Geriatrics最新文献

{"title":"Invisible Ties and Essential Care: Chosen Family Caregivers in the HIV Landscape.","authors":"Kristina M Kokorelias, Luxey Sirisegaram, Dean Valentine, Stephanie Hatzifilalithis","doi":"10.3390/geriatrics11040080","DOIUrl":"10.3390/geriatrics11040080","url":null,"abstract":"<p><p>Chosen family caregivers assume caregiving roles by choice rather than by blood or legal relation. Chosen family caregivers play a critical yet often invisible role in supporting older adults living with HIV. Unlike traditional family caregivers, many chosen family members are themselves living with HIV or other chronic health conditions, creating unique dynamics of mutual support, resilience, and vulnerability. Older LGBTQ adults are disproportionately reliant on chosen family, often due to stigma, estrangement from biological family, or social marginalization, highlighting distinct challenges in caregiving relationships. Women in chosen family roles frequently experience compounded burdens, balancing emotional, physical, and logistical care responsibilities alongside broader social and structural pressures. Despite their essential contributions, chosen family caregivers remain largely unrecognized within healthcare systems, limiting their access to formal support, respite, and decision-making authority. This commentary synthesizes the existing literature and conceptual perspectives to examine the social, gendered, and health-related dimensions that distinguish chosen family caregiving. It highlights key gaps in recognition and support and outlines implications for policy, research, and practice aimed at strengthening care for older adults living with HIV.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"11 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frailty, Sarcopenia, and Cognitive Risk in Senior Living Communities: Associations with Relocation Reasons and Fitness Amenity Utilization.","authors":"Chiung-Ju Liu, Gabriella Ulloa, Kelly Leal, Chia-Wei Fan, Pei-Shiun Chang, Inga Wang","doi":"10.3390/geriatrics11040081","DOIUrl":"10.3390/geriatrics11040081","url":null,"abstract":"<p><strong>Background/objectives: </strong>Senior living communities have become a popular living arrangement for older adults seeking supportive environments for aging in place. However, older adults may enter these communities with existing health vulnerabilities. This study described the prevalence of frailty, sarcopenia risk, and cognitive risk among residents and examined their associations with relocation reasons and fitness amenity utilization.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among residents aged ≥65 years who had lived in the community for at least 3 months. Survey items included demographics, health status, living history, relocation reasons, physical activity, fitness amenity use, and screening tools for frailty, sarcopenia risk, and cognitive impairment. Descriptive statistics, Mann-Whitney U tests, and Spearman rank correlations were conducted.</p><p><strong>Results: </strong>A total of 147 residents (Mean age = 80.2 years, SD = 7.1) responded to the survey. Overall, 28.5% met criteria for frailty, 19.7% screened positive for sarcopenia risk, and 21.8% for cognitive risk. Residents who reported a health-related reason for relocation showed greater frailty (U = 410, <i>p</i> < 0.001), sarcopenia risk (U = 393, <i>p</i> < 0.001), and cognitive impairment (U = 1062, <i>p</i> = 0.01). More frequent fitness amenity use was associated with lower frailty and sarcopenia risk scores (Spearman's Rho = -0.30 and -0.40, respectively, both <i>p</i> < 0.01), but not cognitive impairment.</p><p><strong>Conclusions: </strong>A meaningful subset of senior living residents were at risk for frailty, sarcopenia, and cognitive impairment. Routine screening and interventions promoting fitness amenity use may support healthy aging in senior living communities.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"11 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13397950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of mHealth on Medication Adherence in Older Adults with Chronic Diseases Facing Treatment Burden: A Systematic Review.","authors":"Leandro Amato, Isabella Napoleoni, Noemi Giannetta, Emanuele Di Simone, Nicolò Panattoni, Alessandra Improta, Erika Renzi, Azzurra Massimi, Marco Di Muzio, Sofia Taborri","doi":"10.3390/geriatrics11040078","DOIUrl":"10.3390/geriatrics11040078","url":null,"abstract":"<p><p><b>Background</b>: In older adults, multimorbidity and polypharmacy complicate medication regimens and often lead to poor adherence. Mobile health (mHealth) has