Activity, balance, learning, and exposure (ABLE): a new intervention for fear of falling.
Activity, balance, learning, and exposure (ABLE): a new intervention for fear of falling.
复制标题
活动、平衡、学习和暴露 (ABLE)：针对跌倒恐惧的新干预措施。
DOI：
10.1002/gps.4393
复制
发表时间：
2016
影响因子：
4
通讯作者：
Petkus,AndrewJ
中科院分区：
文献类型：
--
作者：
Wetherell,JulieLoebach;Johnson,Kristen;Chang,Douglas;Ward,SamuelR;Bower,EmilyS;Merz,Caroline;Petkus,AndrewJ
对跌倒的恐惧是老年人的一个重要问题，即使是那些客观跌倒风险相对较低的老年人，也经常被忽视作为干预的目标。方法我们开发了一种新的干预措施，活动、平衡、学习和暴露（ABLE），并在10名过度害怕跌倒的老年人样本中进行了试点测试。ABLE干预将暴露疗法和认知重建与家庭安全评估和锻炼计划结合起来，并在家中进行。在这个试点项目中，ABLE由一名物理治疗师和一名具有老年焦虑症专业知识的心理学家共同进行。结果干预是可行和可接受的，大多数参与者的恐惧和活动回避有所减少。一名参与者摔伤。在这个试点研究的过程中，我们学到了一些重要的经验教训，导致了对纳入标准、评估和干预措施的修改。结果表明，ABLE有望治疗老年人对跌倒的过度恐惧，并支持在更大的随机试验中测试干预措施。版权所有©2016 John Wiley & Sons， Ltd。
ObjectiveFear of falling is an important problem among older adults, even those with relatively low rates of objective fall risk, who are often overlooked as targets for intervention.MethodWe developed and pilot tested a new intervention, Activity, Balance, Learning, and Exposure (ABLE), in a sample of 10 older adults with excessive fear of falling. The ABLE intervention integrates exposure therapy and cognitive restructuring with a home safety evaluation and an exercise program and is conducted in the home. In this pilot project, ABLE was jointly conducted by a physical therapist and a psychologist with expertise in geriatric anxiety disorders.ResultsThe intervention was feasible and acceptable and resulted in decreases in fear and activity avoidance for most participants. One participant experienced an injurious fall.DiscussionWe learned a number of important lessons resulting in modifications to the inclusion criteria, assessments, and intervention over the course of this pilot study. Results suggest that ABLE has promise for treating excessive fear of falling in the elderly and support testing the intervention in a larger randomized trial. Copyright © 2016 John Wiley & Sons, Ltd.