@article{ref1,
title="Falls self-management interventions for people with Parkinson's disease: a systematic review",
journal="Journal of Parkinson's disease",
year="2019",
author="Owen, Charlotte L. and Ibrahim, Kinda and Dennison, Laura and Roberts, Helen C.",
volume="9",
number="2",
pages="283-299",
abstract="BACKGROUND: Falls are common in Parkinson's disease (PD). Increased involvement of people with Parkinson's (PwP) in their care has been associated with enhanced satisfaction. Self-management programmes in other long-term conditions (LTCs) have led to improvements in physical and psychological outcomes. These have been more effective when targeted toward a specific behavior. <br><br>OBJECTIVE: This paper aimed to identify and review falls self-management interventions for PwP. <br><br>METHODS: A systematic review was conducted. Electronic databases were searched in June 2018. Primary research studies (any design) reporting the delivery of falls self-management interventions to PwP were included. Data was extracted from each article and synthesised narratively. <br><br>RESULTS: Six articles were identified, relating to five different self-management interventions. All described a self-management intervention delivered alongside physiotherapy. Intervention delivery was through either group discussion (n = 3) or falls booklets (n = 3). Interventions were often incompletely described; the most common components were information about the condition, training/ rehearsal for psychological strategies and lifestyle advice and support. Arising from the design of articles included the effects of self-management and physiotherapy could not be separated. Three articles measured falls, only one led to a reduction. Four articles measured quality of life, only one led to improvement. No articles assessed skill acquisition or adherence to the self-management intervention. <br><br>CONCLUSIONS: Few falls self-management interventions for PwP have been evaluated and reported. The components of an effective intervention remain unclear. Given the benefits of self-management interventions in other LTCs, it is important that falls self-management interventions are developed and evaluated to support PwP.<p /> <p>Language: en</p>",
language="en",
issn="1877-7171",
doi="10.3233/JPD-181524",
url="http://dx.doi.org/10.3233/JPD-181524"
}