program, and data completion.
Article
Geriatrics & Gerontology
Rebecca Marshall-McKenna, Evan Campbell, Frederick Ho, Matthew Banger, Jane Ireland, Philip Rowe, Christine McAlpine, Kate McArthur, J. Terence Quinn, R. Stuart Gray, Christiaan Leeuwenburgh
Summary: This trial successfully recruited and retained participants for an 8-week resistance training intervention among frail and non-frail older adults, demonstrating feasibility and safety of training to skeletal muscle failure. The study found no significant differences in outcomes between low and high repetition-load groups, suggesting that load may not influence efficacy in this context. Further research into this simplified model of resistance training is recommended.
EXPERIMENTAL GERONTOLOGY
(2021)
Article
Geriatrics & Gerontology
Tobias Morat, Melina Snyders, Philipp Kroeber, Alice De Luca, Valentina Squeri, Martin Hochheim, Philipp Ramm, Annika Breitkopf, Michael Hollmann, Wiebren Zijlstra
Summary: This study aims to implement and evaluate a novel technology-supported fall prevention intervention using the hunova robot compared to an inactive control group. The research uses a two-armed, multi-centre randomised controlled trial to evaluate the effects of this new approach on the number of falls and number of fallers. The training program includes both in-person sessions with the hunova robot and home-based training sessions.
Article
Geriatrics & Gerontology
Cindy Kenis, Lore Decoster, Johan Flamaing, Philip R. Debruyne, Inge De Groof, Christian Focan, Frank Cornelis, Vincent Verschaeve, Christian Bachmann, Dominique Bron, Heidi Van den Bulck, Dirk Schrijvers, Christine Langenaeken, Pol Specenier, Guy Jerusalem, Jean-Philippe Praet, Jessie De Cock, Jean-Pierre Lobelle, Hans Wildiers, Koen Milisen
Summary: This study investigated the incidence and predictive factors for falls and fall-related injuries in frail older persons with cancer. The results showed a high rate of falls and fall-related injuries, as well as a high prevalence of fear of falling. Sex and falls history in the past 12 months were identified as predictive factors for falls and fall-related injuries.
Review
Medicine, General & Internal
Jorunn Hov, Johanne Alteren, Kari Kvigne
Summary: This review aims to explore the scope and depth of rehabilitation for frail older adults to develop comprehensive primary healthcare rehabilitation services. It will clarify the concept of rehabilitation, how rehabilitation services are organized, and how service outcomes are evaluated.
Article
Geriatrics & Gerontology
Grace Sum, Soon Hoe Ho, Zoe Zon Be Lim, Junxing Chay, Mimaika Luluina Ginting, Mary Ann Tsao, Chek Hooi Wong
Summary: The study investigated the impact of implementing the PCMH model in primary care on quality of life and patient activation. Results show evidence of improved needs satisfaction and patient activation with the PCMH intervention.
Article
Environmental Sciences
Zoe Zon Be Lim, Mumtaz Mohamed Kadir, Mimaika Luluina Ginting, Hubertus Johannes Maria Vrijhoef, Joanne Yoong, Chek Hooi Wong
Summary: This study examined the implementation of PCMH in Singapore, highlighting challenges in adopting and assimilating innovations that require time, leadership, and effective communication.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Review
Medicine, General & Internal
Manuel M. Montero-Odasso, Nellie Kamkar, Frederico Pieruccini-Faria, Abdelhady Osman, Yanina Sarquis-Adamson, Jacqueline Close, David B. Hogan, Susan Winifred Hunter, Rose Anne Kenny, Lewis A. Lipsitz, Stephen R. Lord, Kenneth M. Madden, Mirko Petrovic, Jesper Ryg, Mark Speechley, Munira Sultana, Maw Pin Tan, N. van der Velde, Joe Verghese, Tahir Masud
Summary: A systematic review of clinical practice guidelines for falls prevention and management for older adults showed a high degree of agreement in several areas with strong recommendations made, while other areas lacked consensus. Future guidelines should focus on clinical applicability and incorporate perspectives from patients and stakeholders.