been suggested as a solution to enhance medication adherence in chronic conditions. Despite the increase in smartphone usage among people aged 65 and over, there is still a lack of evidence of mHealth in this age group. <b>Objectives</b>: To evaluate the impact of mHealth interventions on medication adherence in older adults (≥65 years) with chronic diseases, compared with standard care or other interventions. <b>Methods</b>: The review was conducted in accordance with PRISMA 2020 guidelines and the Cochrane Handbook for Systematic Reviews. Randomized controlled trials published from 2000 onwards were considered with no linguistic or geographical restrictions. The databases searched included PubMed, Scopus, Cochrane Library, and CINAHL. Methodological quality was assessed using the Revised Cochrane Risk of Bias Tool for Randomized Trials. <b>Results</b>: 551 records were initially identified, from which 8 randomized controlled trials published between 2014 and 2025 were included. Six of eight studies showed that medication adherence in mHealth groups was significantly higher than in controls. However, one study found benefits only in specific drug classes rather than a general improvement. <b>Conclusions</b>: The results of this review suggest that mHealth has the potential to improve medication adherence among older adults with chronic diseases, especially when interventions go beyond simple reminders and incorporate educational and relational components. Nevertheless, higher quality studies with larger samples and longer follow-up are needed to clarify mHealth's role in the care of this population.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"11 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Detecting Elder Abuse in an Italian Emergency Department: A Six-Year Retrospective Study and Implications for Systematic Screening.","authors":"Martina Focardi, Paola D'Onofrio, Marco Carnevali, Francesca Romana Ermini, Edoardo Orlandi, Ilenia Bianchi, Barbara Gualco, Vilma Pinchi, Beatrice Defraia","doi":"10.3390/geriatrics11040079","DOIUrl":"10.3390/geriatrics11040079","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Elder abuse remains a significantly underreported public health issue. The study examines how elder abuse is detected through a passive, suspicion-based case-finding pathway in an Italian university hospital emergency department (ED) and what the findings imply for improving systematic screening. <b>Methods:</b> This retrospective study analyzed elder abuse cases accessed at Careggi University Hospital ED (Florence, Italy) from 2017 to 2022. Eligible patients were aged ≥65 years and had suspected or confirmed elder abuse identified through Rosa Code protocol activation, abuse-related ICD-10 codes, and forensic consultation records. Two investigators independently reviewed eligible charts using predefined inclusion criteria and a standardized data-extraction form. Missing or unclear documentation was quantified descriptively, and no imputation was performed. <b>Results:</b> Sixty-seven elder abuse cases were identified during the six-year period, corresponding to a reported detection rate of 0.8% among the records screened for this study (mean: 11.2 cases/year). All eligible cases were captured through Rosa Code activation; ICD-10 and forensic-record searches did not identify additional cases. The majority of victims were women (76.1%), with a mean age of 75.5 years, and 76.1% had documented comorbidities. Physical abuse was the most common form (61.2%), predominantly perpetrated by family members (93.8%) within the victim's home (64.2%). Head and neck injuries were most frequent (43.3%). A notable 50% decline in reported cases occurred during the COVID-19 pandemic. Despite law enforcement notification in 78% of cases, 65.7% of patients were discharged home. <b>Conclusions:</b> The study's detection rate (<1%) falls critically short of international benchmarks (3-5%), underscoring urgent need for systematic screening using validated tools and staff training and multidisciplinary safeguarding pathways in Italian emergency departments.