254897 Matter of Balance: The Effect of Cognitive Restructuring on Confidence

Monday, October 29, 2012

Charles Ewing, PhD, CASP, CHES , Department of Sociology, Programs in Applied Gerontology, University of North Texas, Denton, TX
James H. Swan, PhD , Department of Sociology, Programs in Applied Gerontology, University of North Texas, Denton, TX
Injuries are major causes of disability and death among adults aged greater than or equal to 65 years in the United States. Injuries impair older adults' quality of life and result in billions of dollars in health-care expenditures each year. An evaluative study of the adoption, effectiveness and characteristics influencing effectiveness of A Matter of Balance Volunteer Lay Leader Model (AMOB/VLL), an evidence-based falls-prevention program previously found efficacious in a randomized clinical trial (RCT). Data were examined from 431 older Texans enrolled in AMOB/VLL over a 2-year period and assessed at baseline and post intervention. Results indicate participants significantly increased falls efficacy by an average of 14.4% (p < .01), reduced activity interference due to their health by an average of 6.5% (p < .01), and decreased the number of days limited from usual activity by an average of 28.2% (p < .05). Regression models show that participants, despite entering the program with lower health status, report greater rates of positive change for falls efficacy and health interference compared with their baseline pre-intervention counterparts. Results are interpreted to demonstrate the efficacy of cognitive restructuring in fall prevention.

Learning Areas:
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Participants will be able to describe the outlines of falls-prevention programs, appreciate the importance of cognitive restructuring in such programs, and know specifically how to arrange for the presentation of AMOB trainings in their own settings.

Keywords: Health Promotion, Aging

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Matter of Balance master trainer; certified in health education; doctoral dissertation on Matter of Balance in North Texas
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.