Integrated Exposure Therapy and Exercise Reduces Fear of Falling and Avoidance in Older Adults: A Randomized Pilot Study

The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry
Julie Loebach WetherellAndrew J Petkus

Abstract

To evaluate the safety and acceptability of a novel 8-week intervention integrating exercise, exposure therapy, cognitive restructuring, and a home safety evaluation, conducted by a physical therapist, in reducing fear of falling and activity avoidance. To collect preliminary evidence of efficacy. Randomized pilot study comparing the intervention to time- and attention-equivalent fall prevention education. Participants' homes. 42 older adults with disproportionate fear of falling (high fear, low to moderate objective fall risk). Falls Efficacy Scale-International, modified Activity Card Sort, satisfaction, falls. Relative to education, the intervention reduced fear of falling (d = 1.23) and activity avoidance (d = 1.02) at 8 weeks, but effects eroded over a 6-month follow-up period. The intervention did not increase falls, and participants rated the exercise, exposure therapy, and non-specific elements as most helpful. An integration of exercise and exposure therapy may help older adults with disproportionate fear of falling, but modifications to the intervention or its duration may be needed to maintain participants' gains.

Associated Clinical Trials

References

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Jan 6, 2016·International Journal of Geriatric Psychiatry·Julie Loebach WetherellAndrew J Petkus
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Citations

Jan 3, 2020·International Journal of Geriatric Psychiatry·Emily S BowerEric J Lenze
May 14, 2020·Aging & Mental Health·Christine E GouldSherry A Beaudreau
Jan 16, 2020·Aging Clinical and Experimental Research·Rebekka LeonhardtA Stefanie Mikolaizak
Nov 12, 2020·Disability and Rehabilitation·R H A WeijerM Pijnappels
Nov 25, 2020·Zeitschrift für Gerontologie und Geriatrie·Karsten Henkel
Nov 15, 2020·Multiple Sclerosis and Related Disorders·Maria ScholzTjalf Ziemssen
Aug 24, 2021·Frontiers in Neurology·Patricia CastroDiego Kaski

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