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"11 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age, Not Sex, Drives Sarcopenia Severity in Mexican Older Adults with a Health Insurance Plan.","authors":"Selma Karime Castillo-Vazquez, Nadia Alejandra Rivero-Segura, Juan Carlos Gomez-Verjan, Jazmin Camacho, Daniel Hernández-Pando","doi":"10.3390/geriatrics11040077","DOIUrl":"10.3390/geriatrics11040077","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Sarcopenia significantly increases the risk of hospitalization and mortality in older adults. However, the prevalence by sex varies across populations and according to the criteria used by the European Working Group on Sarcopenia in Older People 2 (EWGSOP2). Hence, in the current study, we aim to characterize the prevalence of sarcopenia by jointly evaluating all three diagnostic domains in a Mexican cohort of older adults subscribed to a health insurance plan. <b>Methods</b>: We performed binomial and multinomial regression models, ordinal logistic regression, and multiple linear regression from the data corresponding to muscle mass (ASMI), muscle strength (handgrip dynamometry), and physical performance (SPPB) from 556 Mexican older adults (62.2% female; 72.27 ± 6.35 y.o.) categorized by sarcopenia severity according to the EWGSOP2. <b>Results</b>: Men exhibited significantly higher absolute muscle mass and strength across all categories (<i>p</i> < 0.001). Additionally, our statistical analyses demonstrate that age, but not sex, is involved in sarcopenia severity in this population. Moreover, when analyzing the disaggregated EWGSOP2 domains, the results demonstrate that sex is significantly associated with muscle mass (ASMI) and muscle strength (Handgrip strength). <b>Conclusions</b>: These results suggest that sex only influences both muscle mass (ASMI) and muscle strength (handgrip strength) while sarcopenia severity only depends on age.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"11 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of Healthcare Professionals' Intentions to Use Telemedicine for Elderly Care in Algeria: A Technology Acceptance Model Approach.","authors":"Kamel Mouloudj, Anuli Njoku, Ahmed Chemseddine Bouarar, Dachel Martínez Asanza, Marian A Evans, Snehal Baviskar","doi":"10.3390/geriatrics11040076","DOIUrl":"10.3390/geriatrics11040076","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Telemedicine offers significant potential to improve the quality and accessibility of geriatric care, particularly in resource-constrained settings. However, its effective implementation depends largely on healthcare professionals' acceptance and willingness to use such systems. Drawing on an extended Technology Acceptance Model (TAM), this study examines the determinants of doctors' and nurses' intentions to adopt telemedicine for elderly care in Algeria, with particular emphasis on self-efficacy and institutional support. <b>Methods</b>: This cross-sectional study employed a structured questionnaire administered to 130 healthcare professionals, including physicians and nurses, in Algeria. Hierarchical multiple regression analysis was conducted to test the proposed hypotheses and assess the incremental explanatory power of the extended model. <b>Results</b>: The extended TAM accounted for 48.7% of the variance in intention to use telemedicine. Institutional support (β = 0.432, <i>p</i> < 0.001) and self-efficacy (β = 0.264, <i>p</i> = 0.001) emerged as the strongest predictors. Perceived ease of use (β = 0.178, <i>p</i> = 0.038) and perceived usefulness (β = 0.139, <i>p</i> = 0.021) also had significant positive effects. The inclusion of self-efficacy and institutional support increased the model's explanatory power by 23.5%. <b>Conclusions</b>: The findings highlight the critical role of organizational support mechanisms, digital competencies, and system usability in fostering telemedicine adoption among healthcare professionals. The study provides practical implications for policymakers and healthcare institutions, emphasizing the need for targeted training programs, supportive infrastructure, and institutional policies that enhance confidence and facilitate the integration of telemedicine into clinical workflows.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"11 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Toothbrushing Ability in Older Adults Across Stages of Cognitive Impairment.","authors":"Xi Chen, Jirakate Madiloggovit-Lower, Carissa Comnick, Daniel Tranel, Lisa Jacobson, Natalie Denburg","doi":"10.3390/geriatrics11040075","DOIUrl":"10.3390/geriatrics11040075","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Cognitive impairment can compromise toothbrushing and other oral self-care functions, increasing the risk of oral diseases and related complications. However, how toothbrushing ability declines across stages of cognitive impairment remains unclear. This study aimed to describe functional deficits in toothbrushing among older adults with different levels of cognitive function. <b>Method:</b> Sixty-five older adults (14 cognitively healthy and 51 with documented cognitive impairment) were classified