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Effectiveness of Dual-Task Training on Future Falls, Fear of Falling, and Quality of Life.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Effectiveness of Dual-Task Training on Future Falls, Fear of Falling, and Quality of Life./
作者:	Pham, Trong.
面頁冊數:	1 online resource (56 pages)
附註:	Source: Masters Abstracts International, Volume: 85-01.
Contained By:	Masters Abstracts International85-01.
標題:	Psychology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30244947click for full text (PQDT)
ISBN:	9798379895624

Effectiveness of Dual-Task Training on Future Falls, Fear of Falling, and Quality of Life.
Pham, Trong.

Effectiveness of Dual-Task Training on Future Falls, Fear of Falling, and Quality of Life. - 1 online resource (56 pages)

Source: Masters Abstracts International, Volume: 85-01.

Thesis (M.A.)--California State University, Long Beach, 2023.

Includes bibliographical references

Approximately 33% of older adults aged 65 and older fall each year. Falls often occur when walking while simultaneously performing a cognitive task. Although studies have found that dual-task training (DTT) can improve dual-task walking performance, few studies have examined the long-term effects of DTT on health-related outcomes. This nonequivalent (pretest and posttest) control-group intervention study examined whether DTT reduces fall risk and fear of falling and improves quality of life (QoL) among older adults. We hypothesized the following: Compared to the control group, the intervention group would: (1) have longer mean time-to-fall, (2) have fewer instances of falls, (3) have less fear of falling, and (4) have greater perceived QoL. Thirty-three community-dwelling older adults (n = 21 for the intention group and n = 12 for the control group) from a senior retirement home in Southern California participated in the study. Participants were able to stand 45 minutes unassisted, able to attend verbal instructions, and able to perform independent self-care, and did not have neurological disorders. The intervention used multi-component DTT consisting of two 75-minute sessions per week for 8 weeks (total of 20 hours) and one education session on fall prevention. Each intervention consisted of several physical trainings (e.g., strength and gait) with simultaneous cognitive trainings (e.g., word association). In contrast, the control group received an education session only. A Kaplan-Meier survival analysis showed that the intervention group had significantly longer time-to-fall than the control group during the 1-year follow-up after the intervention, p = .015; however, an independent sample t-test indicated that there was no significant difference in fall frequency between the two groups at 12 months after intervention, p = .399. A two-way mixed ANCOVA with time (pre vs. post) and group (intervention group vs. control group) with controlling for cognitive impairment did not show any significant difference in the reduction of fear of falling between two groups, p = .763. Also, there was no reduction in fear of falling after intervention for all participants, p = .19. A similar analysis showed there was significant interaction between time and group on social quality of life (QoL), after controlling for cognitive impairment, p = .018; however, a simple main analysis showed no improvement after intervention in social QoL for the intervention group, p = .138, despite some trend of improvement. The control group did not show any difference in social QoL after the education session, p = 191. There was no significant interaction between time and groups on overall QoL (p = .342), physical (p = .847), psychological (p = .769), and environmental QoL, p = .181. This study highlights the importance of investigating the effects of DTT on older adults' fall risk, fall efficacy, and QoL. Such findings may provide valuable information for future research to optimize DTT in promoting fall prevention and positive health-related outcomes among older adults.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798379895624Subjects--Topical Terms:

519075
Psychology.
Subjects--Index Terms:

Dual-task trainingIndex Terms--Genre/Form:

542853
Electronic books.

Effectiveness of Dual-Task Training on Future Falls, Fear of Falling, and Quality of Life.
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520 $a Approximately 33% of older adults aged 65 and older fall each year. Falls often occur when walking while simultaneously performing a cognitive task. Although studies have found that dual-task training (DTT) can improve dual-task walking performance, few studies have examined the long-term effects of DTT on health-related outcomes. This nonequivalent (pretest and posttest) control-group intervention study examined whether DTT reduces fall risk and fear of falling and improves quality of life (QoL) among older adults. We hypothesized the following: Compared to the control group, the intervention group would: (1) have longer mean time-to-fall, (2) have fewer instances of falls, (3) have less fear of falling, and (4) have greater perceived QoL. Thirty-three community-dwelling older adults (n = 21 for the intention group and n = 12 for the control group) from a senior retirement home in Southern California participated in the study. Participants were able to stand 45 minutes unassisted, able to attend verbal instructions, and able to perform independent self-care, and did not have neurological disorders. The intervention used multi-component DTT consisting of two 75-minute sessions per week for 8 weeks (total of 20 hours) and one education session on fall prevention. Each intervention consisted of several physical trainings (e.g., strength and gait) with simultaneous cognitive trainings (e.g., word association). In contrast, the control group received an education session only. A Kaplan-Meier survival analysis showed that the intervention group had significantly longer time-to-fall than the control group during the 1-year follow-up after the intervention, p = .015; however, an independent sample t-test indicated that there was no significant difference in fall frequency between the two groups at 12 months after intervention, p = .399. A two-way mixed ANCOVA with time (pre vs. post) and group (intervention group vs. control group) with controlling for cognitive impairment did not show any significant difference in the reduction of fear of falling between two groups, p = .763. Also, there was no reduction in fear of falling after intervention for all participants, p = .19. A similar analysis showed there was significant interaction between time and group on social quality of life (QoL), after controlling for cognitive impairment, p = .018; however, a simple main analysis showed no improvement after intervention in social QoL for the intervention group, p = .138, despite some trend of improvement. The control group did not show any difference in social QoL after the education session, p = 191. There was no significant interaction between time and groups on overall QoL (p = .342), physical (p = .847), psychological (p = .769), and environmental QoL, p = .181. This study highlights the importance of investigating the effects of DTT on older adults' fall risk, fall efficacy, and QoL. Such findings may provide valuable information for future research to optimize DTT in promoting fall prevention and positive health-related outcomes among older adults.
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