The Lived Experiences of Family Caregivers in Caring for Older Adults at Risk of Falls: A Phenomenological Study

Authors

1 Doctor of Nursing Student, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia;

2 Deparment of Community Nursing, Faculty of Nursing, Universitas Riau, Pekanbaru, Indonesia;

3 Department of Community Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia;

4 Department of Public Health Nutrition, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia

Abstract

Background: Falls in older adults are a major public health issue, particularly in home-based care settings. Family caregivers play a critical role in caring for older adults at risk of falls. Therefore, this study aimed to explore the lived experiences of family caregivers in facing challenges and preventive care strategies for older adults at risk of falling in Indonesia.
Methods: A descriptive phenomenological study was conducted from December 2024 to April 2025 in Pekanbaru City, Riau Province, Indonesia, involving 12 family caregivers who provided care for older adults at risk of falling. Participants were selected using a purposive sampling technique. Data were collected through in-depth semi-structured interviews which lasted between 45 and 70 minutes. The interviews continued until no new experiential meanings emerged, indicating data saturation. All interview recordings were transcribed verbatim and analyzed manually using Colaizzi’s seven-step method.
Results: The research identified five themes including: (1) stressors in caring for older adults, (2) declining health conditions of older adults, (3) fall-prone environments for older adults, (4) socio-cultural influences on care, and (5) fall prevention strategies.
Conclusion: This study supports the need for family-centered, community-based, and culturally sensitive interventions to assist family caregivers in preventing falls among older adults.

