Back on My Feet: Emotional Recovery From Fall Injury
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Hospital, Psychiatric, Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology, Other |
| Healthy: | No |
| Age Range: | 60 - Any |
| Updated: | 4/21/2016 |
| Start Date: | December 2013 |
| End Date: | July 2016 |
We will compare two programs that are designed to help older adults who have had fall
injuries manage anxiety and improve their level of functioning. We expect that both programs
will provide some benefit, but that one will promote better management.
injuries manage anxiety and improve their level of functioning. We expect that both programs
will provide some benefit, but that one will promote better management.
Fall accidents can be frightening experiences that cause life-changing injuries. Each year,
millions of older Americans who fall may develop disabling anxiety and related distress,
functional limitations, and poor health.
Our previous study adapted a well-researched anxiety treatment, Exposure-based Cognitive
Behavioral Therapy (ET), for older adults diagnosed with full posttraumatic stress disorder
(PTSD), subsyndromal PTSD, or fear of falling after fall injury. The approach was
well-accepted by subjects and they reported both reductions in anxiety and having more fully
returned to normal living immediately after the treatment and then three months later.
The purpose of this pilot study is to compare ET to another active treatment, Relaxation
Training (RT). Both study treatments will consist of eight home-based sessions. ET consists
of education about anxiety, relaxation training, managing distressing thoughts, healthy
routine, and confronting avoided memories and situations. RT consists of techniques to ease
bodily tension.
Twenty-four subjects will be randomly assigned to one of the two treatment groups. The study
will compare how subjects in each group improve on outcomes such as diagnosis, anxiety
severity, and quality of life over the course of treatment, and at three- and six-month
follow-up.
The findings will provide the basis for larger future studies.
millions of older Americans who fall may develop disabling anxiety and related distress,
functional limitations, and poor health.
Our previous study adapted a well-researched anxiety treatment, Exposure-based Cognitive
Behavioral Therapy (ET), for older adults diagnosed with full posttraumatic stress disorder
(PTSD), subsyndromal PTSD, or fear of falling after fall injury. The approach was
well-accepted by subjects and they reported both reductions in anxiety and having more fully
returned to normal living immediately after the treatment and then three months later.
The purpose of this pilot study is to compare ET to another active treatment, Relaxation
Training (RT). Both study treatments will consist of eight home-based sessions. ET consists
of education about anxiety, relaxation training, managing distressing thoughts, healthy
routine, and confronting avoided memories and situations. RT consists of techniques to ease
bodily tension.
Twenty-four subjects will be randomly assigned to one of the two treatment groups. The study
will compare how subjects in each group improve on outcomes such as diagnosis, anxiety
severity, and quality of life over the course of treatment, and at three- and six-month
follow-up.
The findings will provide the basis for larger future studies.
Inclusion Criteria:
- Age 60 years and older
- Fall accident requiring emergency room or inpatient hospital medical care with return
home within past nine months
- Community dwelling
- Able to ambulate independently or with an assistive device
- English-speaking
- Diagnosis of PTSD, subsyndromal PTSD, or Fear of Falling (determined by interview)
Exclusion Criteria:
- Cognitive impairment
- Serious or terminal illness
- Aphasia
- Current substance abuse
- Lifetime history of psychotic disorder and/or bipolar disorder
- Active suicidal or homicidal ideation
- Prescription psychotropic medication begun < 6 weeks
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