A randomized, controlled trial of a group intervention to reduce fear of falling and associated activity restriction in older adults

J Gerontol B Psychol Sci Soc Sci. 1998 Nov;53(6):P384-92. doi: 10.1093/geronb/53b.6.p384.


A randomized, single-blind controlled trial was conducted to test the efficacy of a community-based group intervention to reduce fear of falling and associated restrictions in activity levels among older adults. A sample of 434 persons age 60+ years, who reported fear of falling and associated activity restriction, was recruited from 40 senior housing sites in the Boston metropolitan area. Data were collected at baseline, and at 6-week, 6-month, and 12-month follow-ups. Compared with contact control subjects, intervention subjects reported increased levels of intended activity (p < .05) and greater mobility control (p < .05) immediately after the intervention. Effects at 12 months included improved social function (p < .05) and mobility range (p < .05). The intervention had immediate but modest beneficial effects that diminished over time in the setting with no booster intervention.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Accidental Falls* / prevention & control
  • Activities of Daily Living*
  • Aged
  • Aged, 80 and over
  • Analysis of Variance
  • Boston
  • Case-Control Studies
  • Fear / psychology*
  • Female
  • Follow-Up Studies
  • Group Processes*
  • Homes for the Aged
  • Humans
  • Locomotion / physiology
  • Male
  • Middle Aged
  • Outcome Assessment, Health Care
  • Safety
  • Self Concept
  • Self Efficacy
  • Single-Blind Method
  • Social Adjustment