Keywords

References

1.    Central Bureau of Statistics. Elderly population statistics 2023. Jakarta: Central Bureau of Statistics; 2023. [Cited 20 May 2025]. Available from: https://www.bps.go.id/id/publication/2023/12/29/5d308763ac29278dd5860fad/statistik-penduduk-lanjut-usia-2023.html [In Indonesian]
2.    The Centers for Disease Control and Prevention. Older Adult Falls. US: The Centers for Disease Control and Prevention; 2024. [Cited 20 May 2025]. Available from: https://www.cdc.gov/falls/data-research/index.html
3.    Salari N, Darvishi N, Ahmadipanah M, et al. Global prevalence of falls in the older adults: a comprehensive systematic review and meta-analysis. Journal of Orthopedic Surgery and Research. 2022;17:334.
4.    Vo MTH, Thonglor R, Moncatar TJR, et al. Fear of falling and associated factors among older adults in Southeast Asia: a systematic review. Public Health. 2023;222:215-28. 
5.    Xiao C, Patrician PA, Montgomery AP, et al. Filial piety and older adult caregiving among Chinese and Chinese-American families in the United States: a concept analysis. BMC Nursing. 2024;23:115.
6.    Ding TYG, De Roza JG, Chan CY, et al. Factors associated with family caregiver burden among frail older persons with multimorbidity. BMC Geriatrics. 2022;22:160.
7.    Hopewell S, Adedire O, Copsey BJ, et al. Multifactorial and multiple component interventions for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews. 2018;7:CD012221. 
8.    Hailu GN, Abdelkader M, Asfaw F, et al. Exploring the knowledge and skills for effective family caregiving in elderly home care: a qualitative study. BMC Geriatrics. 2024;24:342.
9.    Campani D, Caristia S, Amariglio A, et al. Home and environmental hazards modification for fall prevention among the elderly. Public Health Nursing. 2021;38:493-501.
10.    Dalvand H, Setoudeh H, Namazi Shabestari A, et al. The effectiveness of home modifications on the risk of falling in older adults with dementia: A randomized clinical trial. British Journal of Occupational Therapy. 2024;87:6-14. 
11.    Neller SA, Hebdon MT, Wickens E, et al. Family caregiver experiences and needs across health conditions, relationships, and the lifespan: a Qualitative analysis. International Journal of Qualitative Studies on Health and Well-being. 2024;19:2296694.
12.    Qutoshi SB. Phenomenology: A Philosophy and Method of Inquiry. Journal of Education and Educational Developement. 2018;5:215. 
13.    Creswell JW, Poth CN. Qualitative Inquiry & Research Design: Choosing Among Five Approaches. 4th ed. California: SAGE Publications; 2018.
14.    Colaizzi PF. Psychological research as the phenomenologist views it. In: Valle RS, King M. Existential-phenomenological alternatives for psychology. New York: Oxford University Press; 1978. p. 48-71.
15.    Polit DF, Beck CT. Essentials of nursing research: appraising evidence for nursing practice. 10th ed. Philadelphia: Lippincott Williams & Wilkins; 2021.
16.    Ahmed SK. The pillars of trustworthiness in qualitative research. Journal of Medicine, Surgery, and Public Health. 2024;2:100051.
17.    O’Brien BC, Harris IB, Beckman TJ, et al. Standards for Reporting Qualitative Research: a synthesis of recommendations. Academic Medicine. 2014;89:1245-51. 
18.    Tang HT, Vu HM, Tang HT, T et al. Knowledge, attitude and practice on fall risk factors and prevention among rural older community-dwellers in Vietnam. PLoS One. 2023;18:e0295119.
19.    Ang SGM, Saunders R, Siah CJR, et al. Factors associated with family carers’ fall concern: Prospective study protocol. Collegian. 2023;30:647-52.
20.    Hoffman GJ, Shuman CJ, Montie M, et al. Caregivers’ views of older adult fall risk and prevention during hospital-to-home transitions. Applied Nursing Research. 2019;47:10-5.
21.    Montero-Odasso M, Van Der Velde N, Martin FC, et al. World guidelines for falls prevention and management for older adults: a global initiative. Age and Ageing. 2022;51:afac205.
22.    Kim GS, Park MK, Lee JJ, et al. Situational and environmental risk factors associated with home falls among community-dwelling older adults: Visualization of disparities between actual and perceived risks. Geriatric Nursing. 2025;62:221-8.
23.    Bongelli R, Busilacchi G, Pacifico A, et al. Caregiving burden, social support, and psychological well-being among family caregivers of older Italians: a cross-sectional study. Frontiers in Public Health. 2024;12:1474967.
24.    Teng L, Wang D, Zhou Z, et al. Associations among frailty status, hypertension, and fall risk in community-dwelling older adults. International Journal of Nursing Sciences. 2023;11:11-7.
25.    Jiang H, Yuan H, Tee S, et al. Perspectives and experiences of community-dwelling older adults who experience falling: A qualitative meta-synthesis. International Journal of Nursing Sciences. 2024;11:276-85. 
26.    Stacey M. The Experiences of Older Adults Labeled as a High Fall Risk: A Generic Qualitative Inquiry. Journal of Geriatric Medicine and Gerontology. 2022;8:128. 
27.    White CL, Barrera A, Turner S, et al. Family caregivers’ perceptions and experiences of participating in the learning skills together intervention to build self-efficacy for providing complex care. Geriatric Nursing. 2022;45:198-204. 
28.    Lu X, Park NK, Ahrentzen S. Lighting Effects on Older Adults’ Visual and Nonvisual Performance: A Systematic Review. Journal of Housing for the Elderly. 2019;33:298-324.
29.    World Health Organization. Progress report on the United Nations Decade of Healthy Ageing, 2021-2023. Geneva: World Health Organization; 2023. 
30.    van der Velde N, Seppala LJ, Herrero AC, et al. Falls prevention in community-dwelling older adults and implementation of world falls guidelines: a call for action across Europe by the European Geriatric Medicine Society Special Interest Group on Falls and Fractures. European Geriatric Medicine. 2025. [online]
31.    Shao L, Shi Y, Xie XY, et al. Incidence and Risk Factors of Falls Among Older People in Nursing Homes: Systematic Review and Meta-Analysis. Journal of the American Medical Directors Association. 2023;24:1708-17. 
32.    Jarden RJ, Cherry K, Sparham E, et al. Inpatients’ experiences of falls: A qualitative meta‐synthesis. Journal of Advanced Nursing. 2025;81:4-19. 
33.    Costa‐Menén MÀ, Gimeno‐Pi I, Martin‐Servet G, et al. Facilitators and barriers in the implementation of a fall prevention program based on physical activity for elderly people living in the community: A qualitative study. Public Health Nursing. 2024;41:1425-35.
34.    Pantong U, Trapero I, Jareaprapal U. Analysis and prevention of falls among community‐dwelling older adults in southern Thailand. Journal of Advanced Nursing. 2024;80:2121-36.
35.    Do NM, Tolos C. Empowering Fall Prevention Through Integrated Lifestyle Medicine Strategies-From Recognition of Fall Risks to Implementation of Prevention of Falls for all in Practice. American Journal of Lifestyle Medicine. 2025. [online]
International Journal of Community Based Nursing & Midwifery
Volume 13, Issue 4 - Serial Number 52
October 2025
Pages 295-306

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