Supporting implementation of occupational therapy led Falls Hazard Reduction at Home: A scoping review
Melchert, Susan, Lowrie, Daniel, and Pighills, Alison (2026) Supporting implementation of occupational therapy led Falls Hazard Reduction at Home: A scoping review. Australian Occupational Therapy Journal, 73 (1). e70061.
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Abstract
Introduction: Accidental falls among older people pose a significant threat to both morbidity and mortality. Falls Hazard Reduction at Home (FHR@Home) when delivered by occupational therapists has been demonstrated as an effective fall prevention intervention. Despite the evidence, FHR@Home is not routinely implemented in practice. This scoping review seeks to explore existing literature to support implementation of FHR@Home by answering the question: ‘What is known about implementation strategies used to support home and community environmental falls prevention intervention in health care?’. Methods: This review used the Joanna Briggs Institute (JBI) methodological guidance for the conduct of scoping reviews. A comprehensive search was conducted across electronic databases, government websites, and web-based search engines. Studies were included if they incorporated FHR@Home as part of their intervention and explicitly referenced implementation science or knowledge translation concepts. Data were extracted from the included studies and reported implementation strategies were mapped using the Expert Recommendations for Implementing Change (ERIC) taxonomy and their associated clusters. A separate thematic analysis process was also conducted. Consumer and Community Involvement: There was no consumer and community involvement. Results: Nineteen studies met the inclusion criteria. All ERIC implementation strategy clusters are reported on in the studies. Strategies relating to engagement and education of stakeholders appear more often in the literature. Three themes were identified as having influence on implementation outcomes: (1) Home as a practice context; (2) Collaboration is key to success; and (3) Balance of assumed knowledge, experience and fidelity. Conclusion: The findings underscore the need for further research to explore how implementation strategies can better support occupational therapists in delivering FHR@Home, particularly in ways that respect the consumer's sense of home while maintaining fidelity to evidence-based protocols. Expanding the literature in this area will be beneficial to improve uptake and sustainability of FHR@Home practices.
| Item ID: | 90739 |
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| Item Type: | Article (Research - C1) |
| ISSN: | 1440-1630 |
| Keywords: | community setting, Falls Hazard Reduction at Home, falls prevention, implementation science, scoping review |
| Copyright Information: | This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. © 2026 The Author(s). Australian Occupational Therapy Journal published by John Wiley & Sons Australia, Ltd on behalf of Occupational Therapy Australia. |
| Date Deposited: | 11 May 2026 00:29 |
| FoR Codes: | 42 HEALTH SCIENCES > 4201 Allied health and rehabilitation science > 420104 Occupational therapy @ 40% 42 HEALTH SCIENCES > 4206 Public health > 420604 Injury prevention @ 20% 42 HEALTH SCIENCES > 4203 Health services and systems > 420312 Implementation science and evaluation @ 40% |
| SEO Codes: | 20 HEALTH > 2003 Provision of health and support services > 200301 Allied health therapies (excl. mental health services) @ 50% 20 HEALTH > 2005 Specific population health (excl. Indigenous health) > 200502 Health related to ageing @ 50% |
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