Older Adults’ Psychosocial Responses to a Fear of Falling: A Scoping Review to Inform Occupational Therapy Practice

Abstract

Falls in older adults are a major health concern, yet the “fear of falling”, a common psychosocial response that can occur post-fall, has seldom been investigated. A scoping review was conducted to identify and map interventions that occupational therapists can use to manage the fear of falling psychosocial response (FoFPR) among older adults. Thirteen electronic databases were searched and 22 studies were retrieved. Cognitive behavioral therapy, guided imagery, and Tai Chi were interventions found to help older adults deal with their FoFPRs. Occupational therapists assisting older adults in this area can play a significant role.

Keywords:

• Older adults
• falls
• psychosocial
• occupational therapy
• mental health

Acknowledgements

The authors wish to acknowledge Ms Emma Prowse and Ms Gloria Taso, Occupational Therapists, Dandenong Hopsital, Monash Health, Dandenong, Victoria, Australia for their input and suggestions.