Geriatric Disorder
Conditions
Keywords
Fear to Fall, Geriatric, Rehabilitation, Psychology
Brief summary
Fear to fall has been proven to be a risk factor affecting those geriatric patients who have previously suffered a fall. In this work it is assessed the effectiveness of a physiotherapy and psychological combined intervention, aimed at reducing the fear to fall in the aforementioned patients
Detailed description
One of the main consequences of falling is the fear to fall again. This involves changes in the elderly behaviour which leads to a reduction of the physical activity, higher need of cares, reduction of the quality of life and risk of social isolation. In this framework, this works is aimed at performing a treatment to reduce the fear to fall in those geriatrics patients with previous falls, based on the combination of physical activity, health education and cognitive-behavioural psychological treatment targeted to this effect. The reason is that literature points at combined treatment use to present higher effectiveness
Interventions
Physiotherapy intervention consists of conventional exercise program administered to this kind of patients at Hospital Clinico, including strengthening and balance exercises
BEHAVIORALCognitive-behavioural Intervention
Psychological treatment consists of group talks to treat the fear to fall
Sponsors
University of Valencia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Community-dwelling older people * Looking for Physiotherapy attendance * Patients who have suffered at least one fall episode * Patients with fear of falling
Exclusion criteria
* Some cognitive affection that may affect the intervention
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fear Related Psychological Concerns (Falls) | Prospective change from baseline to end of intervention (8 weeks) | Assessed in terms of the Falls Efficacy Scale International (FES-I) results |
| Fear Related Psychological Concerns (Balance) | Prospective change from baseline to end of intervention (8 weeks) | Assessed in terms of the Activities-Specific Balance Confidence (ABC) scale results |
| Fear Related Psychological Concerns (Fear) | Prospective change from baseline to end of intervention (8 weeks) | Assessed in terms of the Visual Analog Scale results (0-10) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Risk of Falling | Prospective change from baseline to end of intervention (8 weeks) | Assessed in terms of the Timed up & Go test |
| Center Epidemiological Studies Depression Scale | Prospective change from baseline to end of intervention (8 weeks) | This is a measurement scale of depression |
| Ryff Scale | Prospective change from baseline to end of intervention (8 weeks) | It is a scale for measuring psychological well-being |
Countries
Spain
Outcome results
None listed