Cochrane · systematic review · CD014666
Cognitive behavioural therapy (CBT) with and without exercise to reduce fear of falling in older people living in the community
Lenouvel, E, Ullrich, P, Siemens, W, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library
Bone, Joint and Muscle TraumaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 1 · 14.3%Low 3 · 42.9%Moderate 2 · 28.6%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
CBT interventions (CBT with and without exercise) compared to control (standard care or sham treatments) for reducing fear of falling (FoF) in older people living in the community
Population: older adults (mean age minus 1 standard deviation is more than 60 years)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
FoF (immediate postintervention)a CBT interventions (CBT with and without exercise) vs control (standard care or sham treatments) | no estimate extracted | 11 studies · 2357 participants | Moderate Downgraded: risk of bias |
FoF (sustainability of effects, up to 6 months' postintervention) CBT interventions (CBT with and without exercise) vs control (standard care or sham treatments) | no estimate extracted | 8 studies · 1784 participants | Low Downgraded: risk of bias, inconsistency |
FoF (sustainability of effects, > 6 months' postintervention) CBT interventions (CBT with and without exercise) vs control (standard care or sham treatments) | no estimate extracted | 5 studies · 1185 participants | Moderate Downgraded: risk of bias |
Activity avoidance CBT interventions (CBT with and without exercise) vs control (standard care or sham treatments) | no estimate extracted | 1 study · 312 participants | Low Downgraded: risk of bias, imprecision |
Occurrence of falls CBT interventions (CBT with and without exercise) vs control (standard care or sham treatments) | RR 0.96 [0.66, 1.39] | 5 studies · 1119 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Depression CBT interventions (CBT with and without exercise) vs control (standard care or sham treatments) | no estimate extracted | 1 study · 314 participants | Low Downgraded: risk of bias, imprecision |
Adverse effects CBT interventions (CBT with and without exercise) vs control (standard care or sham treatments) | no estimate extracted | NR | No studies |