A Meta-Analysis of Fear of Falling Treatment Programs for the Elderly

被引:53
作者
Jung, Dukyoo [1 ]
Lee, Juhee [2 ]
Lee, Sun-Mi [3 ]
机构
[1] Ewha Womans Univ, Seoul 120750, South Korea
[2] Yonsei Univ, Seoul 120749, South Korea
[3] Catholic Univ Korea, Seoul, South Korea
关键词
fear of falling; falls; elderly; intervention; meta-analysis; ACTIVITY RESTRICTION; PHYSICAL-ACTIVITY; EXERCISE PROGRAM; PREVENTING FALLS; OLDER PERSONS; EDUCATION; EFFICACY; SENIORS; WOMEN;
D O I
10.1177/0193945908320466
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
This study examines the effectiveness of interventions for decreasing the fear of falling by synthesizing the results of individual studies of fear of falling prevention. The mean weighted effect sizes (MWES) of six studies are computed. The overall MWES is .21 (N = 957; 95% CI .068-.362). Results indicate that interventions are effective in reducing the fear of falling or increasing fall efficacy. The MWES is .249, .024, and .418 for the combined intervention, exercise intervention only, and hip protector groups, respectively. The MWES of the 3 months or less group was .000, and the 4-months group was .240. The MWES is .022, .228, and .418 for the facility-based, community-based, and home-based intervention groups, respectively. Overall, interventions were effective in decreasing fear of falling and increasing fall efficacy. Results suggest that the best outcome is obtained after 4 months, indicating that interventions need some time to obtain their effects.
引用
收藏
页码:6 / 16
页数:11
相关论文
共 26 条
[1]   Physical function and health status among seniors with and without a fear of falling [J].
Brouwer, B ;
Musselman, K ;
Culham, E .
GERONTOLOGY, 2004, 50 (03) :135-141
[2]   Reducing fear of falling in seniors through education and activity programs: A randomized trial [J].
Brouwer, BJ ;
Walker, C ;
Rydahl, SJ ;
Culham, EG .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2003, 51 (06) :829-834
[3]   Recreational physical activity levels in healthy older women: The importance of fear of falling [J].
Bruce, DG ;
Devine, A ;
Prince, RL .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2002, 50 (01) :84-89
[4]   Hip protectors improve falls self-efficacy [J].
Cameron, ID ;
Stafford, B ;
Cumming, RG ;
Birks, C ;
Kurrle, SE ;
Lockwood, K ;
Quine, S ;
Finnegan, T ;
Salkeld, G .
AGE AND AGEING, 2000, 29 (01) :57-62
[5]  
Centers for Disease Control and Prevention, 2002, Web-based Injury Statistics Query and Reporting System (WISQARS)
[6]   Meta-analysis of patient education interventions to increase physical activity among chronically ill adults [J].
Conn, Vicki S. ;
Hafdahl, Adam R. ;
Brown, Sharon A. ;
Brown, Lori M. .
PATIENT EDUCATION AND COUNSELING, 2008, 70 (02) :157-172
[7]   Prospective study of the impact of fear of falling on activities of daily living, SF-36 scores, and nursing home admission [J].
Cumming, RG ;
Salkeld, G ;
Thomas, M ;
Szonyi, G .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2000, 55 (05) :M299-M305
[8]  
Edelberg HK, 2001, GERIATRICS, V56, P41
[9]  
Evitt Celinda P, 2004, Rehabil Nurs, V29, P207
[10]   Falls and fear of falling: Which comes first? A longitudinal prediction model suggests strategies for primary and secondary prevention [J].
Friedman, SM ;
Munoz, B ;
West, SK ;
Rubin, GS ;
Fried, LP .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2002, 50 (08) :1329-1335