Article

OBJECTIVE: Based on a theoretical framework and sound evidence, this article
describes a rehabilitation programme for patients with fear of falling after hip
and pelvic fracture. RATIONALE: Based on exercise science principles, current
knowledge from fall prevention, emotion regulation, and the Health Action Process
Approach we developed a theoretical framework, from which the components of the
intervention were derived. Description of the intervention: The intervention
consists of 6 components:
(1) relaxation, (2) meaningful activities and
mobility-based goals, (3) falls related cognitions and emotions, coping with high
risk tasks and situations, (4) individual exercise programme, (5) planning and
implementing exercises and activities, and (6) fall risks and hazards. The
intervention comprises of 8 individual sessions during 3 to 5 weeks of inpatient
rehabilitation and 4 telephone calls and 1 home visit over a 2-month
post-discharge period. Each session or telephone call takes about 30-60 minutes.
It is provided to geriatric hip and pelvic fracture patients with concerns about
falling and no cognitive impairment. To ensure completeness of reporting, the
Template for Intervention Description and Replication (TIDierR) is used. RESULTS:
Fifty-seven patients were assigned to the intervention group. All 46 completers
met all pre-defined criteria for an intervention per protocol. CONCLUSION: The
programme is feasible to administer. We have completed a randomised controlled
trial, which will be submitted in due time (for trial protocol: www.isrctn.org ;
ISRCTN79191813).

Langue : ANGLAIS