Fear to Fall Reduction in Geriatric Patients Who Suffered Previous Falls

Study Overview
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Brief Summary
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Fear to fall has been proven to be a risk factor affecting those geriatric patients who have previously suffered a fall. In this work it is assessed the effectiveness of a physiotherapy and psychological combined intervention, aimed at reducing the fear to fall in the aforementioned patients

Detailed Description
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One of the main consequences of falling is the fear to fall again. This involves changes in the elderly behaviour which leads to a reduction of the physical activity, higher need of cares, reduction of the quality of life and risk of social isolation. In this framework, this works is aimed at performing a treatment to reduce the fear to fall in those geriatrics patients with previous falls, based on the combination of physical activity, health education and cognitive-behavioural psychological treatment targeted to this effect. The reason is that literature points at combined treatment use to present higher effectiveness

Official Title
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Fear to Fall Reduction in Geriatric Patients Who Suffered Previous Falls

Conditions
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Geriatric Disorder

Intervention / Treatment
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* Other: Physiotherapy intervention
* Behavioral: Cognitive-behavioural Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Community-dwelling older people Looking for Physiotherapy attendance Patients who have suffered at least one fall episode Patients with fear of falling Exclusion Criteria: Some cognitive affection that may affect the intervention

Ages Eligible for Study
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Minimum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: EXPERIMENTAL<br>Physiotherapy intervention, plus cognitive-behavioural intervention | Other: Physiotherapy intervention<br>* Physiotherapy intervention consists of conventional exercise program administered to this kind of patients at Hospital Clinico, including strengthening and balance exercises<br>Behavioral: Cognitive-behavioural Intervention<br>* Psychological treatment consists of group talks to treat the fear to fall<br>|
| Active Comparator: CONTROL<br>Physiotherapy intervention | Other: Physiotherapy intervention<br>* Physiotherapy intervention consists of conventional exercise program administered to this kind of patients at Hospital Clinico, including strengthening and balance exercises<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Fear Related Psychological Concerns (Falls) | Assessed in terms of the Falls Efficacy Scale International (FES-I) results | Prospective change from baseline to end of intervention (8 weeks) | 
| Fear Related Psychological Concerns (Balance) | Assessed in terms of the Activities-Specific Balance Confidence (ABC) scale results | Prospective change from baseline to end of intervention (8 weeks) | 
| Fear Related Psychological Concerns (Fear) | Assessed in terms of the Visual Analog Scale results (0-10) | Prospective change from baseline to end of intervention (8 weeks) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Risk of Falling | Assessed in terms of the Timed up & Go test | Prospective change from baseline to end of intervention (8 weeks) | 
| Center Epidemiological Studies Depression Scale | This is a measurement scale of depression | Prospective change from baseline to end of intervention (8 weeks) | 
| Ryff Scale | It is a scale for measuring psychological well-being | Prospective change from baseline to end of intervention (8 weeks) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Fear to Fall, Geriatric, Rehabilitation, Psychology