{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T12:47:17Z","timestamp":1785934037733,"version":"3.56.0"},"reference-count":31,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"unspecified","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Ningxia Special Fund for Guiding Local Scientific and Technological Development by the Central Government","award":["2025FRG05001"],"award-info":[{"award-number":["2025FRG05001"]}]},{"name":"Key R&D Program Project of Hunan Province","award":["2023SK2009"],"award-info":[{"award-number":["2023SK2009"]}]},{"DOI":"10.13039\/501100013139","name":"Humanities and Social Science Fund of Ministry of Education of China","doi-asserted-by":"publisher","award":["24YJA840009"],"award-info":[{"award-number":["24YJA840009"]}],"id":[{"id":"10.13039\/501100013139","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Ningxia Natural Science Foundation Project","award":["2025AAC040007"],"award-info":[{"award-number":["2025AAC040007"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,7,27]]},"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Falls are a major global health issue among older adults, leading to substantial physical, psychological and economic burdens. Fall risk screening is essential for early identification of high-risk individuals and enables targeted preventive interventions. Primary care, as the first point of contact in healthcare, is well-positioned to implement screening due to its accessibility and broad population coverage. However, existing reviews have examined fall prevention in primary care broadly, while evidence on the factors influencing the implementation of routine fall risk screening, including barriers and facilitators, remains fragmented and has not yet been comprehensively synthesised. This scoping review aims to systematically identify and synthesise determinants influencing the implementation of fall risk screening in primary care, guided by the Consolidated Framework for Implementation Research and Normalization Process Theory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>The scoping review will be conducted following the methodological guidelines suggested by the Joanna Briggs Institute and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist. Eight electronic databases (Web of Science, PubMed, the Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, Embase, China National Knowledge Infrastructure, SinoMed and Wanfang) will be searched from database inception to 31 July 2026 without language restrictions. Targeted searches of relevant grey literature sources will also be conducted. Two reviewers will independently screen and conduct data extraction. Any discrepancies that arise will be resolved through consultation with a third reviewer. The data will be analysed and presented in tables, flow diagrams and narrative text.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>Ethical approval is not required for this scoping review. The results will be submitted to a peer-reviewed journal and presented at academic conferences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study registration<\/jats:title>\n                    <jats:p>\n                      Open Science Framework (\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/osf.io\/8jh64\">https:\/\/osf.io\/8jh64<\/jats:ext-link>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2026-122885","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T11:55:32Z","timestamp":1785930932000},"page":"e122885","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Determinants of implementing fall risk screening for older adults in primary care settings: protocol for a scoping review"],"prefix":"10.1136","volume":"16","author":[{"given":"Xiao","family":"Tian","sequence":"first","affiliation":[{"name":"School of Nursing, Ningxia Medical University, Yinchuan, Ningxia, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kehan","family":"Liu","sequence":"additional","affiliation":[{"name":"Xiangya School of Nursing, Central South University, Changsha, Hunan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siyue","family":"Fan","sequence":"additional","affiliation":[{"name":"School of Nursing, Ningxia Medical University, Yinchuan, Ningxia, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1908-290X","authenticated-orcid":false,"given":"Qirong","family":"Chen","sequence":"additional","affiliation":[{"name":"Xiangya School of Nursing, Central South University, Changsha, Hunan, China"},{"name":"Xiangya Evidence-Based Healthcare Research Center, Central South University, Changsha, Hunan, China"},{"name":"JBI Xiangya Research Centre for Evidence-based Healthcare Innovation, Central South University, Changsha, Hunan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6794-0724","authenticated-orcid":false,"given":"Chongmei","family":"Huang","sequence":"additional","affiliation":[{"name":"School of Nursing, Ningxia Medical University, Yinchuan, Ningxia, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4775-0397","authenticated-orcid":false,"given":"Huimin","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Nursing, Ningxia Medical University, Yinchuan, Ningxia, China"},{"name":"School of Nursing, Henan Medical University, Xinxiang, Henan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunpeng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Chinese Academy of Sciences Suzhou Institute of Biomedical Engineering and Technology, Suzhou, Jiangsu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4554-3135","authenticated-orcid":false,"given":"Minhui","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Nursing, Ningxia Medical University, Yinchuan, Ningxia, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,8,5]]},"reference":[{"key":"2026080504551880000_16.8.e122885.1","unstructured":"World Health Organization . Falls. 2021. 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Falls: assessment and prevention in older people and in people 50 and over at higher risk. London: National Institute for Health and Care Excellence (NICE); 2025."},{"key":"2026080504551880000_16.8.e122885.18","doi-asserted-by":"crossref","DOI":"10.3389\/fpubh.2024.1377972","article-title":"The critical role of primary care health care professionals in referring older adults to community-based fall prevention programs","volume":"12","author":"Howland","year":"2024","journal-title":"Front Public Health"},{"key":"2026080504551880000_16.8.e122885.19","doi-asserted-by":"crossref","DOI":"10.1186\/s12875-023-02154-x","article-title":"Patient-stimulated fall prevention screening in primary care: analysis of provider coding changes","volume":"24","author":"Moran","year":"2023","journal-title":"BMC Prim Care"},{"key":"2026080504551880000_16.8.e122885.20","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1097\/JXX.0000000000000360","article-title":"Factors influencing the implementation of falls prevention practice in primary care","volume":"33","author":"McConville","year":"2020","journal-title":"J Am Assoc Nurse Pract"},{"key":"2026080504551880000_16.8.e122885.21","doi-asserted-by":"crossref","first-page":"885","DOI":"10.2147\/CIA.S354911","article-title":"Implementing falls prevention in primary care: barriers and facilitators","volume":"17","author":"Meekes","year":"2022","journal-title":"Clin Interv Aging"},{"key":"2026080504551880000_16.8.e122885.22","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1017\/S0714980820000112","article-title":"Scoping review of clinical practice guidelines for fall risk screening and assessment in older adults across the care continuum","volume":"40","author":"Williams-Roberts","year":"2021","journal-title":"Can J Aging"},{"key":"2026080504551880000_16.8.e122885.23","doi-asserted-by":"crossref","DOI":"10.1186\/s43058-022-00264-8","article-title":"Understanding implementation context and social processes through integrating Normalization Process Theory (NPT) and the Consolidated Framework for Implementation Research (CFIR)","volume":"3","author":"Schroeder","year":"2022","journal-title":"Implement Sci Commun"},{"key":"2026080504551880000_16.8.e122885.24","doi-asserted-by":"crossref","DOI":"10.1186\/s13012-022-01245-0","article-title":"The updated Consolidated Framework for Implementation Research based on user feedback","volume":"17","author":"Damschroder","year":"2022","journal-title":"Implement Sci"},{"key":"2026080504551880000_16.8.e122885.25","doi-asserted-by":"publisher","DOI":"10.1177\/0038038509103208"},{"key":"2026080504551880000_16.8.e122885.26","doi-asserted-by":"publisher","DOI":"10.11124\/JBIES-20-00167"},{"key":"2026080504551880000_16.8.e122885.27","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"2026080504551880000_16.8.e122885.28","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"2026080504551880000_16.8.e122885.29","doi-asserted-by":"crossref","unstructured":"Peters MDJ , Godfrey CM , McInerney P , et al . 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