Reducing the fear of falling among community-dwelling elderly adults through cognitive-behavioural strategies and intense Tai Chi exercise: a randomized controlled trial
Language: 
English
Short Title: 
Reducing the fear of falling among community-dwelling elderly adults through cognitive-behavioural strategies and intense Tai Chi exercise
Abstract: 

AIM: To examine the effectiveness of cognitive-behavioural strategies with/without intense Tai Chi exercise in reducing fear of falling among community-dwelling elderly adults. Background.  Fear of falling is a major health problem among community-dwelling older persons. The prevalence of this fear ranges from 29% to 77%, indicating the importance of developing effective strategies to reduce fear of falling among elderly adults. METHODS: Data were collected from January to December 2007. A randomized controlled trial with three groups (control, cognitive-behavioural and cognitive-behavioural with Tai Chi). Participants were assessed at baseline for demographic data, falls-related history, and fear of falling. Data on these variables plus falls, mobility, social support behaviour and satisfaction, and quality of life were also collected at 2 and 5 months after interventions. RESULTS: Participants in the three groups differed significantly in both measures of fear of falling (F = 20·89, P < 0·001; F = 6·09, P < 0·001) and mobility (F = 30·33, P < 0·001), social support behaviour and satisfaction (F = 3·32, P < 0·05 and F = 6·35, P < 0·001, respectively), and quality of life (F = 16·66, P< 0·001). In addition, participants who received the cognitive-behavioural intervention with Tai Chi had significantly lower fear of falling scores (P < 0·001) and higher mobility (P < 0·001), social support satisfaction (P < 0·01) and quality of life (P < 0·001) than the cognitive-behavioural alone and control groups at 5 months. The three groups did not differ significantly in falls. CONCLUSION: The results of this trial suggest that the cognitive-behavioural intervention with Tai Chi exercise helped community-dwelling elderly adults to enhance their mobility, to manage their fear of falling and to increase their quality of life.

Author(s): 
Huang, Tzu-Ting
Yang, Lin-Hui
Liu, Chia-Yih
Item Type: 
Journal Article
Publication Title: 
Journal of Advanced Nursing
Journal Abbreviation: 
J Adv Nurs
Publication Date: 
May 2011
Publication Year: 
2011
Pages: 
961-971
Volume: 
67
Issue: 
5
ISSN: 
1365-2648
DOI: 
10.1111/j.1365-2648.2010.05553.x
Library Catalog: 
NCBI Published Medical (?)
Extra: 
PMID: 21214623

Turabian/Chicago Citation

Tzu-Ting Huang, Lin-Hui Yang and Chia-Yih Liu. May 2011. "Reducing the fear of falling among community-dwelling elderly adults through cognitive-behavioural strategies and intense Tai Chi exercise: a randomized controlled trial." Journal of Advanced Nursing 67: 5: 961-971. 10.1111/j.1365-2648.2010.05553.x.

Wikipedia Citation

<ref> {{Cite journal | doi = 10.1111/j.1365-2648.2010.05553.x | issn = 1365-2648 | volume = 67 | pages = 961-971 | last = Huang | first = Tzu-Ting | coauthors = Yang, Lin-Hui, Liu, Chia-Yih | title = Reducing the fear of falling among community-dwelling elderly adults through cognitive-behavioural strategies and intense Tai Chi exercise: a randomized controlled trial | journal = Journal of Advanced Nursing | date = May 2011 | pmid = | pmc = }} </ref>