Reducing fear of falling and avoidance of activity in elderly persons: the development of a Dutch version of an American intervention

Patient Educ Couns. 2006 Aug;62(2):220-7. doi: 10.1016/j.pec.2005.07.005. Epub 2005 Sep 1.


Objective: The present study reports on the development of a Dutch version of an American intervention for community-residing older persons in The Netherlands. Adaptation of this cognitive behavioural group intervention, to reduce fear of falling and avoidance of activity in older persons, was required before evaluation in a different setting.

Methods: The process of adaptation consisted of defining the target population, translating the original intervention manual literally, consulting Dutch experts and a developer of the original intervention, selecting qualified facilitators and conducting a pilot study of the adapted manual.

Results: Adaptations were incorporated to improve the content, feasibility and didactic materials. The main adaptations were scheduling more time for some activities, changing session frequency from twice to once a week, adding a booster session after 6 months and adding more transparencies.

Conclusion: A critical assessment of the appropriateness and feasibility of the original intervention provided important information to facilitate replication in the Dutch setting. Applying a systematic approach is recommended in the process of adapting an original intervention for use in a different setting.

Practice implications: To facilitate replication, in general, more detailed information should be provided about interventions.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidental Falls / prevention & control*
  • Accidental Falls / statistics & numerical data
  • Activities of Daily Living*
  • Aged / psychology
  • Attitude to Health*
  • Cognitive Behavioral Therapy / organization & administration*
  • Environment Design
  • Exercise Therapy
  • Fear*
  • Feasibility Studies
  • Geriatric Assessment
  • Health Promotion / organization & administration
  • Humans
  • Internal-External Control
  • Netherlands
  • Patient Education as Topic / organization & administration
  • Pilot Projects
  • Program Development
  • Program Evaluation
  • Psychotherapy, Group / organization & administration*
  • Risk Factors
  • Self Care / methods
  • Self Care / psychology
  • Self Efficacy
  • Translating