Evidence map›Paper›PMID 25364226›Full record

ArticleCognitive and behavioral practice2014

Exposure-Based CBT for Older Adults After Fall Injury: Description of a Manualized, Time-Limited Intervention for Anxiety.

Nimali Jayasinghe, Martha A Sparks, Kaori Kato, Kaitlyn Wilbur, Sandy B Ganz, Gabrielle R Chiaramonte, Bradford L Stevens, Philip S Barie, Mark S Lachs, Michael O'Dell and 3 more

Abstract read
In one paragraph

Article in Cognitive and behavioral practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Integrated Exposure Therapy and Exercise Reduces Fear of Falling and Avoidance in Older Adults: A Randomized Pilot Study.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2018
    Trial
  3. Article
  4. Article
  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Nimali JayasingheWeill Cornell Medical College.
Martha A SparksWeill Cornell Medical College.
Kaori KatoWeill Cornell Medical College.
Kaitlyn WilburWeill Cornell Medical College.
Sandy B GanzWeill Cornell Medical College.
Gabrielle R ChiaramonteWeill Cornell Medical College.
Bradford L StevensWeill Cornell Medical College.
Philip S BarieWeill Cornell Medical College.
Mark S LachsWeill Cornell Medical College.
Michael O'DellWeill Cornell Medical College.
Arthur T EvansWeill Cornell Medical College.
Martha L BruceWeill Cornell Medical College.
JoAnn DifedeWeill Cornell Medical College.
Cornell University · US

Funding

Mid Career Mentoring Award In Patient-Oriented ResearchK24AG022399 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI LACHS, MARK STEVEN · 2003 to 2015
$1.4M
Intervention for Disabling Anxiety in Older Adults Injured By FallsK23MH090244 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI JAYASINGHE, NIMALI · 2010 to 2014
$802k
NIA NIH HHS K24 AG022399NIMH NIH HHS K23 MH090244
6 · The paper itself

Abstract

Fall accidents among older adults can be devastating events that, in addition to their physical consequences, lead to disabling anxiety warranting the attention of mental health practitioners. This article presents "Back on My Feet," an exposure-based cognitive-behavioral therapy (CBT) protocol that is designed for older adults with posttraumatic stress disorder (PTSD), subthreshold PTSD, or fear of falling resulting from a traumatic fall. The protocol can be integrated into care once patients have been discharged from hospital or rehabilitation settings back to the community. Following a brief description of its development, the article presents a detailed account of the protocol, including patient evaluation and the components of the eight home-based sessions. The protocol addresses core symptoms of avoidance, physiological arousal/anxiety, and maladaptive thought patterns. Because older patients face different coping challenges from younger patients (for whom the majority of evidence-based CBT interventions have been developed), the discussion ends with limitations and special considerations for working with older, injured patients. The article offers a blueprint for mental health practitioners to address the needs of patients who may present with fall-related anxiety in primary care and other medical settings. Readers who wish to develop their expertise further can consult the online appendices, which include a clinician manual and patient workbook, as well as guidance on additional resources.

Indexed as

anxietyolder adultsprolonged exposure therapyunintentional falls

Identifiers

PMID25364226
PMCPMC4214866
OpenAlexW1967704035

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.