Article
Environmental Sciences
Mimaika Luluina Ginting, Chek Hooi Wong, Zoe Zon Be Lim, Robin Wai Munn Choo, Sheena Camilla Hirose Carlsen, Grace Sum, Hubertus Johannes Maria Vrijhoef
Summary: Research on the impact of the PCMH model on older adults in Singapore found that it provides a better care experience compared to usual care. Improvements were seen in patient-provider communication, care coordination, office staff interactions, support for patients in caring for their health, and provider rating. Participants also reported positive experiences with consolidated appointments, sustained patient-provider relationships, shared decision-making, and family/caregiver engagement in the PCMH model.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Article
Geriatrics & Gerontology
Woan Shin Tan, Ze Ling Nai, Hwee Teng Robyn Tan, Sean Nicholas, Robin Choo, Mimaika Luluina Ginting, Edward Tan, Poh Hoon June Teng, Wee Shiong Lim, Chek Hooi Wong, Yew Yoong Ding
Summary: This study aims to understand the factors influencing the development and implementation of the Geriatric Service Hub in Singapore and evaluate the program's effectiveness through patient-reported health outcomes. A mixed-methods approach, including qualitative evaluation and quantitative monitoring, will be used. The ultimate goal is to provide insights into the process and outcomes of the GSH program and guide the design of similar initiatives targeting frail older adults.
Review
Geriatrics & Gerontology
Lotta J. Seppala, Nellie Kamkar, Eveline P. van Poelgeest, Katja Thomsen, Joost G. Daams, Jesper Ryg, Tahir Masud, Manuel Montero-Odasso, Sirpa Hartikainen, Mirko Petrovic, Nathalie van der Velde
Summary: The effectiveness of medication review and deprescribing interventions as a single intervention in falls prevention is assessed in this study. The heterogeneity of the interventions prevents an accurate estimation of the exact effect. These interventions should be included in multimodal strategies rather than implemented as stand-alone strategies in falls prevention.
Article
Medicine, General & Internal
Pey June Tan, Mimaika Luluina Ginting, Zoe Zon Be Lim, Nivedha Balachandar, Rehena Sultana, Mumtaz Mohamed Kadir, Tianma Xu, Noor Hafizah Ismail, Joyce Kwee Yong Yap, Sweet Fun Wong, Joanne Yoong, David Bruce Matchar, Keith Hill, Chek Hooi Wong
Summary: This study evaluates the impact of community falls prevention programmes on falls risk and health outcomes for older adults in Singapore. It uses a pragmatic closed cohort stepped-wedge cluster randomised trial design, with sequential crossover of clusters from the waitlist control condition to the intervention condition. The results will be disseminated through publications and other relevant platforms.
Article
Multidisciplinary Sciences
Mimaika Luluina Ginting, Yan Hoon Ang, Soon Hoe Ho, Grace Sum, Chek Hooi Wong
Summary: This study aims to segmentize the population with high inpatient service use and examine the association of segment membership and healthcare utilization and mortality. Three distinct segments were identified based on medical complexity and psychosocial needs, and there were significant differences in hospitalization rates, program utilization, and mortality among these segments. Therefore, resources and interventions can be tailored according to the differences in needs among segments.
Article
Geriatrics & Gerontology
Wei Xuan Lai, Angelique Wei-Ming Chan, David Bruce Matchar, John Pastor Ansah, Christopher Tsung Chien Lien, Noor Hafizah Ismail, Chek Hooi Wong, Tianma Xu, Vanda Wen Teng Ho, Pey June Tan, June May Ling Lee, Rita Siew Choo Sim, Normala Manap
Summary: Falls in older adults result from a complex interaction of various causes, leading to physical, emotional, and psychological consequences. Developing a conceptual framework can help clarify goals in falls intervention and improve understanding of the problem.
