Reducing the fear of falling among community-dwelling elderly adults through cognitive-behavioural strategies and intense Tai Chi exercise: A randomized controlled trial

Journal of Advanced Nursing

Volumn 67, Issue 5, 2011, Pages 961-971

  Huang, Tzu Ting ^a   Yang, Lin Hui ^b   Liu, Chia Yih ^c  

^a CHANG GUNG UNIVERSITY   (Taiwan)

^b CHANG GUNG UNIVERSITY OF SCIENCE AND TECHNOLOGY   (Taiwan)

^c CHANG GUNG MEMORIAL HOSPITAL   (Taiwan)

Author keywords

Cognitive behavioural; Elderly adults; Falls prevention; Fear of falling; Nursing; Tai Chi exercise

Indexed keywords

AGED; ANALYSIS OF VARIANCE; ARTICLE; ATTITUDE TO HEALTH; BODY EQUILIBRIUM; CLINICAL TRIAL; COGNITIVE THERAPY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; FALLING; FEAR; FEMALE; GAIT; HUMAN; INDEPENDENT LIVING; MALE; MIDDLE AGED; MULTIMODALITY CANCER THERAPY; OUTCOME ASSESSMENT; PATIENT SATISFACTION; PHYSIOLOGY; PREVALENCE; PSYCHOLOGICAL ASPECT; QUALITY OF LIFE; RANDOMIZED CONTROLLED TRIAL; RURAL POPULATION; SOCIAL SUPPORT; TAI CHI; TAIWAN; WALKING DIFFICULTY;

ACCIDENTAL FALLS; AGED; ANALYSIS OF VARIANCE; COGNITIVE THERAPY; COMBINED MODALITY THERAPY; FEAR; FEMALE; GAIT; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; INDEPENDENT LIVING; MALE; MIDDLE AGED; MOBILITY LIMITATION; OUTCOME ASSESSMENT (HEALTH CARE); PATIENT SATISFACTION; POSTURAL BALANCE; PREVALENCE; QUALITY OF LIFE; RURAL POPULATION; SOCIAL SUPPORT; TAI JI; TAIWAN;

EID: 79954538210     PISSN: 03092402     EISSN: 13652648     Source Type: Journal    
DOI: 10.1111/j.1365-2648.2010.05553.x     Document Type: Article

References (36)

