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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TL;DR: 36 patients aged 65 and over who were admitted to hospital after suffering a fall were examined soon after admission and followed for 4 months; 10 patients developed a severe tendency to clutch and grab and were unable to walk unsupported and 9 died or were still in hospital 4 months later.
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Jonathan Howland,Elizabeth Walker Peterson,William C. Levin,Lise Fried,Dorothy Pordon,Sharon Bak +5 more
TL;DR: Self-rated health status and experience of previous falls were significantly associated withFear of falling, and analysis suggests that fear of falling may affect social interaction, independent of risks for falling.
The Effects of Exercise on Falls in Elderly Patients: A Preplanned Meta-analysis of the FICSIT Trials
Michael A. Province,Evan C. Hadley,Mark C. Hornbrook,Lewis A. Lipsitz,Jessica Miller,Cynthia D. Mulrow,Marcia G. Ory,Richard W. Sattin,Mary E. Tinetti,Steven L. Wolf +9 more
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