Reducing the Fear of Falling through Cognitive-Behavioral Strategies and Intense Tai Chi Exercise among Community-Dwelling Elderly Adults: A Randomized Controlled Trial

2.50
Hdl Handle:
http://hdl.handle.net/10755/150536
Type:
Presentation
Title:
Reducing the Fear of Falling through Cognitive-Behavioral Strategies and Intense Tai Chi Exercise among Community-Dwelling Elderly Adults: A Randomized Controlled Trial
Abstract:
Reducing the Fear of Falling through Cognitive-Behavioral Strategies and Intense Tai Chi Exercise among Community-Dwelling Elderly Adults: A Randomized Controlled Trial
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Huang, Tzu-Ting, PhD, RN
P.I. Institution Name:Chang Gung University
Title:Associate Professor
21st INRC [Evidence-Based Practice Presentation] Background: Fear of falling ranks as the top fear of community-dwelling older persons. The prevalence of this fear ranges from 29% to 77%, indicating the importance of developing effective strategies to reduce fear of falling among elderly adults. Objective: To examine the effectiveness of cognitive-behavioral strategies with/without intense Tai Chi exercise in reducing fear of falling among community-dwelling elderly adults. Design: A prospective, randomized control trial. Setting: Participants' homes in a rural area of northeastern Taiwan. Participants: Population-based sample of 186 community-dwelling older adults (greater than or equal to 60 years old) were randomly assigned to one of three groups: comparison group, cognitive-behavioral intervention, or cognitive-behavioral intervention with intense Tai Chi exercise. Methods: Data were collected from January to December 2007. Participants were assessed at baseline for demographic data, falls-related history, and fear of falling. Data on these variables plus falls, mobility, social support behavior and satisfaction, and quality of life were also collected at 2 and 5 months after interventions. Fear of falling was assessed using the Geriatric Fear of Falling Measure and Falling Efficacy Scale. Results: Participants in the three groups differed significantly in both measures of fear of falling (F=20.89, p<.001; F=6.09, p<.001), mobility (F=30.33, p<.001), social support behavior and satisfaction (F=3.32, p<.05 and F=6.35, p<.001, respectively), and quality of life (F=16.66, p<.001). In addition, participants who received the cognitive-behavioral intervention with Tai Chi had significantly lower fear of falling scores (p<.0.001), and higher mobility (p<.001), social support satisfaction (p<.01) and quality of life (p<.001) than the cognitive-behavioral alone and comparison groups at 5 months. The three groups did not differ significantly in falls. Conclusions: The results of this trial suggest that the cognitive-behavioral intervention with Tai Chi exercise helped community-dwelling elderly adults to enhance their mobility, manage their fear of falling, and increase their quality of life.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleReducing the Fear of Falling through Cognitive-Behavioral Strategies and Intense Tai Chi Exercise among Community-Dwelling Elderly Adults: A Randomized Controlled Trialen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150536-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Reducing the Fear of Falling through Cognitive-Behavioral Strategies and Intense Tai Chi Exercise among Community-Dwelling Elderly Adults: A Randomized Controlled Trial</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Huang, Tzu-Ting, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Chang Gung University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">thuang@mail.cgu.edu.tw</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Evidence-Based Practice Presentation] Background: Fear of falling ranks as the top fear of community-dwelling older persons. The prevalence of this fear ranges from 29% to 77%, indicating the importance of developing effective strategies to reduce fear of falling among elderly adults. Objective: To examine the effectiveness of cognitive-behavioral strategies with/without intense Tai Chi exercise in reducing fear of falling among community-dwelling elderly adults. Design: A prospective, randomized control trial. Setting: Participants' homes in a rural area of northeastern Taiwan. Participants: Population-based sample of 186 community-dwelling older adults (greater than or equal to 60 years old) were randomly assigned to one of three groups: comparison group, cognitive-behavioral intervention, or cognitive-behavioral intervention with intense Tai Chi exercise. Methods: Data were collected from January to December 2007. Participants were assessed at baseline for demographic data, falls-related history, and fear of falling. Data on these variables plus falls, mobility, social support behavior and satisfaction, and quality of life were also collected at 2 and 5 months after interventions. Fear of falling was assessed using the Geriatric Fear of Falling Measure and Falling Efficacy Scale. Results: Participants in the three groups differed significantly in both measures of fear of falling (F=20.89, p&lt;.001; F=6.09, p&lt;.001), mobility (F=30.33, p&lt;.001), social support behavior and satisfaction (F=3.32, p&lt;.05 and F=6.35, p&lt;.001, respectively), and quality of life (F=16.66, p&lt;.001). In addition, participants who received the cognitive-behavioral intervention with Tai Chi had significantly lower fear of falling scores (p&lt;.0.001), and higher mobility (p&lt;.001), social support satisfaction (p&lt;.01) and quality of life (p&lt;.001) than the cognitive-behavioral alone and comparison groups at 5 months. The three groups did not differ significantly in falls. Conclusions: The results of this trial suggest that the cognitive-behavioral intervention with Tai Chi exercise helped community-dwelling elderly adults to enhance their mobility, manage their fear of falling, and increase their quality of life.</td></tr></table>en_GB
dc.date.available2011-10-26T10:35:50Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:35:50Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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