@article{ref1,
title="Shifting maladaptive fall risk appraisal in older adults through an in-home Physio-fEedback and Exercise pRogram (PEER): a pilot study",
journal="Clinical gerontologist",
year="2019",
author="Thiamwong, Ladda and Huang, Helen J. and Ng, Boon Peng and Yan, Xin and Sole, Mary Lou and Stout, Jeffrey R. and Talbert, Steven",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="<b>Objectives</b>: 1) examine the preliminary effectiveness of the <b>P</b>hysio-fe<b>E</b>dback and <b>E</b>xercise p<b>R</b>ogram (PEER) for shifting maladaptive to adaptive fall risk appraisal and reducing fall risk, 2) determine the participants' feedback and acceptability of the program.<b>Methods</b>: Forty-one older adults were assigned to either PEER intervention or attention control group. The 8-week PEER intervention consists of a visual physio-feedback, cognitive reframing, and combined group and home-based exercise led by a trained peer coach. The attention control group read fall prevention brochures and continued their normal activities. BTrackS Balance Test (BBT), short version of Fall Efficacy Scale International (short FES-I) and CDC fall risk checklist were measured from pre- to post-intervention. The feedback and acceptability were conducted at the program conclusion.<b>Results</b>: About 11% of participants in the PEER group had positive shifting but none in the attention control group. Up to 32% of the participants in attention control had negative shifting compared to 5.3% in the PEER group. PEER group reported significant decreases in fall risk and high acceptability of the program.<b>Conclusions</b>: PEER intervention facilitates a shift from maladaptive to adaptive fall risk appraisal and reduces fall risk.<b>Clinical Implications</b>: Preventive interventions promoting alignment between perceive and physiological fall risk may contribute to reducing falls and increasing exercise adherence.<p /> <p>Language: en</p>",
language="en",
issn="0731-7115",
doi="10.1080/07317115.2019.1692120",
url="http://dx.doi.org/10.1080/07317115.2019.1692120"
}