A Randomized, Controlled Trial of a Group Intervention to Reduce Fear of Falling and Associated Activity Restriction in Older Adults
Sharon L. Tennstedt,Jonathan Howland,Margie E. Lachman,Elizabeth W. Peterson,Linda Kasten,Alan M. Jette +5 more
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TL;DR: The intervention had immediate but modest beneficial effects that diminished over time in the setting with no booster intervention, and effects at 12 months included improved social function and mobility range.
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Abstract: A randomized, single-blind controlled trial was conducted to test the efficacy of a community-based group intervention to reduce fear of falling and associated restrictions in activity levels among older adults. A sample of 434 persons age 60+ years, who reported fear of falling and associated activity restriction, was recruited from 40 senior housing sites in the Boston metropolitan area. Data were collected at baseline, and at 6-week, 6-month, and 12-month follow-ups. Compared with contact control subjects, intervention subjects reported increased levels of intended activity (p < .05) and greater mobility control (p < .05) immediately after the intervention. Effects at 12 months included improved social function (p < .05) and mobility range (p < .05). The intervention had immediate but modest beneficial effects that diminished over time in the setting with no booster intervention.
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Citations
Interventions for preventing falls in older people living in the community
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References
Preventing Falls Among Community-Dwelling Older Persons: Results From a Randomized Trial
Mark C. Hornbrook,Victor J. Stevens,Darlene J. Wingfield,Jack F. Hollis,Merwyn R. Greenlick,Marcia G. Ory +5 more
TL;DR: It is concluded that the intervention dose was not of sufficient intensity or duration to have a marked protective effect on older persons and future research should focus on more intensive intervention approaches because serious falls do not appear to be amendable to low-intensity environment/behavioral efforts.
Can the Sickness Impact Profile measure change? An example of scale assessment☆
TL;DR: Its apparent inability to detect improvements and deteriorations equally, and the wide standard deviations for a given change in function, may limit the use of the Sickness Impact Profile for following individuals over time.
Attempts to prevent falls and injury: a prospective community study.
TL;DR: After 1 year of exercise and cognitive-behavioral programs, there was no significant difference in time to first fall and secondary outcome measures such as strength, balance, fear of falling, and perceived health did not significantly change.
Fear of falling and fall-related efficacy in relationship to functioning among community-living elders
TL;DR: The strong independent association between self-efficacy and function found in this study suggests that clinical programs in areas such as prevention, geriatric evaluation and management, and rehabilitation should attempt simultaneously to improve physical skills and confidence.
Training Balance and Strength in the Elderly to Improve Function
TL;DR: The hypotheses to be tested are that (1) balance training alone, or (2) strength training alone will each be capable of significantly improving balance, gait, and functional mobility, and that (3) a combined program of balance and strength training will be more effective than either approach alone.