TITLE

Evaluating an intervention to reduce fear of falling and associated activity restriction in elderly persons: design of a randomised controlled trial [ISRCTN43792817]

AUTHOR(S)
Zijlstra, G. A. R.; van Haastregt, J. C. M.; van Eijk, J. Th. M.; Kempen, G. I. J. M.
PUB. DATE
January 2005
SOURCE
BMC Public Health;2005, Vol. 5 Issue 1, p26
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Fear of falling and associated activity restriction is common in older persons living in the community. Adverse consequences of fear of falling and associated activity restriction, like functional decline and falls, may have a major impact on physical, mental and social functioning of these persons. This paper presents the design of a trial evaluating a cognitive behavioural group intervention to reduce fear of falling and associated activity restriction in older persons living in the community. Methods/design: A two-group randomised controlled trial was developed to evaluate the intervention. Persons 70 years of age or over and still living in the community were eligible for study if they experienced at least some fear of falling and associated activity restriction. A random community sample of elderly people was screened for eligibility; those eligible for study were measured at baseline and were subsequently allocated to the intervention or control group. Follow-up measurements were carried out directly after the intervention period, and then at six months and 12 months after the intervention. People allocated to the intervention group were invited to participate in eight weekly sessions of two hours each and a booster session. This booster session was conducted before the follow-up measurement at six months after the intervention. People allocated to the control group received no intervention as a result of this trial. Both an effect evaluation and a process evaluation were performed. The primary outcome measures of the effect evaluation are fear of falling, avoidance of activity due to fear of falling, and daily activity. The secondary outcome measures are perceived general health, self-rated life satisfaction, activities of daily life, feelings of anxiety, symptoms of depression, social support interactions, feelings of loneliness, falls, perceived consequences of falling, and perceived risk of falling. The outcomes of the process evaluation comprise the performance of the intervention according to protocol, the attendance and adherence of participants, and the participants' and facilitators' opinion about the intervention. Data of the effect evaluation will be analysed according the intention-to-treat and on-treatment principle. Data of the process evaluation will be analysed using descriptive techniques.
ACCESSION #
29361788

 

Related Articles

  • Singing classes for chronic obstructive pulmonary disease: a randomized controlled trial. Lord, Victoria M.; Hume, Victoria J.; Kelly, Julia L.; Cave, Phoene; Silver, Judith; Waldman, Maya; White, Chris; Smith, Cayley; Tanner, Rebecca; Sanchez, Melissa; Man, William D-C.; Polkey, Michael I.; Hopkinson, Nicholas S. // BMC Pulmonary Medicine;2012, Vol. 12 Issue 1, p69 

    Background: There is some evidence that singing lessons may be of benefit to patients with chronic obstructive pulmonary disease (COPD). It is not clear how much of this benefit is specific to singing and how much relates to the classes being a group activity that addresses social isolation....

  • Hugging my uncle: the impact of a parent training on children's comfort interacting with persons living with HIV. Krauss, Beatrice J.; Godfrey, Christopher C.; O'Day, Joanne; Freidin, Elizabeth // Journal of Pediatric Psychology;Oct2006, Vol. 31 Issue 9, p891 

    Objective: HIV-related stigma affects not only persons living with HIV (PLwHIV) but also their communities and families including children. This study aimed to determine whether an interactive training administered to community parents significantly increases their children's...

  • For Seaside, Failed Trial Is No Reason to Get Irritated. Breindl, Anette // BioWorld Today;9/21/2012, Vol. 23 Issue 184, p1 

    The article reports on the negative results obtained by Seaside Therapeutics from its clinical trial of Arbaclofen in patients with Fragile X syndrome. Arbaclofen failed in achieving both its primary and secondary endpoints. Its primary endpoint is to enhance irritability in these patients....

  • The atypical antipsychotic risperidone reverses the recognition memory deficits induced by post-weaning social isolation in rats. McIntosh, Allison; Ballard, Theresa; Steward, Lucinda; Moran, Paula; Fone, Kevin // Psychopharmacology;Jul2013, Vol. 228 Issue 1, p31 

    Rationale: Rearing rats in isolation from weaning is an established preclinical neurodevelopmental model which induces behavioural deficits with apparent translational relevance to some core symptoms of schizophrenia. Objective: This study evaluated the ability of the atypical antipsychotic...

  • Effectiveness of Holistic Interventions for People with Severe Chronic Obstructive Pulmonary Disease: Systematic Review of Controlled Clinical Trials. Nurmatov, Ulugbek; Buckingham, Susan; Kendall, Marilyn; Murray, Scott A.; White, Patrick; Sheikh, Aziz; Pinnock, Hilary // PLoS ONE;Oct2012, Vol. 7 Issue 10, Special section p1 

    Background: Despite a well-recognised burden of disabling physical symptoms compounded by co-morbidities, psychological distress and social isolation, the needs of people with severe chronic obstructive pulmonary disease (COPD) are typically poorly addressed. Aim: To assess the effectiveness of...

  • Social isolation and sociocultural diversity. Hill, Jack // Journal of Social & Evolutionary Systems;1996, Vol. 19 Issue 2, p157 

    Explains the phenomena known as sociocultural diversity as it relates to the topic of sociocultural evolution. Importance of social isolation; Effects of social isolation; Details on the evolutionary potential of social isolation; Classification of evolutionary human groups; Information on the...

  • Outside Looking In. Weir, Kirsten // Current Health 1;Apr/May2010, Vol. 33 Issue 8, p22 

    The article focuses on the physiological effects of loneliness and offers tips on its prevention.

  • The Desert. Krekorian, Michael // Kansas Quarterly;1992, Vol. 24 Issue 2/3, p47 

    Presents a short story entitled `The Desert,' by Michael Krekorian about a man's aimless ride through the desert highways.

  • ISOLATION NATION. Robaina, Holly Vicente // Today's Christian Woman;Jul/Aug2007, Vol. 29 Issue 4, p38 

    The article reports on the result of the "Social Isolation in America" study published in the June 2006 issue of "American Sociological Review."

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics