A Self-Guided Online Cognitive Behavioural Therapy to Reduce Fear of Falling in Older People: a Randomised Controlled Trial.
Background: Traditional face-to-face cognitive behavioural therapy (CBT) has been successful at reducing fear of falling (FOF) in older people but can be labour-intensive and costly. Online CBT has been suggested as a cost-effective alternative but has not yet been tested in the context of FOF. This...
| Publicado en: | International Journal of Behavioral Medicine Vol. 30; no. 3; pp. 455 - 463 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Springer Nature
Jun2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=163613650&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 163613650 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10705503 7M2 jtl: International Journal of Behavioral Medicine issn: 10705503 maglogo: N pubinfo: dt: Jun2023 vid: 30 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 163613650 157203461 163613650 163613650 10.1007/s12529-022-10105-6 163613650 ppf: 455 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: A Self-Guided Online Cognitive Behavioural Therapy to Reduce Fear of Falling in Older People: a Randomised Controlled Trial. aug: au: Lim, Mei Ling Tran, Mymy van Schooten, Kimberley S. Radford, Kylie A. O'Dea, Bridianne Baldwin, Peter Delbaere, Kim affil: Falls, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, Australia sug: subj: Cognitive Therapy Behavior Therapy Fear Accidental Falls Prevention and Control Program Development Treatment Outcomes Human Aged Aged, 80 and Over Randomized Controlled Trials Random Assignment Incidence Support, Social Health Education Health Care Costs Economics Community Living Balance, Postural Physical Activity Avoidance (Psychology) Self-Efficacy Exercise Education Health Literacy Mental Health Control Group Descriptive Statistics Funding Source Aged: 65+ years Aged, 80 & over ab: Background: Traditional face-to-face cognitive behavioural therapy (CBT) has been successful at reducing fear of falling (FOF) in older people but can be labour-intensive and costly. Online CBT has been suggested as a cost-effective alternative but has not yet been tested in the context of FOF. This study evaluates the effectiveness of a readily available, self-guided and generalised online CBT program (myCompass) on reducing FOF in older people. Methods: Fifty community-dwelling older people with FOF received a paper-based health education program, and half were randomly assigned to receive three selected modules from myCompass for 6 weeks. The primary outcome was feared consequences of falling at 6 weeks. Secondary outcomes were concern about falling, balance confidence, activity avoidance, physical activity, exercise self-efficacy, health literacy and mental health at 6/26/52 weeks and falls incidence at 12 months. Results: All intervention participants completed at least 2-out-of-3 myCompass modules. There was a significant main effect of time on feared consequences of falling (Cohen's f = 0.55). The group by time interactions for concern about falling (f = 0.28), stress (f = 0.26) and social support for health (health literacy) (f = 0.26) was also significant, favouring the control group. The overall attrition rate at 12 months was 24% (n = 12). Conclusion: The high program compliance and low attrition rate suggest that online CBT is feasible among older people. However, the myCompass program had no effect at reducing FOF in older people. A more targeted CBT program with a well-integrated psychoeducation module on FOF might be the solution to boost the therapeutic effects of a generalised CBT program at reducing FOF for older people. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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