Article
Geriatrics & Gerontology
Vanessa Jean Wen Koh, David B. Matchar, Angelique Wei-Ming Chan, June May-Ling Lee, Wei Xuan Lai, Dulcie Rosario, Anne George, Vanda Ho, Noor Hafizah Bte Ismail, Christopher Tsung Chien Lien, Reshma A. Merchant, Shuyan Melissa Tan, Chek Hooi Wong, Tianma Xu
Summary: This study aims to uncover the factors that facilitate or inhibit implementing community-based fall prevention programs in Singapore, with a focus on the interrelationship between those factors. Health care professionals familiar with fall prevention programs were invited to discuss the enablers and challenges to the implementation. Results showed that implementation is influenced by health care provider factors and patient factors, and key leverage points for potential interventions were identified.
INNOVATION IN AGING
(2023)
Article
Geriatrics & Gerontology
Manuel Montero-Odasso, Nathalie van der Velde, Finbarr C. Martin, Mirko Petrovic, Maw Pin Tan, Jesper Ryg, Sara Aguilar-Navarro, Neil B. Alexander, Clemens Becker, Hubert Blain, Robbie Bourke, Ian D. Cameron, Richard Camicioli, Lindy Clemson, Jacqueline Close, Kim Delbaere, Leilei Duan, Gustavo Duque, Suzanne M. Dyer, Ellen Freiberger, David A. Ganz, Fernando Gomez, Jeffrey M. Hausdorff, David B. Hogan, Susan M. W. Hunter, Jose R. Jauregui, Nellie Kamkar, Rose-Anne Kenny, Sarah E. Lamb, Nancy K. Latham, Lewis A. Lipsitz, Teresa Liu-Ambrose, Pip Logan, Stephen R. Lord, Louise Mallet, David Marsh, Koen Milisen, Rogelio Moctezuma-Gallegos, Meg E. Morris, Alice Nieuwboer, Monica R. Perracini, Frederico Pieruccini-Faria, Alison Pighills, Catherine Said, Ervin Sejdic, Catherine Sherrington, Dawn A. Skelton, Sabestina Dsouza, Mark Speechley, Susan Stark, Chris Todd, Bruce R. Troen, Tischa van der Cammen, Joe Verghese, Ellen Vlaeyen, Jennifer A. Watt, Tahir Masud
Summary: This article introduces the common occurrence and negative effects of falls and fall-related injuries in older adults, which impact their functional independence and quality of life, as well as increase morbidity, mortality, and health-related costs. Current guidelines are inconsistent and not globally applicable. Therefore, the objective of this study is to create evidence- and expert consensus-based falls prevention and management recommendations for older adults. These recommendations consider a person-centered approach, the perspectives of older adults, caregivers, and stakeholders, recent developments in e-health, and implementation in resource-limited locations.
Review
Environmental Sciences
Eliza Lai-Yi Wong, Jennifer Mengwei Liao, Christopher Etherton-Beer, Loretta Baldassar, Gary Cheung, Claire Margaret Dale, Elisabeth Flo, Bettina Sandgathe Husebo, Roy Lay-Yee, Adele Millard, Kathy Ann Peri, Praveen Thokala, Chek-hooi Wong, Patsy Yuen-Kwan Chau, Crystal Ying Chan, Roger Yat-Nork Chung, Eng-Kiong Yeoh
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2020)
Article
Gerontology
Anna P. Lane, Chek Hooi Wong, Spela Mocnik, Siqi Song, Belinda Yuen
JOURNAL OF AGING AND HEALTH
(2020)
Article
Social Sciences, Interdisciplinary
Michael J. Penkunas, David B. Matchar, Chek Hooi Wong, Chang Liu, Angelique W. M. Chan
JOURNAL OF MIXED METHODS RESEARCH
(2020)
Article
Gerontology
Peter Kay Chai Tay, Angelique Chan, Pey June Tan, Chek Hooi Wong
JOURNAL OF AGING AND HEALTH
(2020)