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Cognitive behavioural therapy-based intervention to reduce fear of falling in older people: therapy development and randomised controlled trial the Strategies for Increasing Independence, Confidence and Energy (STRIDE) study

Lookup NU author(s): Dr Steve Parry, Claire BamfordORCiD, Dr Tracy Finch, Neil Sabin, Dr Ian Steen, Emerita Professor Elaine McCollORCiD


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Falls are common, frequently devastating events in older people, with between 30% and 62% of older individuals falling per year.(1,2) Falls are responsible for considerable morbidity and mortality, with around 10% of falls resulting in fractures.(3) The economic costs of falls are considerable; as long ago as 2003, the cost of falls to the UK economy was estimated at 981M pound,(4) with more recent data showing that 0.07-0.20 of the gross domestic product and 0.85-1.5% of total health-care expenditure in Western economies was accounted for by falls and their consequences.(5) Adverse consequences of falls are by no means limited to physical injury and escalating levels of dependence. Many older individuals, both fallers and non-fallers, suffer from a variety of adverse psychosocial difficulties related to falling,(6-16) including fear, anxiety, loss of confidence and impaired self-efficacy (the self-perception of ability to perform within a particular domain of activities),(10,13) resulting in activity avoidance, social isolation and increasing frailty.(6-16) The umbrella term for these problems is 'fear of falling', a common and disabling problem in older individuals, found in between 3% and 85% of community-dwelling elders who fall, and up to 50% of those who have never fallen.(8-10, 16)

Publication metadata

Author(s): Parry SW, Bamford C, Deary V, Finch TL, Gray J, MacDonald C, McMeekin P, Sabin NJ, Steen IN, Whitney SL, McColl EM

Publication type: Article

Publication status: Published

Journal: Health Technology Assessment

Year: 2016

Volume: 20

Issue: 56

Pages: 1-206

Print publication date: 01/08/2016

Online publication date: 01/08/2016

Acceptance date: 01/11/2015

ISSN (print): 1366-5278

ISSN (electronic): 2046-4924

Publisher: NIHR Journals Library


DOI: 10.3310/hta20560


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