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Peer-reviewedCC BY-NC-NDClinical medicine (London, England)

Barriers and facilitators to engagement in fall interventions among older adults from ethnic backgrounds: A systematic review.

  • Shopeitha Ravithas1
  • Samantha Jane Meredith2
  • Abolanle Lawal3
  • Sarah Wallace3
  • Stephen Lim4
4 affiliations
  1. 1Academic Geriatric Medicine, University of Southampton, UK.
  2. 2Academic Geriatric Medicine, University of Southampton, UK; NIHR Applied Research Collaboration Wessex, University of Southampton, UK.
  3. 3Hampshire County Council, UK.
  4. 4Academic Geriatric Medicine, University of Southampton, UK; NIHR Applied Research Collaboration Wessex, University of Southampton, UK. Electronic address: [email protected].
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Abstract

Background

Falls prevention interventions among older adults can reduce falls risk but low engagement and adherence, especially amongst ethnic minority groups, remains a challenge.Aims

To identify the facilitators and barriers influencing uptake of fall prevention programmes among older adults from ethnic minority backgrounds.Methods

A literature search was conducted on three electronic databases included English language studies involving older adults aged ≥65 years from ethnic minority backgrounds. Study quality was assessed using the Joanna Briggs Institute's tool. Data were extracted and analysed using the Capability, Opportunity, Motivation (COM-B) model.Results

11 studies were included (eight qualitative, three mixed method). Study participants (n = 1176) included Hispanics, South Asians, Chinese and African American ethnic groups. Main themes included language barriers, cultural beliefs and inadequate support from healthcare professionals.Conclusion

Falls prevention interventions should incorporate culturally tailored, multi-lingual content and foster stronger partnership with healthcare professionals to enhance uptake among ethnic minority populations.

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Cite

BibTeXRIS
BibTeX
@article{ravithas2026barriers,
  title = {{Barriers and facilitators to engagement in fall interventions among older adults from ethnic backgrounds: A systematic review.}},
  author = {Shopeitha Ravithas and Samantha Jane Meredith and Abolanle Lawal and Sarah Wallace and Stephen Lim},
  journal = {Clinical medicine (London, England)},
  year = {2026},
  month = oct,
  doi = {10.1016/j.clinme.2026.100654},
  url = {https://europepmc.org/article/MED/42843526},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Barriers and facilitators to engagement in fall interventions among older adults from ethnic backgrounds: A systematic review.
AU  - Shopeitha Ravithas
AU  - Samantha Jane Meredith
AU  - Abolanle Lawal
AU  - Sarah Wallace
AU  - Stephen Lim
PY  - 2026
DA  - 2026/10/07
JO  - Clinical medicine (London, England)
DO  - 10.1016/j.clinme.2026.100654
UR  - https://europepmc.org/article/MED/42843526
AB  - Background  Falls prevention interventions among older adults can reduce falls risk but low engagement and adherence, especially amongst ethnic minority groups, remains a challenge.Aims  To identify the facilitators and barriers influencing uptake of fall prevention programmes among older adults from ethnic minority backgrounds.Methods  A literature search was conducted on three electronic databases included English language studies involving older adults aged ≥65 years from ethnic minority backgrounds. Study quality was assessed using the Joanna Briggs Institute's tool. Data were extracted and analysed using the Capability, Opportunity, Motivation (COM-B) model.Results  11 studies were included (eight qualitative, three mixed method). Study participants (n = 1176) included Hispanics, South Asians, Chinese and African American ethnic groups. Main themes included language barriers, cultural beliefs and inadequate support from healthcare professionals.Conclusion  Falls prevention interventions should incorporate culturally tailored, multi-lingual content and foster stronger partnership with healthcare professionals to enhance uptake among ethnic minority populations.
SN  - 1470-2118
SN  - 1473-4893
ER  -