An umbrella review of physical-activity therapy and cognitive behavioral therapy in reducing fear of falling among community-dwelling older adults: insights on intervention intensity and duration
IntroductionData about the impact of varying physical-activity therapy (PAT) intensities and the ideal duration of cognitive behavioral therapy (CBT) on older adults is inadequate. In this umbrella review, we seek to comprehensively synthesize and analyze findings from systematic reviews and meta-an...
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Frontiers Media S.A.
2025-01-01
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1498451/full |
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| author | Yuan Sheng Caili Wang Yan Wang LunPing Pan Mengmeng Zhang Deshan Liu Wei Gao |
| author_facet | Yuan Sheng Caili Wang Yan Wang LunPing Pan Mengmeng Zhang Deshan Liu Wei Gao |
| author_sort | Yuan Sheng |
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| description | IntroductionData about the impact of varying physical-activity therapy (PAT) intensities and the ideal duration of cognitive behavioral therapy (CBT) on older adults is inadequate. In this umbrella review, we seek to comprehensively synthesize and analyze findings from systematic reviews and meta-analyses regarding the optimal PAT intensity for lowering FOF and the duration of CBT interventions for effectively lowering FOF.MethodsThe PubMed, Web of Science, Cochrane Library, Medline, Embase, and CINAHL databases were searched up to April 2024. AMSTAR 2 was applied to assess the methodological and reporting quality. The quality of evidence for each intervention’s effect was evaluated using GRADE guidelines. A further meta-analysis of the primary studies was conducted to evaluate the effects of PAT intensity and CBT duration.ResultsIn the 18 included studies, 12 were PAT interventions, 3 were multifactorial, and 3 were CBT interventions. The umbrella review found that PAT and CBT interventions can effectively manage FOF. Comparable improvements were reported with low- and moderate-intensity PAT intervention (p < 0.0001); Significant improvements were observed with CBT immediately post-intervention, in the short-term (<6 months), and in the long-term (≥6 months) (p < 0.0001).DiscussionOur study revealed that a comprehensive intervention strategy combining low or moderate PAT with CBT interventions is more effective than isolated approaches, as it addresses the multifaceted nature of fear and fall risk. Future research should continue to track the long-term effects of synergistic interventions to optimize fall prevention strategies for older populations.Systematic review registrationhttps://www.crd.york.ac.uk/prospero Identifier CRD42024557893. |
| format | Article |
| id | doaj-art-d5025a9a8b184cf58c1e86a54a58dc30 |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj-art-d5025a9a8b184cf58c1e86a54a58dc302025-01-03T05:10:23ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.14984511498451An umbrella review of physical-activity therapy and cognitive behavioral therapy in reducing fear of falling among community-dwelling older adults: insights on intervention intensity and durationYuan Sheng0Caili Wang1Yan Wang2LunPing Pan3Mengmeng Zhang4Deshan Liu5Wei Gao6School of Nursing and Rehabilitation, Shandong University, Jinan, ChinaSchool of Nursing and Rehabilitation, Shandong University, Jinan, ChinaSchool of Nursing and Rehabilitation, Shandong University, Jinan, ChinaSchool of Nursing and Rehabilitation, Shandong University, Jinan, ChinaSchool of Nursing and Rehabilitation, Shandong University, Jinan, ChinaDepartment of Traditional Chinese Medicine, Qilu Hospital of Shandong University, Jinan, ChinaDepartment of PICC Clinic, Qilu Hospital of Shandong University, Jinan, ChinaIntroductionData about the impact of varying physical-activity therapy (PAT) intensities and the ideal duration of cognitive behavioral therapy (CBT) on older adults is inadequate. In this umbrella review, we seek to comprehensively synthesize and analyze findings from systematic reviews and meta-analyses regarding the optimal PAT intensity for lowering FOF and the duration of CBT interventions for effectively lowering FOF.MethodsThe PubMed, Web of Science, Cochrane Library, Medline, Embase, and CINAHL databases were searched up to April 2024. AMSTAR 2 was applied to assess the methodological and reporting quality. The quality of evidence for each intervention’s effect was evaluated using GRADE guidelines. A further meta-analysis of the primary studies was conducted to evaluate the effects of PAT intensity and CBT duration.ResultsIn the 18 included studies, 12 were PAT interventions, 3 were multifactorial, and 3 were CBT interventions. The umbrella review found that PAT and CBT interventions can effectively manage FOF. Comparable improvements were reported with low- and moderate-intensity PAT intervention (p < 0.0001); Significant improvements were observed with CBT immediately post-intervention, in the short-term (<6 months), and in the long-term (≥6 months) (p < 0.0001).DiscussionOur study revealed that a comprehensive intervention strategy combining low or moderate PAT with CBT interventions is more effective than isolated approaches, as it addresses the multifaceted nature of fear and fall risk. Future research should continue to track the long-term effects of synergistic interventions to optimize fall prevention strategies for older populations.Systematic review registrationhttps://www.crd.york.ac.uk/prospero Identifier CRD42024557893.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1498451/fullfear of fallingagedphysical-activity therapycognitive behavioral therapyumbrella review |
| spellingShingle | Yuan Sheng Caili Wang Yan Wang LunPing Pan Mengmeng Zhang Deshan Liu Wei Gao An umbrella review of physical-activity therapy and cognitive behavioral therapy in reducing fear of falling among community-dwelling older adults: insights on intervention intensity and duration Frontiers in Public Health fear of falling aged physical-activity therapy cognitive behavioral therapy umbrella review |
| title | An umbrella review of physical-activity therapy and cognitive behavioral therapy in reducing fear of falling among community-dwelling older adults: insights on intervention intensity and duration |
| title_full | An umbrella review of physical-activity therapy and cognitive behavioral therapy in reducing fear of falling among community-dwelling older adults: insights on intervention intensity and duration |
| title_fullStr | An umbrella review of physical-activity therapy and cognitive behavioral therapy in reducing fear of falling among community-dwelling older adults: insights on intervention intensity and duration |
| title_full_unstemmed | An umbrella review of physical-activity therapy and cognitive behavioral therapy in reducing fear of falling among community-dwelling older adults: insights on intervention intensity and duration |
| title_short | An umbrella review of physical-activity therapy and cognitive behavioral therapy in reducing fear of falling among community-dwelling older adults: insights on intervention intensity and duration |
| title_sort | umbrella review of physical activity therapy and cognitive behavioral therapy in reducing fear of falling among community dwelling older adults insights on intervention intensity and duration |
| topic | fear of falling aged physical-activity therapy cognitive behavioral therapy umbrella review |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1498451/full |
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