A randomized, controlled trial of a group intervention to reduce fear of falling and associated activity restriction in older adults

被引:327
作者
Tennsledt, S
Howland, J
Lachman, M
Peterson, E
Kasten, L
Jette, A
机构
[1] New England Res Inst, Inst Studies Aging, Watertown, MA 02172 USA
[2] Boston Univ, Sch Publ Hlth, Boston, MA USA
[3] Brandeis Univ, Waltham, MA 02254 USA
[4] Univ Illinois, Chicago, IL USA
[5] Boston Univ, Sargent Coll Hlth & Rehabil Sci, Boston, MA 02215 USA
来源
JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES | 1998年 / 53卷 / 06期
关键词
D O I
10.1093/geronb/53B.6.P384
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
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,,vas 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.
引用
收藏
页码:P384 / P392
页数:9
相关论文
共 46 条
[1]  
ALKALAY L, 1984, PRACTITIONER, V228, P698
[2]  
[Anonymous], 1987, TOP GERIATR REHAB, DOI DOI 10.1097/00013614-198710000-00010
[3]   THE PREVALENCE AND CORRELATES OF FEAR OF FALLING IN ELDERLY PERSONS LIVING IN THE COMMUNITY [J].
ARFKEN, CL ;
LACH, HW ;
BIRGE, SJ ;
MILLER, JP .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1994, 84 (04) :565-570
[4]  
Baker S P, 1985, Clin Geriatr Med, V1, P501
[5]   SELF-EFFICACY MECHANISM IN HUMAN AGENCY [J].
BANDURA, A .
AMERICAN PSYCHOLOGIST, 1982, 37 (02) :122-147
[6]  
BANDURA A, 1987, ADV BEHAV RES THERAP, P237
[7]   THE SICKNESS IMPACT PROFILE - DEVELOPMENT AND FINAL REVISION OF A HEALTH-STATUS MEASURE [J].
BERGNER, M ;
BOBBITT, RA ;
CARTER, WB ;
GILSON, BS .
MEDICAL CARE, 1981, 19 (08) :787-805
[8]   FALLS BY ELDERLY PEOPLE AT HOME - PREVALENCE AND ASSOCIATED FACTORS [J].
BLAKE, AJ ;
MORGAN, K ;
BENDALL, MJ ;
DALLOSSO, H ;
EBRAHIM, SBJ ;
ARIE, THD ;
FENTEM, PH ;
BASSEY, EJ .
AGE AND AGEING, 1988, 17 (06) :365-372
[9]  
BUCHNER DM, 1993, J AM GERIATR SOC, V41, P489
[10]   RISK-FACTORS FOR FALLS IN A COMMUNITY-BASED PROSPECTIVE-STUDY OF PEOPLE 70 YEARS AND OLDER [J].
CAMPBELL, AJ ;
BORRIE, MJ ;
SPEARS, GF .
JOURNALS OF GERONTOLOGY, 1989, 44 (04) :M112-M117