Abstract
This systematic review aims to evaluate the efficacy of cognitive and behavioural interventions for improving falls-related psychological concerns. A systematic search yielded 8 randomised controlled trials eligible for inclusion. All studies compared a cognitive and behavioural intervention to a control. Meta-analysis showed that cognitive and behavioural treatments had beneficial effects on fear of falling outcomes [lower score better] immediately after treatment [random effects standardised mean difference (SMD): -0.3 (95% CI: -0.50 to -0.10)] and at longer term follow up [random effects SMD: -0.29 (95% CI: -0.49 to -0.09)]. Cognitive and behavioural treatments also showed a positive effect on falls efficacy outcomes [higher score better] immediately after treatment [fixed effects SMD: 0.19 (95% CI: 0.04 to 0.34)] and over the longer term [fixed effects SMD: 0.13 (95% CI:-0.00 to 0.25)]. However the clinical significance of these effects on fear of falling and falls efficacy was unclear. Further work is required with best-practice comparators over a longer follow-up period.
| Original language | English |
|---|---|
| Pages (from-to) | 155-168 |
| Number of pages | 14 |
| Journal | Journal of aging and physical activity |
| Volume | 28 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Feb 2020 |
Keywords
- Accidental Falls
- Aged
- Anxiety/prevention & control
- Cognitive Behavioral Therapy
- Fear/psychology
- Humans