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Effect of Guided Relaxation and Imagery on Falls Self‐Efficacy: A Randomized Controlled Trial
Author(s) -
Kim Bang Hyun,
Newton Roberta A.,
Sachs Michael L.,
Glutting Joseph J.,
Glanz Karen
Publication year - 2012
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.2012.03959.x
Subject(s) - randomized controlled trial , medicine , relaxation (psychology) , physical therapy , fear of falling , intervention (counseling) , test (biology) , self efficacy , physical medicine and rehabilitation , poison control , injury prevention , psychology , surgery , social psychology , nursing , paleontology , biology , environmental health
Objectives To examine the effects of guided relaxation and imagery ( GRI ) on improvement in falls self‐efficacy in older adults who report having a fear of falling. Design Randomized, controlled trial with allocation to GRI or guided relaxation with music of choice. Setting General community. Participants Ninety‐one men and women aged 60 to 92. Intervention Participants were randomized to listen to a GRI audio compact disk (intervention group) or a guided relaxation audio compact disk and music of choice (control group) twice a week for 6 weeks for 10 minutes per session. Measurements Primary outcome measure was the Short Falls Efficacy Scale—International ( FES ‐ I ). Secondary outcome measures were the Leisure Time Exercise Questionnaire ( LTEQ ) and the Timed Up and Go ( TUG ) mobility test. Results GRI participants reported greater improvements on the Short FES ‐ I ( P = .002) and LTEQ ( P = .001) scores and shorter time on the TUG ( P = .002) than the guided relaxation and music‐of‐choice group. Conclusion GRI was more effective at increasing falls self‐efficacy and self‐reported leisure time exercise and reducing times on a simple mobility test than was guided relaxation with music of choice. GRI is an effective, simple, low‐cost tool for older adults to improve falls self‐efficacy and leisure time exercise behaviors.