Personalized Programs to Prevent Falls May Make No Difference .

Are increasingly complex falls-prevention programs delivering better outcomes? A new Cochrane review challenges the assumption that individualized, multifactorial interventions necessarily outperform simpler strategies. Among community-dwelling older adults, tailored programs probably make little or no difference to falls compared with education or advice, while benefits over exercise alone remain uncertain. The findings have implications for fracture-prevention services, rehabilitation programs and healthcare resource allocation.