Participant Characteristics as Moderators of the Effects of Cognitive Behavioral Interventions on Concerns About Falling: Secondary Analyses of Two Randomized Controlled Trials

M. Kruisbrink; R. Zijlstra; R. Crutzen; T.A.C. Dorresteijn; B. Winkens; G.I.J.M. Kempen

doi:10.1177/07334648231165904

Participant Characteristics as Moderators of the Effects of Cognitive Behavioral Interventions on Concerns About Falling: Secondary Analyses of Two Randomized Controlled Trials

M. Kruisbrink^*, R. Zijlstra, R. Crutzen, T.A.C. Dorresteijn, B. Winkens, G.I.J.M. Kempen

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Effects of interventions may vary among participants. We explored whether participant characteristics were moderators of the effects of two cognitive behavioral interventions on concerns about falling (CaF) in older community-dwelling people. Secondary analyses of two RCTs were performed, concerning the group intervention A Matter of Balance - Netherlands (AMB-NL, n = 540) and individual AMB - Home (n = 389) intervention. Marginal models were used to assess moderation. Analyses included single moderator and multiple moderator models containing multiple moderators at once. A total of 19 characteristics were assessed. Moderating effects were found for living situation, fall history, symptoms of depression, perceived general health, ADL disability, cognitive status, and consequences of falling-loss of independence subscale. Effects varied by intervention, time point, and type of model.

Original language	English
Pages (from-to)	1877-1887
Number of pages	11
Journal	Journal of Applied Gerontology
Volume	42
Issue number	8
Early online date	1 Apr 2023
DOIs	https://doi.org/10.1177/07334648231165904
Publication status	Published - Aug 2023

Keywords

Falls
intervention
quantitative methods
concerns about falling
moderation
DWELLING OLDER-ADULTS
PHYSICAL-ACTIVITY
RISK-FACTORS
FEAR
THERAPY
PREDICTORS
PROGRAM
PEOPLE
PHARMACOTHERAPY
DEPRESSION

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Kruisbrink, M., Zijlstra, R., Crutzen, R., Dorresteijn, T. A. C., Winkens, B., & Kempen, G. I. J. M. (2023). Participant Characteristics as Moderators of the Effects of Cognitive Behavioral Interventions on Concerns About Falling: Secondary Analyses of Two Randomized Controlled Trials. Journal of Applied Gerontology, 42(8), 1877-1887. https://doi.org/10.1177/07334648231165904

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title = "Participant Characteristics as Moderators of the Effects of Cognitive Behavioral Interventions on Concerns About Falling: Secondary Analyses of Two Randomized Controlled Trials",

abstract = "Effects of interventions may vary among participants. We explored whether participant characteristics were moderators of the effects of two cognitive behavioral interventions on concerns about falling (CaF) in older community-dwelling people. Secondary analyses of two RCTs were performed, concerning the group intervention A Matter of Balance - Netherlands (AMB-NL, n = 540) and individual AMB - Home (n = 389) intervention. Marginal models were used to assess moderation. Analyses included single moderator and multiple moderator models containing multiple moderators at once. A total of 19 characteristics were assessed. Moderating effects were found for living situation, fall history, symptoms of depression, perceived general health, ADL disability, cognitive status, and consequences of falling-loss of independence subscale. Effects varied by intervention, time point, and type of model.",

keywords = "Falls, intervention, quantitative methods, concerns about falling, moderation, DWELLING OLDER-ADULTS, PHYSICAL-ACTIVITY, RISK-FACTORS, FEAR, THERAPY, PREDICTORS, PROGRAM, PEOPLE, PHARMACOTHERAPY, DEPRESSION",

author = "M. Kruisbrink and R. Zijlstra and R. Crutzen and T.A.C. Dorresteijn and B. Winkens and G.I.J.M. Kempen",

