This paper reviews approaches to preventing falls in older adults at the individual, community and national levels. We find extensive evidence to support fall prevention at the individual level, with exercise programs and multifactorial evaluation and intervention showing the most promise. Good data also exist to support community-level fall prevention strategies, and several national fall-prevention programs are ongoing. Officials in countries implementing fall-prevention programs should monitor their efforts for effectiveness and sustainability, so that program design can be improved based on sound evidence, and so that results and lessons may provide guidance for other countries. Over the long term, only activated communities will be able to achieve the full benefit of the fall prevention strategies that we have reviewed.
Available at: http://works.bepress.com/shinyi_wu/12/