into five cognitive levels based on Standardized Mini-Mental State Examination scores. Participants completed a toothbrushing task as they normally would at home. Performance was videotaped, coded, and evaluated across four domains (task initiation, completion, thoroughness, and quality) with total scores reflecting overall toothbrushing ability. Overall performance, functional deficits, and assistance needs were analyzed in relation to cognitive levels. <b>Results:</b> Participants averaged 76.5 years of age. Toothbrushing ability declined gradually with worsening cognitive impairment, followed by a sharp deterioration at the profound stage (e.g., SMMSE ≤ 5). Compared with cognitively healthy participants (<i>n</i> = 14), those with mild cognitive impairment (MCI, <i>n</i> = 20) or mild (<i>n</i> = 10), moderate (<i>n</i> = 10), or severe dementia (<i>n</i> = 11) lost an average of 3%, 8%, 12%, and 37% of overall toothbrushing ability, respectively. Brushing efficiency declined earlier and more rapidly, decreasing by 13% in MCI and up to 46% in severe dementia (<i>p</i> < 0.001). All participants with MCI or mild dementia completed the task independently, whereas 20% with moderate dementia and 80% with severe dementia required assistance to initiate or complete the task. <b>Conclusions:</b> Overall toothbrushing ability remains relatively preserved until the later stages of cognitive impairment, but brushing quality deteriorates much earlier and quicker. These findings highlight the importance of early caregiver-patient partnerships, functionally tailored oral self-care rehabilitation, and personalized caregiver training to support oral hygiene among older adults with cognitive impairment.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"11 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Complexity to Competency: International Nursing Perspectives on Comprehensive Geriatric Assessment.","authors":"Evangelos C Fradelos, Sini Eloranta, Ioanna Tsatsou, Ioanna Dimitriadou, Susanna Mört, Nina Korsström, Anna Lundberg, Magdalena Häger, Jekaterina Šteinmiller, Agita Melbarde-Kelmere, Kristaps Circenis, Sigrun S Skuladottir, Ingibjörg Hjaltadòttir, Maria Saridi","doi":"10.3390/geriatrics11030073","DOIUrl":"10.3390/geriatrics11030073","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Population aging has increased the demand for comprehensive and coordinated care for older adults, placing primary health care (PHC) nurses at the forefront of comprehensive geriatric assessment (CGA) implementation. However, limited evidence exists regarding nurses' experiences and educational needs related to CGA across different European healthcare contexts. This study aimed to explore the experiences, perceived challenges, and educational needs of PHC nurses regarding the implementation of CGA in five European countries. <b>Methods:</b> A qualitative study design was employed using five focus groups, one in each participating country: Greece, Iceland, Finland, Estonia, and Latvia. A total of 29 PHC nurses participated in semi-structured interviews. Data were analyzed using reflexive thematic analysis. <b>Results:</b> Three overarching themes and nine subthemes were identified in relation to good practices in CGA: (1) embracing the complexity of holistic assessment; (2) balancing consistency with flexibility in clinical practice; and (3) advancing professional expertise through structured learning. Participants highlighted the importance of standardized assessment tools and effective multidisciplinary collaboration. At the same time, they reported significant gaps in formal education, limited organizational resources, and insufficient training in cultural competence, which hinder consistent CGA implementation. <b>Conclusions:</b> PHC nurses recognize the value of a holistic and structured approach to CGA but require clearer educational pathways and evidence-based training to address the complex needs of older adults. Strengthening curricula that emphasize interprofessional collaboration, practical competencies, and contextual adaptability may support more effective and sustainable implementation of CGA in primary care settings across Europe.