note = "Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by ZonMw, The Netherlands Organization for Health Research and Development (grant numbers 120610001 and 014-91-052); and Care and Public Health Research Institute (CAPHRI) of Maastricht University. The funding sources had no role in the study design, data collection, data analysis, data interpretation, writing of the manuscript, or the decision to submit the manuscript for publication. Publisher Copyright: {\textcopyright} The Author(s) 2023.",

year = "2023",

month = aug,

doi = "10.1177/07334648231165904",

language = "English",

volume = "42",

pages = "1877--1887",

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Kruisbrink, M, Zijlstra, R, Crutzen, R, Dorresteijn, TAC, Winkens, B & Kempen, GIJM 2023, 'Participant Characteristics as Moderators of the Effects of Cognitive Behavioral Interventions on Concerns About Falling: Secondary Analyses of Two Randomized Controlled Trials', Journal of Applied Gerontology, vol. 42, no. 8, pp. 1877-1887. https://doi.org/10.1177/07334648231165904

Participant Characteristics as Moderators of the Effects of Cognitive Behavioral Interventions on Concerns About Falling: Secondary Analyses of Two Randomized Controlled Trials. / Kruisbrink, M.; Zijlstra, R.; Crutzen, R. et al.
In: Journal of Applied Gerontology, Vol. 42, No. 8, 08.2023, p. 1877-1887.

Research output: Contribution to journal › Article › Academic › peer-review

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AU - Dorresteijn, T.A.C.

AU - Winkens, B.

AU - Kempen, G.I.J.M.

N1 - Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by ZonMw, The Netherlands Organization for Health Research and Development (grant numbers 120610001 and 014-91-052); and Care and Public Health Research Institute (CAPHRI) of Maastricht University. The funding sources had no role in the study design, data collection, data analysis, data interpretation, writing of the manuscript, or the decision to submit the manuscript for publication. Publisher Copyright: © The Author(s) 2023.

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N2 - Effects of interventions may vary among participants. We explored whether participant characteristics were moderators of the effects of two cognitive behavioral interventions on concerns about falling (CaF) in older community-dwelling people. Secondary analyses of two RCTs were performed, concerning the group intervention A Matter of Balance - Netherlands (AMB-NL, n = 540) and individual AMB - Home (n = 389) intervention. Marginal models were used to assess moderation. Analyses included single moderator and multiple moderator models containing multiple moderators at once. A total of 19 characteristics were assessed. Moderating effects were found for living situation, fall history, symptoms of depression, perceived general health, ADL disability, cognitive status, and consequences of falling-loss of independence subscale. Effects varied by intervention, time point, and type of model.

AB - Effects of interventions may vary among participants. We explored whether participant characteristics were moderators of the effects of two cognitive behavioral interventions on concerns about falling (CaF) in older community-dwelling people. Secondary analyses of two RCTs were performed, concerning the group intervention A Matter of Balance - Netherlands (AMB-NL, n = 540) and individual AMB - Home (n = 389) intervention. Marginal models were used to assess moderation. Analyses included single moderator and multiple moderator models containing multiple moderators at once. A total of 19 characteristics were assessed. Moderating effects were found for living situation, fall history, symptoms of depression, perceived general health, ADL disability, cognitive status, and consequences of falling-loss of independence subscale. Effects varied by intervention, time point, and type of model.

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KW - intervention

KW - quantitative methods

KW - concerns about falling

KW - moderation

KW - DWELLING OLDER-ADULTS

KW - PHYSICAL-ACTIVITY

KW - RISK-FACTORS

KW - FEAR

KW - THERAPY

KW - PREDICTORS

KW - PROGRAM

KW - PEOPLE

KW - PHARMACOTHERAPY

KW - DEPRESSION

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DO - 10.1177/07334648231165904

M3 - Article

C2 - 37026185

SN - 0733-4648

VL - 42

SP - 1877

EP - 1887

JO - Journal of Applied Gerontology

JF - Journal of Applied Gerontology

IS - 8

ER -

Participant Characteristics as Moderators of the Effects of Cognitive Behavioral Interventions on Concerns About Falling: Secondary Analyses of Two Randomized Controlled Trials

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Keywords

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