Six studies were included (n=957). All six studies were deemed high quality.
When all study interventions were pooled (six studies), interventions were associated with reduced fear of falling or increased efficacy of fall prevention (ES 0.215, 95% CI 0.068 to 0.362). Statistically significant heterogeneity was found (Q=4.210, p=0.05).
In subgroup analyses, combined intervention (two studies) and use of a hip protector (one study) were associated with a statistically significant reduction of fear of falling (ES 0.249, 95% CI 0.049 to 0.449) or increased efficacy of fall prevention (ES 0.418, 95% CI 0.071 to 0.764).
Also associated with decreased fear of falling were community-based interventions (ES 0.228, 95% CI 0.044 to 0.412; two studies) and home-based interventions (ES 0.418, 95% CI 0.071 to 0.764; one study). Follow-up of at least four months was associated with significant effects.
Exercise only interventions, follow-up of three months or less and facility-based interventions were not associated with significant effects.