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- Title
Effects of a Multicomponent Cognitive Behavioral Group Intervention on Fear of Falling and Activity Avoidance in Community-Dwelling Older Adults: Results of a Randomized Controlled Trial.
- Authors
Zijlstra, G. A. Rixt; Haastregt, Jolanda C. M. van; Ambergen, Ton; Rossum, Erik van; Eijk, Jacques Th. M. van; Tennstedt, Sharon L.; Kempen, Gertrudis I. J. M.
- Abstract
OBJECTIVES: To evaluate the effects of a multicomponent cognitive behavioral intervention on fear of falling and activity avoidance in older adults. DESIGN: Randomized controlled trial. SETTING: Community-dwelling adults in the Netherlands. PARTICIPANTS: Five hundred forty adults aged 70 and older who reported fear of falling and fear-induced activity avoidance (280 intervention, 260 control). INTERVENTION: A multicomponent cognitive behavioral group intervention consisting of eight weekly sessions and a booster session. The sessions were aimed at instilling adaptive and realistic views on falls, reducing fall risk, and increasing activity and safe behavior. MEASUREMENTS: Data on fear of falling, activity avoidance, concerns about falling, perceived control over falling, and daily activity were collected at baseline and at 2, 8, and 14 months. RESULTS: At 2 months, there were significant between-group differences in fear of falling (odds ratio (OR)=0.11; P<.001), activity avoidance (OR=0.26; P<.001), concerns about falling (adjusted mean difference=−1.51; P=.02), and daily activity (adjusted mean difference=0.95; P=.01). At 8 months, there were significant between-group differences in all outcomes and at 14 months in fear of falling ( P=.001), perceived control over falling ( P=.001), and recurrent fallers ( P=.02) but not in activity avoidance ( P=.07), concerns about falling ( P=.07), daily activity ( P=.24), or fallers ( P=.08). CONCLUSION: This multicomponent cognitive behavioral intervention showed positive and durable effects on fear of falling and associated activity avoidance in community-dwelling older adults. Future research should focus on improving intervention uptake and adherence, reaching frailer populations, and determining potential intervention effects on functional outcomes.
- Subjects
COGNITIVE therapy; COGNITION in old age; FEAR of falling; ACCIDENTAL falls in old age; MENTAL health of older people
- Publication
Journal of the American Geriatrics Society, 2009, Vol 57, Issue 11, p2020
- ISSN
0002-8614
- Publication type
Article
- DOI
10.1111/j.1532-5415.2009.02489.x