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A randomized, controlled trial of a group intervention to reduce fear of falling and associated activity restriction in older adults
Tennstedt S, Howland J, Lachman M, Peterson E, Kasten L, Jette A
The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences 1998 Nov;53(6):P384-P392
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

A randomized, single-blind controlled trial was conducted to test the efficacy of a community-based group intervention to reduce fear of falling and associated restrictions in activity levels among older adults. A sample of 434 persons age 60+ years, who reported fear of falling and associated activity restriction, was recruited from 40 senior housing sites in the Boston metropolitan area. Data were collected at baseline, and at 6-week, 6-month, and 12-month follow-ups. Compared with contact control subjects, intervention subjects reported increased levels of intended activity (p < 0.05) and greater mobility control (p < 0.05) immediately after the intervention. Effects at 12 months included improved social function (p < 0.05) and mobility range (p < 0.05). The intervention had immediate but modest beneficial effects that diminished over time in the setting with no booster intervention.
Copyright the Gerontological Society of America. Reproduced by permission of the publisher.

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