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Feasibility of a nurse-led in-home cognitive behavioral program to manage concerns about falls in frail older people: A process evaluation

Authors

  • Tanja A.C. Dorresteijn,

    Corresponding author
    1. CAPHRI School for Public Health and Primary Care and Department of Health Services Research, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands
    • CAPHRI School for Public Health and Primary Care and Department of Health Services Research, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands
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  • G.A. Rixt Zijlstra,

    1. CAPHRI School for Public Health and Primary Care and Department of Health Services Research, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands
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  • Jolanda C.M. Van Haastregt,

    1. CAPHRI School for Public Health and Primary Care and Department of Health Services Research, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands
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  • Johan W.S. Vlaeyen,

    1. Department of Clinical Psychological Science, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands
    2. Research Group Health Psychology, University of Leuven, Tiensestraat 102, 3000 Leuven, Belgium
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  • Gertrudis I.J.M. Kempen

    1. CAPHRI School for Public Health and Primary Care and Department of Health Services Research, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands
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  • This research was funded by ZonMw, The Netherlands Organisation for Health Research and Development (grant 120610001). The participation of author JV was supported by a grant from the Research Foundation, Flanders, Belgium (FWO Vlaanderen). Trial registration: NCT01358032. Preliminary outcomes were presented at the 64th and 65th Annual Scientific Meetings of the Gerontological Society of America in November 2011 and November 2012. We thank all participants, nurses, research assistants, and the Centre for Data and Information Management (MEMIC) for their assistance.

Abstract

Concerns about falls and related avoidance of activities are common problems among older people living in the community. In this study we examined the feasibility and acceptability of AMB-Home (the Dutch in-home version of A Matter of Balance), a nurse-led in-home cognitive behavioral program developed for frail community-living older people with concerns about falls and related activity avoidance. The multicomponent program consisted of seven individual sessions, including three home visits and four telephone contacts. Data were collected from eight nurses and 194 participants. Generally, the program was considered acceptable and feasible by both the nurses and the participants. When AMB-Home turns out to be effective, the implementation of a fine-tuned version of this in-home program in regular health care, would be a natural next step. © 2013 Wiley Periodicals, Inc. Res Nurs Health 36:257–270, 2013

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