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Activity, balance, learning, and exposure (ABLE)
 — a new intervention for fear of falling
Author(s)Julie Loebach Wetherell, Kristen Johnson, Douglas Chang
Journal titleInternational Journal of Geriatric Psychiatry, vol 31, no 7, July 2016
PublisherWiley Blackwell, July 2016
Pagespp 791-798
Sourcewww.orangejournal.org
KeywordsFalls ; Anxiety ; Therapy ; Accident prevention ; Projects ; Pilot.
AnnotationFear 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. In this study the authors developed and pilot tested a new intervention known as Activity, Balance, Learning, and Exposure (ABLE) in a sample of 10 older adults with excessive fear of falling. The ABLE intervention integrated exposure therapy and cognitive restructuring with a home safety evaluation and an exercise programme and was 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. The intervention was feasible and acceptable and resulted in decreases in fear and activity avoidance for most participants. One participant experienced an injurious fall. A number of important lessons were learned 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 older adults and support testing the intervention in a larger randomised trial. (JL).
Accession NumberCPA-160624205 A
ClassmarkOLF: ENP: LO: OQ: 3E: 4UC

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