A multi-component cognitive behavioural intervention for the treatment of fear of falling after hip fracture (FIT-HIP): protocol of a randomised controlled trial

Scheffers-Barnhoorn, Maaike N; Haastregt, Jolanda C. M. van; Schols, Jos M. G. A.; Kempen, Gertrudis I. J. M.; Balen, Romke van; Visschedijk, Jan; Hout, Wilbert B. van den; Dumas, Eve M.; Achterberg, Wilco P.; Eijk, Monica van

doi:10.1186/s12877-017-0465-9

Cited by 35 publications

(38 citation statements)

References 51 publications

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“…Exposure is an effective method for reducing FoF and activity avoidance, and medical professionals may wish to integrate some exposure techniques into the recovery plan for individuals with high neuroticism who are at greater risk for developing FoF. Multiple efforts are underway to test the feasibility and effectiveness of treating FoF using multicomponent interventions, some of which include exposure‐based strategies and could be delivered by physical therapists during rehabilitation after hip fracture …”

Section: Discussionmentioning

confidence: 99%

Neuroticism predicts fear of falling after hip fracture

Bower

Wetherell

Petkus

et al. 2020

Int J Geriat Psychiatry

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Objectives Fear of falling (FoF) is common and associated with poorer functional outcomes after hip fracture. We sought to differentiate patterns of FoF at 4 and 12 weeks after surgical repair for hip fracture and examine predictors of FoF. Methods/design Secondary analysis of existing data from a 52‐week prospective study examining recovery after hip fracture. Participants (N = 263) were aged 60 and older with recent hip fracture recruited from eight hospitals. FoF was measured 4 and 12 weeks postfracture with the Short Falls Efficacy Scale‐International. Latent class mixed models were constructed to identify distinct patterns of FoF from 4 to 12 weeks postfracture and predictors of FoF. Predictors examined included age, gender, neuroticism, depression, negative affect, perceived social support, medical comorbidity, functional ability, cognition, and pain. Results Three latent classes of FoF were identified: a group with minimal FoF at weeks 4 and 12 (72%), a group with high FoF that decreased (17%), and a group with high FoF that increased from week 4 to 12 (11%). In a multivariate model, higher neuroticism was associated with greater risk for high FoF (increasing or decreasing), whereas higher premorbid medical comorbidity was associated with increasing FoF, poorer premorbid functional ability was associated with decreasing FoF, and social support was not significantly associated. Conclusions Older adults with higher neuroticism are more likely to have FoF in the first 12 weeks after a hip fracture. Screening for neuroticism in health care settings might identify individuals who would benefit from interventions to improve outcomes during recovery.

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Section: Discussionmentioning

confidence: 99%

Neuroticism predicts fear of falling after hip fracture

Bower

Wetherell

Petkus

et al. 2020

Int J Geriat Psychiatry

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“…Through social interaction one may receive increased encouragement leading to better psychosocial health, higher confidence or self‐efficacy, which could increase compliance to physical rehabilitation programmes and prevent future falls (Allegrante et al, ; Magaziner et al, ). Social contact may also help alleviate feelings of depression or anxiety, which could be a barrier to patients increasing functional capacity (Scheffers‐Barnhoorn et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…The focus of medical management after hip fracture has been mainly physical rehabilitation; however, recent studies have identified that other nonphysical factors can play a critical role in the recovery process, such as social factors (Scheffers-Barnhoorn et al, 2017). There is growing evidence that social factors play a role in recovery (Gruber-Baldini et al, 2003;Petrella, Payne, Myers, Overend, & Chesworth, 2000;Reimers & Laflamme, 2007;Shyu et al, 2010;Visschedijk, Achterberg, Van Balen, & Hertogh, 2010).…”

mentioning

confidence: 99%

Understanding the role of social factors in recovery after hip fractures: A structured scoping review

Auais

Zoubi²,

Matheson

et al. 2019

Health Soc Care Community

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Poor recovery among older adults with hip fractures can occur despite successful surgical repair and rehabilitation, suggesting other factors might play a role in recovery, such as social factors. The aim of this scoping review was to provide an overview of the literature on the role of social factors in older adult's recovery after hip fracture. This review followed the York Framework and its modifications and recent reporting guidelines. Two independent researchers searched main medical databases (CINAHL, EMBASE, Medline, PsycINFO and the Cochrane libraries) from inception to June 2017, for studies investigating social factors and recovery post hip fracture. Studies were excluded if they were qualitative, perspective papers or if participants were < 65 years or they were not living in the community. We screened 2,503 unique abstracts in total and 19 studies fulfilled the inclusion criteria. Social factors investigated in the included studies were social support, socioeconomic factors and living arrangement. We classified outcomes in the studies into three subgroups: physical functional recovery, mortality and other outcomes (pain, hospital length of stay and quality of life). We found evidence that social support and socioeconomic factors (e.g. socioeconomic status) were significantly associated with an increase in functional recovery, a decrease in mortality and other outcomes, but conflicting evidence was found for the effect of one's living arrangement. Only two included studies were randomised controlled trials. To conclude, social factors, such as social support and socioeconomic status, affect physical functional recovery and mortality in older adults with hip fractures. However, this is an under researched area that lacks rigorously designed studies and would benefit from more studies with rigorous designs.

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“…By means of this dual intervention, FOF might be reduced and function and activity might be improved. In addition, Scheffers et al have developed an intervention directed at reducing FOF that may also improve physical functioning after hip fracture [7]. A possible effect of this intervention is reflected in figure 2B for the ii) low FOF group.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, physical inactivity is associated with frailty and muscle weakness that are known risk factors for falling [5,6]. In addition, limitations in function and mobility, especially when comorbidity is involved, may increase the use of healthcare services or could even lead to admission to a residential care facility [7]. It has been shown that being physically active reduces the time needed to regain independence in Activities of Daily Living (ADL) in newly disabled older adults hereby stimulating self-sufficiency and social functioning [8].…”

Section: Introductionmentioning

confidence: 99%