The aim of the study is to evaluate whether combining cognitive-behavioral therapy (CBT) with task-oriented balance training (TOBT) is more effective than general health education (GHE) together with TOBT in promoting fear of falling and reducing activity avoidance behavior.
The null hypothesis of this study will be that no significant difference in the efficacy of the two treatments (CBT + TOBT; GHE + TOBT) in promoting fear of falling and reducing fear avoidance behavior, and thus no significant difference in improving balance ability, reducing fall risks, improving health-related quality of life and community reintegration of people with stroke.
- GHE + TOBT training Behavioral
Intervention Desc: All subjects will receive 45 minutes of GHE, followed by 45 minutes of TOBT program twice a week for 8 weeks. ARM 1: Kind: Experimental Label: GHE + TOBT training Description: Subjects will receive general health education and task-oriented balance training.
- CBT + TOBT training Behavioral
Intervention Desc: All subjects will receive 45 minutes of CBT, followed by 45 minutes of TOBT program twice a week for 8 weeks. ARM 1: Kind: Experimental Label: CBT + TOBT training Description: Subjects will receive group-based cognitive behavioral therapy and task-oriented balance training.
- Allocation: Randomized
- Masking: Single Blind (Outcomes Assessor)
- Purpose: Supportive Care
- Endpoint: Efficacy Study
- Intervention: Parallel Assignment
|Type||Measure||Time Frame||Safety Issue|
|Primary||Fear of falling||2 years||No|
|Secondary||Fear avoidance behavior||2 years||No|
|Secondary||Balance ability||2 years||No|
|Secondary||Fall risk||2 years||No|
|Secondary||Community reintegration||2 years||No|
|Secondary||Health-related quality of life||2 years||No|