A scoping review of safer mobility behaviour assessment and intervention: implications for people with Parkinson's disease.

Abstract

To provide a summary of assessments and interventions used to target safer mobility behaviour for fall prevention in older adults and people with Parkinson's disease (PwPD). This scoping review included older adults (aged ≥65 years) and PwPD within home, community, or primary care settings. Assessment tools with >50% items designed to assess mobility behaviour and interventions with at least one component relevant to safer mobility behaviour were included. Out of 27 686 records identified, 75 were included. Ten assessment tools that assessed behavioural strategies to reduce falls or fear of falling avoidance behaviour were included. The reporting of psychometric properties and subsequent quality ratings were mixed. Although no assessment tools were designed specifically for PwPD, four were used with PwPD. Eight out of 19 interventions involving education and movement strategy training were designed for PwPD. However, they varied in content, dosage and proportion of overall intervention. This review provides an overview of safer mobility behaviour assessments and interventions for fall prevention. Future assessment tools should be designed to assess specific impairments in Parkinson's disease (PD) that influence mobility behaviour. Future interventions should consider individualised behavioural strategies that address the heterogeneity and progression of PD.