Evidence map›Paper›PMID 35655058›Full record

Trial reportInternational journal of behavioral medicine2023

A Self-Guided Online Cognitive Behavioural Therapy to Reduce Fear of Falling in Older People: a Randomised Controlled Trial.

Mei Ling Lim, Mymy Tran, Kimberley S van Schooten, Kylie A Radford, Bridianne O'Dea, Peter Baldwin, Kim Delbaere

Open access · greenAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International journal of behavioral medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 4 pooled it
6.1field-weighted citation impact, top 4% 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

9 citing papers in PubMed, 4 syntheses or guidelines pooled it, 14 citations in OpenAlex.

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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

7 authors at 3 institutions in 1 country.

Mei Ling LimFalls, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, Australia.ORCID http://orcid.org/0000-0001-9898-5474
Mymy TranFalls, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, Australia.
Kimberley S van SchootenFalls, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, Australia.
Kylie A RadfordSchool of Psychology, University of New South Wales, Sydney, Australia.
Bridianne O'DeaBlack Dog Institute, University of New South Wales, Sydney, Australia.
Peter BaldwinBlack Dog Institute, University of New South Wales, Sydney, Australia.
Kim DelbaereFalls, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, Australia. k.delbaere@neura.edu.au.
UNSW Sydney · AUBlack Dog Institute · AUNeuroscience Research Australia · AU

Funding

National Health and Medical Research Council RG170243
6 · The paper itself

Abstract

backgroundTraditional face-to-face cognitive behavioural therapy (CBT) has been successful at reducing fear of falling (FOF) in older people but can be labour-intensive and costly. Online CBT has been suggested as a cost-effective alternative but has not yet been tested in the context of FOF. This study evaluates the effectiveness of a readily available, self-guided and generalised online CBT program (myCompass) on reducing FOF in older people.

methodsFifty community-dwelling older people with FOF received a paper-based health education program, and half were randomly assigned to receive three selected modules from myCompass for 6 weeks. The primary outcome was feared consequences of falling at 6 weeks. Secondary outcomes were concern about falling, balance confidence, activity avoidance, physical activity, exercise self-efficacy, health literacy and mental health at 6/26/52 weeks and falls incidence at 12 months.

resultsAll intervention participants completed at least 2-out-of-3 myCompass modules. There was a significant main effect of time on feared consequences of falling (Cohen's f = 0.55). The group by time interactions for concern about falling (f = 0.28), stress (f = 0.26) and social support for health (health literacy) (f = 0.26) was also significant, favouring the control group. The overall attrition rate at 12 months was 24% (n = 12).

conclusionThe high program compliance and low attrition rate suggest that online CBT is feasible among older people. However, the myCompass program had no effect at reducing FOF in older people. A more targeted CBT program with a well-integrated psychoeducation module on FOF might be the solution to boost the therapeutic effects of a generalised CBT program at reducing FOF for older people.

Indexed as

Accidental FallsCognitive Behavioral TherapyAgedExerciseFearHumansIndependent LivingActivity avoidanceAgedBalanceConcern about fallingMobile apps

Identifiers

PMID35655058
OpenAlexW4281674433

What OpenQuestion holds

Textmetadata
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.