Intervention for Disabling Anxiety in Older Adults Injured by Falls
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 23
- 试验地点
- 1
- 主要终点
- The Clinician Administered PTSD Scale (CAPS) and Survey of Activities and Fear of Falling in the Elderly (SAFE) will be primary outcomes.
研究概览
简要总结
The purpose of this study is to determine whether a brief intervention for disabling anxiety is practical to conduct and beneficial for older adults injured by falls.
详细描述
Falls are the most commonly occurring cause of traumatic injury among older adults. For many, the consequences include reduced mobility, difficulty performing basic self-care, social isolation, deteriorating health, or even death. Most interventions for falls do not address anxiety in the aftermath of falling.
After an initial study assessment, participants will complete 8 home-based sessions of a Cognitive-Behavioral therapy (CBT). The sessions will be led by a study clinician who will cover the 5 intervention components:(a) education (learning about anxiety and the rationale for treatment); (b) relaxation training (learning skills to reduce tension); (c) cognitive restructuring (learning skills needed to cope better with distressing thoughts); (d) behavioral activation (learning to initiate healthy activity); and (e) exposure (coaching in how to confront avoided thoughts, situations, and people).
Participants will also complete assessments following completion of the intervention and 3 months after completion of the intervention.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 105 Years（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •age > or = 65 years
- •English-speaking
- •injured due to fall
- •hospitalized
- •returned home < or = 3 months
- •ambulatory
- •full or subsyndromal PTSD or Fear of Falling
- •residing in one of the five boroughs of New York City
排除标准
- •Inability to understand assessment questions
- •Marked cognitive impairment
- •Schizophrenia
- •Bipolar Disorder
- •Depression with psychotic features
- •Delusional Disorder
- •Substance Use Disorder or Dependence
- •Active suicidal ideation, intent, or plan
- •Active homicidal ideation, intent or plan
- •Acute or severe medical illness or life expectancy < 6 months
- •Initiated psychotropic medications < 6 weeks prior
- •Initiated mental health treatment < 6 weeks prior
- •Psychosocial factors that would compromise study participation (such as not having a telephone)
结局指标
主要结局
The Clinician Administered PTSD Scale (CAPS) and Survey of Activities and Fear of Falling in the Elderly (SAFE) will be primary outcomes.
时间窗: At initial assessment, following completion of intervention, and 3 months after completion of intervention
次要结局
- Beck Anxiety Inventory, Beck Depression Inventory, Reintegration to Normal Living, Health Related Quality of Life, and other measures will be included.(At initial assessment, following completion of intervention, and 3 months after completion of intervention)
研究者
Nimali Jayasinghe
Assistant Professor of Psychology in Clinical Psychiatry
Weill Medical College of Cornell University