Julie Loebach Wetherell1,2, Kristen Johnson3, Douglas Chang1,2, Samuel R Ward1,2, Emily S Bower4, Caroline Merz5, Andrew J Petkus6. 1. VA San Diego Healthcare System, San Diego, CA, USA. 2. University of California, San Diego, CA, USA. 3. University of St. Augustine, San Diego, CA, USA. 4. SDSU/UCSD Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA. 5. Washington University, St. Louis, MO, USA. 6. University of Southern California, Los Angeles, CA, USA.
Abstract
OBJECTIVE: Fear of falling is an important problem among older adults, even those with relatively low rates of objective fall risk, who are often overlooked as targets for intervention. METHOD: We developed and pilot tested a new intervention, Activity, Balance, Learning, and Exposure (ABLE), in a sample of 10 older adults with excessive fear of falling. The ABLE intervention integrates exposure therapy and cognitive restructuring with a home safety evaluation and an exercise program and is conducted in the home. In this pilot project, ABLE was jointly conducted by a physical therapist and a psychologist with expertise in geriatric anxiety disorders. RESULTS: The intervention was feasible and acceptable and resulted in decreases in fear and activity avoidance for most participants. One participant experienced an injurious fall. DISCUSSION: We learned a number of important lessons resulting in modifications to the inclusion criteria, assessments, and intervention over the course of this pilot study. Results suggest that ABLE has promise for treating excessive fear of falling in the elderly and support testing the intervention in a larger randomized trial.
OBJECTIVE: Fear of falling is an important problem among older adults, even those with relatively low rates of objective fall risk, who are often overlooked as targets for intervention. METHOD: We developed and pilot tested a new intervention, Activity, Balance, Learning, and Exposure (ABLE), in a sample of 10 older adults with excessive fear of falling. The ABLE intervention integrates exposure therapy and cognitive restructuring with a home safety evaluation and an exercise program and is conducted in the home. In this pilot project, ABLE was jointly conducted by a physical therapist and a psychologist with expertise in geriatric anxiety disorders. RESULTS: The intervention was feasible and acceptable and resulted in decreases in fear and activity avoidance for most participants. One participant experienced an injurious fall. DISCUSSION: We learned a number of important lessons resulting in modifications to the inclusion criteria, assessments, and intervention over the course of this pilot study. Results suggest that ABLE has promise for treating excessive fear of falling in the elderly and support testing the intervention in a larger randomized trial.
Authors: M C Robertson; N Devlin; P Scuffham; M M Gardner; D M Buchner; A J Campbell Journal: J Epidemiol Community Health Date: 2001-08 Impact factor: 3.710
Authors: Julie Loebach Wetherell; Emily S Bower; Kristen Johnson; Douglas G Chang; Samuel R Ward; Andrew J Petkus Journal: Am J Geriatr Psychiatry Date: 2018-04-12 Impact factor: 4.105
Authors: Shaira Viaje; Geert Crombez; Stephen R Lord; Jacqueline C T Close; Perminder Sachdev; Henry Brodaty; Kim Delbaere Journal: BMC Geriatr Date: 2019-11-27 Impact factor: 3.921
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