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"11 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13299193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148316805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between Active Aging and Health-Related Quality of Life.","authors":"Keon Woo, JungHoon Lee, YoonSoo Choy","doi":"10.3390/geriatrics11030074","DOIUrl":"10.3390/geriatrics11030074","url":null,"abstract":"<p><p><b>Background and Objectives</b>: This study examined the association between active aging and health-related quality of life (HRQoL) in older Korean adults. Furthermore, it examined how socioeconomic factors were related to active aging and HRQoL. <b>Methods</b>: Data were analyzed using the 8th Korea National Health and Nutrition Examination Survey (KNHANES). This study used the Health-Related Quality of Life Instrument with Eight Items (HINT-8), a Korean-specific HRQoL instrument. Multivariable regression analyses were conducted to estimate the associations of overall active aging and its health, participation, and security domains with HRQoL. <b>Results</b>: The health domain showed the largest coefficient, and the security domain was also significantly associated with HRQoL. The participation domain showed a relatively limited and statistically non-significant association, which may partly reflect measurement constraints in the operationalization of participation. Older adults with lower educational levels and those residing in rural areas had lower levels of both active aging and HRQoL. <b>Conclusions</b>: Active aging was positively associated with HRQoL among older Korean adults. These findings highlight health as the domain most strongly associated with HRQoL and identify security as an additional relevant domain, while participation-related findings should be interpreted cautiously given the limited operationalization of participation and its statistically non-significant association. However, longitudinal or intervention studies are needed to examine temporal and causal relationships between active aging and HRQoL.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"11 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13300381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148316837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breaking the Vicious Cycle? A Systematic Review of Interventions Targeting Both Falls and Fear of Falling in Older Adults.","authors":"Asiye Tuba Ozdogar, Pervin Yesiloglu, Yuval Levitan Marcus, Alon Kalron","doi":"10.3390/geriatrics11030072","DOIUrl":"10.3390/geriatrics11030072","url":null,"abstract":"<p><strong>Background: </strong>Falls and fall-related injuries are common in older adults and are frequently accompanied by fear of falling (FoF), which may lead to activity avoidance and functional decline. Because many interventions target falls or FoF in isolation, we conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) to identify, describe, and evaluate interventions reporting both falls and FoF outcomes in older adults.</p><p><strong>Methods: </strong>This systematic review and meta-analysis were registered in PROSPERO (CRD420251113137) and conducted in accordance with PRISMA guidelines. PubMed, Embase, and Web of Science were searched from inception to 4 November 2025. Eligible studies were English-language RCTs that included adults aged ≥60 years, evaluated nonpharmacological interventions, and reported both FoF and falls. Methodological quality was assessed using the PEDro scale. Random-effects meta-analyses were performed for FoF (Hedges g), and Bayesian random-effects binomial meta-analyses were conducted for falls.</p><p><strong>Results: </strong>Ten RCTs published between 1998 and 2018 (sample sizes per trial: <i>n</i> = 27-540) were included. Interventions included cognitive-behavioral therapy-based programs, Tai Chi, physiotherapist-led strength and balance training, computerized visual feedback, and video-guided home exercise. PEDro scores ranged from 6 to 9 (mean, 7.7). Pooled analyses showed no significant effect on FoF at the end of intervention (g = -0.20, 95% CI -1.45 to 1.05; <i>p</i> = 0.68; high heterogeneity) or at follow-up (g = -0.14, 95% CI -0.60 to 0.33; <i>p</i> = 0.50). For falls, postintervention evidence favored the null (BF₁₀ = 0.16; pooled estimate -0.01, 95% credible interval [CrI] -0.30 to 0.14). Follow-up results were inconclusive (BF₁₀ = 2.07; pooled CrI -0.56 to 0.00), with substantial uncertainty.</p><p><strong>Conclusions: </strong>Across RCTs that measured both outcomes, interventions did not consistently improve both FoF and falls outcomes. These findings may suggest a partial dissociation between psychological and physical fall-related outcomes, highlighting the need for integrated, adequately powered trials that utilize standardized measures and longer follow-up periods.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"11 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13299663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148316705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}