Improving Policy for the Prevention of Falls Among Community-Dwelling Older People—A Scoping Review and Quality Assessment of International National and State Level Public Policies
Objectives: Effective public policy to prevent falls among independent community-dwelling older adults is needed to address this global public health issue. This paper aimed to identify gaps and opportunities for improvement of future policies to increase their likelihood of success.Methods: A syste...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-06-01
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| Series: | International Journal of Public Health |
| Subjects: | |
| Online Access: | https://www.ssph-journal.org/articles/10.3389/ijph.2022.1604604/full |
| _version_ | 1811335093628698624 |
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| author | Aleksandra H. Natora Aleksandra H. Natora Jennifer Oxley Linda Barclay Kelvin Taylor Bruce Bolam Terry P. Haines Terry P. Haines |
| author_facet | Aleksandra H. Natora Aleksandra H. Natora Jennifer Oxley Linda Barclay Kelvin Taylor Bruce Bolam Terry P. Haines Terry P. Haines |
| author_sort | Aleksandra H. Natora |
| collection | DOAJ |
| description | Objectives: Effective public policy to prevent falls among independent community-dwelling older adults is needed to address this global public health issue. This paper aimed to identify gaps and opportunities for improvement of future policies to increase their likelihood of success.Methods: A systematic scoping review was conducted to identify policies published between 2005–2020. Policy quality was assessed using a novel framework and content criteria adapted from the World Health Organization’s guideline for Developing policies to prevent injuries and violence and the New Zealand Government’s Policy Quality Framework.Results: A total of 107 articles were identified from 14 countries. Content evaluation of 25 policies revealed that only 54% of policies met the WHO criteria, and only 59% of policies met the NZ criteria. Areas for improvement included quantified objectives, prioritised interventions, budget, ministerial approval, and monitoring and evaluation.Conclusion: The findings suggest deficiencies in a substantial number of policies may contribute to a disconnect between policy intent and implementation. A clear and evidence-based model falls prevention policy is warranted to enhance future government efforts to reduce the global burden of falls. |
| first_indexed | 2024-04-13T17:18:58Z |
| format | Article |
| id | doaj.art-cf9058c6cd024256b196f0571a19fab9 |
| institution | Directory Open Access Journal |
| issn | 1661-8564 |
| language | English |
| last_indexed | 2024-04-13T17:18:58Z |
| publishDate | 2022-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | International Journal of Public Health |
| spelling | doaj.art-cf9058c6cd024256b196f0571a19fab92022-12-22T02:38:03ZengFrontiers Media S.A.International Journal of Public Health1661-85642022-06-016710.3389/ijph.2022.16046041604604Improving Policy for the Prevention of Falls Among Community-Dwelling Older People—A Scoping Review and Quality Assessment of International National and State Level Public PoliciesAleksandra H. Natora0Aleksandra H. Natora1Jennifer Oxley2Linda Barclay3Kelvin Taylor4Bruce Bolam5Terry P. Haines6Terry P. Haines7Accident Research Centre, Monash University, Clayton, VIC, AustraliaDepartment of Health, State Government of Victoria, Melbourne, VIC, AustraliaAccident Research Centre, Monash University, Clayton, VIC, AustraliaDepartment of Occupational Therapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing & Health Sciences, Monash University, Frankston, VIC, AustraliaAccident Research Centre, Monash University, Clayton, VIC, AustraliaMelbourne School of Population and Global Health, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Carlton, VIC, AustraliaSchool of Primary and Allied Health Care, Faculty of Medicine, Nursing & Health Sciences, Monash University, Frankston, VIC, AustraliaNational Centre for Healthy Ageing, Faculty of Medicine, Nursing & Health Sciences, Monash University, Frankston, VIC, AustraliaObjectives: Effective public policy to prevent falls among independent community-dwelling older adults is needed to address this global public health issue. This paper aimed to identify gaps and opportunities for improvement of future policies to increase their likelihood of success.Methods: A systematic scoping review was conducted to identify policies published between 2005–2020. Policy quality was assessed using a novel framework and content criteria adapted from the World Health Organization’s guideline for Developing policies to prevent injuries and violence and the New Zealand Government’s Policy Quality Framework.Results: A total of 107 articles were identified from 14 countries. Content evaluation of 25 policies revealed that only 54% of policies met the WHO criteria, and only 59% of policies met the NZ criteria. Areas for improvement included quantified objectives, prioritised interventions, budget, ministerial approval, and monitoring and evaluation.Conclusion: The findings suggest deficiencies in a substantial number of policies may contribute to a disconnect between policy intent and implementation. A clear and evidence-based model falls prevention policy is warranted to enhance future government efforts to reduce the global burden of falls.https://www.ssph-journal.org/articles/10.3389/ijph.2022.1604604/fullolder adultsinjury preventionfalls preventioncommunity settingpublic health policypolicy analysis |
| spellingShingle | Aleksandra H. Natora Aleksandra H. Natora Jennifer Oxley Linda Barclay Kelvin Taylor Bruce Bolam Terry P. Haines Terry P. Haines Improving Policy for the Prevention of Falls Among Community-Dwelling Older People—A Scoping Review and Quality Assessment of International National and State Level Public Policies International Journal of Public Health older adults injury prevention falls prevention community setting public health policy policy analysis |
| title | Improving Policy for the Prevention of Falls Among Community-Dwelling Older People—A Scoping Review and Quality Assessment of International National and State Level Public Policies |
| title_full | Improving Policy for the Prevention of Falls Among Community-Dwelling Older People—A Scoping Review and Quality Assessment of International National and State Level Public Policies |
| title_fullStr | Improving Policy for the Prevention of Falls Among Community-Dwelling Older People—A Scoping Review and Quality Assessment of International National and State Level Public Policies |
| title_full_unstemmed | Improving Policy for the Prevention of Falls Among Community-Dwelling Older People—A Scoping Review and Quality Assessment of International National and State Level Public Policies |
| title_short | Improving Policy for the Prevention of Falls Among Community-Dwelling Older People—A Scoping Review and Quality Assessment of International National and State Level Public Policies |
| title_sort | improving policy for the prevention of falls among community dwelling older people a scoping review and quality assessment of international national and state level public policies |
| topic | older adults injury prevention falls prevention community setting public health policy policy analysis |
| url | https://www.ssph-journal.org/articles/10.3389/ijph.2022.1604604/full |
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