A home-based program to manage concerns about falls: feasibility, effects and costs of a cognitive behavioral approach in community-dwelling, frail older people

Tanja Dorresteijn

doi:10.26481/dis.20160512td

A home-based program to manage concerns about falls: feasibility, effects and costs of a cognitive behavioral approach in community-dwelling, frail older people

Tanja Dorresteijn

Research output: Thesis › Doctoral Thesis › Internal

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Abstract

Concerns about falls is a common problem among elderly people living independently and forms a threat to their self-reliance. The group course 'Zicht op Evenwicht' (originally developed in the US under the name A Matter of Balance) has shown to improve people's concerns about falls and their daily functioning, but many elderly people do not finish the course because of health problems. In order to reach these vulnerable elderly people living independently, an individual home version was developed and evaluated in a randomised trial (N=389). The evaluation shows that the individual home course is easy to use, and more effective and cost-effective than regular care. It is therefore recommended that this programme be implemented in regular Dutch healthcare.

Original language	English
Awarding Institution	Maastricht University
Supervisors/Advisors	Kempen, Ruud, Supervisor Vlaeyen, Johannes, Supervisor Zijlstra, Rixt, Co-Supervisor
Award date	12 May 2016
Place of Publication	Maastricht
Publisher	Datawyse / Universitaire Pers Maastricht
Print ISBNs	9789461595553
DOIs	https://doi.org/10.26481/dis.20160512td
Publication status	Published - 2016

Keywords

elderly
concern about falls
vulnerability
daily functioning

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10.26481/dis.20160512td

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AbstractFinal published version, 526 KB
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Cite this

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title = "A home-based program to manage concerns about falls: feasibility, effects and costs of a cognitive behavioral approach in community-dwelling, frail older people ",

abstract = "Concerns about falls is a common problem among elderly people living independently and forms a threat to their self-reliance. The group course 'Zicht op Evenwicht' (originally developed in the US under the name A Matter of Balance) has shown to improve people's concerns about falls and their daily functioning, but many elderly people do not finish the course because of health problems. In order to reach these vulnerable elderly people living independently, an individual home version was developed and evaluated in a randomised trial (N=389). The evaluation shows that the individual home course is easy to use, and more effective and cost-effective than regular care. It is therefore recommended that this programme be implemented in regular Dutch healthcare.",

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N2 - Concerns about falls is a common problem among elderly people living independently and forms a threat to their self-reliance. The group course 'Zicht op Evenwicht' (originally developed in the US under the name A Matter of Balance) has shown to improve people's concerns about falls and their daily functioning, but many elderly people do not finish the course because of health problems. In order to reach these vulnerable elderly people living independently, an individual home version was developed and evaluated in a randomised trial (N=389). The evaluation shows that the individual home course is easy to use, and more effective and cost-effective than regular care. It is therefore recommended that this programme be implemented in regular Dutch healthcare.

AB - Concerns about falls is a common problem among elderly people living independently and forms a threat to their self-reliance. The group course 'Zicht op Evenwicht' (originally developed in the US under the name A Matter of Balance) has shown to improve people's concerns about falls and their daily functioning, but many elderly people do not finish the course because of health problems. In order to reach these vulnerable elderly people living independently, an individual home version was developed and evaluated in a randomised trial (N=389). The evaluation shows that the individual home course is easy to use, and more effective and cost-effective than regular care. It is therefore recommended that this programme be implemented in regular Dutch healthcare.

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KW - vulnerability

KW - daily functioning

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DO - 10.26481/dis.20160512td

M3 - Doctoral Thesis

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CY - Maastricht

ER -

A home-based program to manage concerns about falls: feasibility, effects and costs of a cognitive behavioral approach in community-dwelling, frail older people

Abstract

Keywords

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