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| ID | Type | Description | Link |
|---|---|---|---|
| ZonMw 120610001 | Other Grant/Funding Number | ZonMw 120610001 |
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| Name | Class |
|---|---|
| ZonMw: The Netherlands Organisation for Health Research and Development | OTHER |
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The main objectives of this study are:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cognitive behavioral program | Experimental | an in-home cognitive behavioral program on managing concerns about falling and associated activity avoidance in frail community-dwelling older people facilitated by trained community nurses. |
|
| Control group | No Intervention | no program, only care as usual |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| an in-home cognitive behavioral program | Behavioral | The in-home cognitive behavioral program aims to learn older persons, living in the community, how to deal with concerns about falling and to increase physical, social and functional activity. The principles of cognitive restructuring are used for shifting maladaptive in adaptive attitudes with respect to falling as well as increasing self efficacy beliefs and feelings of control. The following themes are discussed during the program: concerns about falling, thoughts about falling, physical exercise, assert oneself, overcome personal barriers, recognizing fall-ty habits and managing concerns about falling. Duration of the program is 10 weeks with 7 individual sessions (3 home visits (60, 60 and 75 minutes, respectively) & 4 telephone contacts (35 minutes each). The program is facilitated by trained nurses qualified in the field of geriatrics and working for home care agencies. |
| Measure | Description | Time Frame |
|---|---|---|
| concerns about falling | Falls Efficacy Scale International (FES-I) | baseline, 5 months and 12 months |
| avoidance of activities due concerns about falling | Falls Efficacy Scale International Avoidance Behaviour (FES-IAB) | baseline, 5 months and 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| disability | Groningen Activity Restriction Scale (GARS) | baseline, 5 months and 12 months |
| number of falls | Fall calendar | continuous registration during the course of the trial for a period of 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maastricht University | Maastricht | 6221 GT | Netherlands |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22367355 | Background | Dorresteijn TA, Rixt Zijlstra GA, Van Eijs YJ, Vlaeyen JW, Kempen GI. Older people's preferences regarding programme formats for managing concerns about falls. Age Ageing. 2012 Jul;41(4):474-81. doi: 10.1093/ageing/afs007. Epub 2012 Feb 23. | |
| 21933436 | Background | Dorresteijn TA, Zijlstra GA, Delbaere K, van Rossum E, Vlaeyen JW, Kempen GI. Evaluating an in-home multicomponent cognitive behavioural programme to manage concerns about falls and associated activity avoidance in frail community-dwelling older people: Design of a randomised control trial [NCT01358032]. BMC Health Serv Res. 2011 Sep 20;11:228. doi: 10.1186/1472-6963-11-228. |
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| ID | Term |
|---|---|
| D000073496 | Frailty |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| catastrophic beliefs about falling | Catastrophic beliefs about falling (CAFS) | baseline, 5 months and 12 months |
| perceived consequences of falling | CoF - loss of functional independence subscale and damage to identity subscale | baseline, 5 months and 12 months |
| perceived control over falling | Perceived control over falling (PCOF) | baseline, 5 months and 12 months |
| mastery | Personal Mastery Scale | baseline, 5 months and 12 months |
| feelings of anxiety | Subscale of the Hospital Anxiety and Depression Scale (HADS-A) | baseline, 5 months and 12 months |
| symptoms of depression | Subscale of the Hospital Anxiety and Depression Scale (HADS-D) | baseline, 5 months and 12 months |
| social support interactions | Social support interactions (SSL 12-I) | baseline, 5 months and 12 months |
| health-related quality of life | SF-12 Health Survey | baseline, 5 months and 12 months |
| 39360568 | Derived | Drahota A, Udell JE, Mackenzie H, Pugh MT. Psychological and educational interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2024 Oct 3;10(10):CD013480. doi: 10.1002/14651858.CD013480.pub2. |
| 37026185 | Derived | Kruisbrink M, Zijlstra GAR, Crutzen R, Dorresteijn TAC, Winkens B, Kempen GIJM. Participant Characteristics as Moderators of the Effects of Cognitive Behavioral Interventions on Concerns About Falling: Secondary Analyses of Two Randomized Controlled Trials. J Appl Gerontol. 2023 Aug;42(8):1877-1887. doi: 10.1177/07334648231165904. Epub 2023 Apr 6. |
| 31502897 | Derived | Evers SMAA, Dorresteijn TAC, Wijnen BFM, van Haastregt JCM, Kempen GIJM, Zijlstra GAR. Economic evaluation of a home-based programme to reduce concerns about falls in frail, independently-living older people. Expert Rev Pharmacoecon Outcomes Res. 2020 Dec;20(6):641-651. doi: 10.1080/14737167.2019.1666714. Epub 2019 Sep 20. |
| 26739339 | Derived | Dorresteijn TA, Zijlstra GA, Ambergen AW, Delbaere K, Vlaeyen JW, Kempen GI. Effectiveness of a home-based cognitive behavioral program to manage concerns about falls in community-dwelling, frail older people: results of a randomized controlled trial. BMC Geriatr. 2016 Jan 6;16:2. doi: 10.1186/s12877-015-0177-y. |
| 23533013 | Derived | Dorresteijn TA, Rixt Zijlstra GA, Van Haastregt JC, Vlaeyen JW, Kempen GI. Feasibility of a nurse-led in-home cognitive behavioral program to manage concerns about falls in frail older people: a process evaluation. Res Nurs Health. 2013 Jun;36(3):257-70. doi: 10.1002/nur.21534. Epub 2013 Mar 26. |