1. Allen L.B., White K.S., Barlow D.H., Shear M.K., Gorman J.M. & Woods S.W. (2010) Cognitive-behavior therapy (CBT) for panic disorder: relationship of anxiety and depression comorbidity with treatment outcome. Journal of Psychopathology and Behavioral Assessment 32(2), 185-192.
2. Barrera M., Sandler I.N. & Ramsay T.B. (1981) Preliminary development of a scale of social support: studies on college students. American Journal of Community Psychology 9(4), 435-447.
3. Brouwer B.J., Walker C., Rydahl S.J. & Culham E.G. (2003) Reducing fear of falling in seniors through education and activity programs: a randomized trial. Journal of the American Geriatrics Society 51(6), 829-834.
4. Friedman S.M., Munoz B., West S.K., Rubin G.S. & Fried L.P. (2002) Falls and fear of falling: which comes first? A longitudinal prediction model suggests strategies for primary and secondary prevention. Journal of the American Geriatrics Society 50(8), 1329-1335.
5. Gitlin L.N., Winter L., Dennis M.P., Corcoran M., Schinfeld S. & Hauck W.W. (2006) A randomized trial of a multicomponent home intervention to reduce functional difficulties in older adults. Journal of the American Geriatrics Society 54(5), 809-816.
6. Gupta V. & Korte C. (1994) The effects of a confidant and a peer group on the well-being of single elders. International Journal of Aging & Human Development 39(4), 293-302.
7. Haby M.M., Donnelly M., Corry J. & Vos T. (2006) Cognitive behavioural therapy for depression, panic disorder and generalized anxiety disorder: a meta-regression of factors that may predict outcome. Australian and New Zealand Journal of Psychiatry 40(1), 9-19.
8. Harling A. & Simpson J.P. (2008) A systematic review to determine the effectiveness of Tai Chi in reducing falls and fear of falling in older adults. Physical Therapy Review 13(4), 237-248.
9. Howland J., Lachman M.E., Peterson E.W., Cote J., Kasten L. & Jette A. (1998) Covariates of fear of falling and associated activity curtailment. Gerontologist 38(5), 549-555.
10. Huang T.T. (2005) Managing fear of falling: Taiwanese elders' perspective. International Journal of Nursing Studies 42(7), 743-750.
11. Huang T.T. (2006) Geriatric fear of falling measure: development and psychometric testing. International Journal of Nursing Studies 43(3), 357-365.
12. Huang T.T. & Acton G.J. (2004) Effectiveness of home visit falls prevention strategy for Taiwanese community-dwelling elders: randomized trial. Public Health Nursing 21(3), 247-256.
13. Huang T.T. & Lin L.Y. (2004) Meaning of life and related factors among community-dwelling elders in Yunlin County. Taiwan Journal of Public Health 23(2), 159-167.
14. Huang T.T. & Wang W.S. (2009) Comparison of three established measures of fear of falling in community-dwelling older adults: psychometric testing. International Journal of Nursing Studies 46(10), 1313-1319.
15. Jung D., Lee J. & Lee S.M. (2009) A meta-analysis of fear of falling treatment programs for the elderly. Western Journal of Nursing Research 31(1), 6-16.
16. Kunzmann U. (2008) Differential age trajectories of positive and negative affect: further evidence from the Berlin Aging Study. Journals of Gerontology Series B-Psychological Sciences and Social Sciences 63(5), 261-270.
17. Kushner M.G., Sletten S., Donahue C., Thuras P., Maurer E., Schneider A., Frye B. & Van Demark J. (2009) Cognitive-behavioral therapy for panic disorder in patients being treated for alcohol dependence: moderating effects of alcohol outcome expectancies. Addictive Behaviors 34(6-7), 554-560.
18. Legters K. (2002) Fear of falling. Physical Therapy 82(3), 264-272.
19. Li F., Harmer P., Fisher K.J., McAuley E., Chaumeton N., Eckstrom E. & Wilson N.L. (2005) Tai Chi and fall reductions in older adults: a randomized controlled trial. Journals of Gerontology Series A-Biological Sciences and Medical Sciences 60(2), 187-194.
20. Li F., Harmer P., Glasgow R., Mack K.A., Sleet D., Fisher K.J., Kohn M.A., Millet L.M., Mead J., Xu J., Lin M.L., Yang T., Sutton B. & Tompkins Y. (2008) Translation of an effective Tai Chi intervention into a community-based falls-prevention program. American Journal of Public Health 98(7), 1195-1198.
21. Lin M.R., Wolf S.L., Hwang H.F., Gong S.Y. & Chen C.Y. (2007) A randomized, controlled trial of fall prevention programs and quality of life in older fallers. Journal of the American Geriatrics Society 55(4), 499-506.
22. Logghe I.H., Zeeuwe P.E., Verhagen A.P., Wijnen-Sponselee R.M., Willemsen S.P., Bierma-Zeinstra S.M., van Rossum E., Faber M.J. & Koes B.W. (2009) Lack of effect of Tai Chi Chuan in preventing falls in elderly people living at home: a randomized clinical trial. Journal of the American Geriatrics Society 57(1), 70-75.
23. Pagano M. & Gauvreau K. (2000) Principles of Biostatistics, 2nd edn. Duxbury Press, Pacific Grove, CA.
24. Pfeiffer E. (1975) A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of the American Geriatrics Society 23(10), 433-441.
25. Plonczynski D.J., Wilbur J., Larson J.L. & Thiede K. (2008) Lifestyle physical activity of older rural women. Research in Nursing & Health 31(5), 501-513.
26. Powell L.E. & Myers A.M. (1995) The Activities-specific Balance Confidence (ABC) Scale. Journals of Gerontology Series A-Biological Sciences and Medical Sciences 50A(1), M28-M34.
27. Sattin R.W., Easley K.A., Wolf S.L., Chen Y. & Kutner M.H. (2005) Reduction in fear of falling through intense Tai Chi exercise training in older, transitionally frail adults. Journal of the American Geriatrics Society 53(7), 1168-1178.
28. Scheffer A.C., Schuurmans M.J., van Dijk N., van der Hooft T. & de Rooij S.E. (2008) Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons. Age and Ageing 37(1), 19-24.
29. Stanley M.A., Wilson N.L., Novy D.M., Rhoades H.M., Wagener P.D., Greisinger A.J., Cully J.A. & Kunik M.E. (2009) Cognitive behavior therapy for generalized anxiety disorder among older adults in primary care: a randomized clinical trial. Journal of the American Medical Association 301(14), 1460-1467.
30. Suzuki M., Ohyama N., Yamada K. & Kanamori M. (2002) The relationship between fear of falling, activities of daily living and quality of life among elderly individuals. Nursing & Health Sciences 4(4), 155-161.
31. Tennstedt S., Howland J., Lachman M., Peterson E., Kasten L. & Jette A. (1998) A randomized, controlled trail of a group intervention to reduce fear of falling and associated activity restriction in older adults. Journals of Gerontology Series B-Psychological Sciences and Social Sciences 53(6), 384-392.
32. Tinetti M.E., Williams T.F. & Mayewski R. (1986) Fall risk index for elderly patients based on number of long term disabilities. American Journal of Medicine 80(3), 429-434.
33. Tinetti M.E., Richman D. & Powell L. (1990) Falls efficacy as a measure of fear of falling. Journals of Gerontology 45(6), 239-243.
34. Yao G., Chung C.W., Yu C.F. & Wang J.D. (2002) Development and verification of validity and reliability of the WHOQOL-BREF Taiwan version. Journal of the Formosan Medical Association 101(5), 342-351.
35. Zhang J.G., Ishikawa-Takata K., Yamazaki H., Morita T. & Ohta T. (2006) The effects of Tai Chi Chuan on physiological function and fear of falling in the less robust elders: an intervention study for prevent falls. Archives of Gerontology and Geriatrics 42(2), 107-116.
36. Zijlstra G., van Haastregt J.C., Eijk J.T. & Kempen G.I. (2005) Evaluating an intervention to reduce fear of falling and associated activity restriction in elderly persons: design of a randomized controlled trial. BMC Public Health 5, 26.