None listed
Conditions
Brief summary
The aim of this study to assess the effectiveness of an online cognitive behavioural program (myCompass) versus a health education program for 6 weeks at reducing concerns about falling in community-dwelling older people. The primary outcome (concern about consequences of falling) and secondary outcomes (concerns about falls, balance confidence, activity avoidance, depression, anxiety, health literacy and physical activity) will be measured in the form of a randomised controlled trial.
Interventions
The intervention consists of a fully-automated cognitive behavioural therapy program (myCompass) delivered through a tablet or computer in people’s homes with no therapist input. The myCompass program offers evidence-based and interactive psychological modules that users can complete via the internet on a tablet or computer in their homes. For purposes of the study, the participant will be offered 3 skill-building modules derived from cognitive behavioural therapy, Interpersonal Psychotherapy, Problem-solving Therapy and Positive Psychology that cover the topics of “Managing Fear and Anxiety”, “Taking Charge of Your Worry” and “Solving Problems”. Each module comprises three 10-minute sessions and includes activities for users to complete on the computer. There are home practice tasks recommended for participants to complete between the online sessions (i.e. completion of one full module per week followed by 1 week of practice), which are intended to promote skill generalisation. Participants will have 6 weeks to undertake the myCompass program. * Following the baseline assessment at Neuroscience Research Australia, someone from the research team will explain to the participant how to use the ‘myCompass’ program. * Participants will be given their own login and password to access the myCompass program via a specific web address. * Tablets will be provided for participants without home computers or internet access. * Participant adherence will be examined weekly by the research team. Participants not engaging with myCompass for the week will be contacted by telephone to discuss any issues pertaining to adherence. * Phone and email support will be available as needed for the entire duration of the study (6 weeks).
Sponsors
Study design
Eligibility
Inclusion criteria
-65 years of age and older -Concerned about falls and/or have low balance confidence -Living in the community -English-speaking -Independent in activities of daily living -Able to walk household distances with or without the use of a walking aid -Willing to give informed consent and comply with the study protocol
Exclusion criteria
* Inability to read English with ease * Current participation in a fall prevention program * Cognitive impairment defined by the Pfeiffer Short Portable Mental Status Questionnaire (SPMSQ) score<8 * Severe depression defined by the Patient Health Questionnaire (PHQ-9) score >=20 * Progressive neurological disease or any other unstable or acute medical condition precluding exercise