Session 1: Concerns about falls (home visit; 60 min) |
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Introduction of the programme |
Discuss theme of the session using a DVD: |
Beliefs and disbeliefs about concerns about falls Thoughts related to concerns about falls and their effect on feelings and behaviour |
Session 2: Exploring thoughts and concerns about falls (home visit; 60 min) |
Review previous session and homework* |
Discuss theme of the session using a checklist: |
Thoughts and attitudes related to concerns about falls and challenging them Adaptive responses to counter misconceptions about falls Unhelpful thoughts and their effect on feelings and behaviour |
Identifying activities in which concerns about falls are experienced |
Formulating an action plan to perform an activity safely in which concerns about falls are experienced* |
Session 3: Physical exercise (telephone; 35 min) |
Review previous session and homework* |
Discuss theme of the session using a checklist: |
Misconceptions regarding physical exercise for older people Potential consequences of inactivity and benefits of physical activity Staying or becoming physically active to prevent falls Recognising and overcoming barriers to staying or becoming physically active |
Formulating an action plan to perform a physical exercise activity in daily life* |
Session 4: Asserting oneself (telephone; 35 min) |
Review previous session and homework* |
Discuss theme of the session using a checklist and a leaflet about fall hazards: |
Association between assertiveness and fall prevention Potential barriers and benefits of being assertive Reducing concerns about falls and falls-risks by being assertive Recognising potential environmental fall hazards in one's home and community |
Formulating an action plan to be assertive related to fall prevention* |
Session 5: Overcoming personal barriers (home visit; 75 min) |
Review previous session and homework* |
Recognising and overcoming personal barriers for performing activities of daily living |
Performing an activity in which concerns about falls are experienced together with the facilitator# |
Shifting from self-defeating to self-motivating thoughts regarding activities in which concerns about falls are experienced |
Formulating an action plan to repeat the activity performed in this session* |
Session 6: Safe behaviour (telephone; 35 min) |
Review previous session and homework* |
Discuss theme of the session using a checklist: |
Recognising risk-taking behaviour in daily life Identifying personal risk-taking behaviour in daily life Finding safe alternatives for unsafe behaviour Prioritising fall-risk behaviour and planning behaviour-change strategies |
Formulating an action plan to perform safe behaviour* |
Session 7: Managing concerns about falls (telephone; 35 min) |
Review previous session and homework* |
Shifting from self-defeating to self-motivating thoughts regarding activities in which concerns about falls are experienced |
Finding personal solutions to perform activities safely in which concerns about falls are experienced |
Review and evaluation of the programme |
Formulating an action plan to perform an activity safely in which concerns about falls are experienced* |