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Title: Reducing fear of falling and avoidance of activity in elderly persons: the development of a Dutch version of an American intervention. Author: Zijlstra GA, Tennstedt SL, van Haastregt JC, van Eijk JT, Kempen GI. Journal: Patient Educ Couns; 2006 Aug; 62(2):220-7. PubMed ID: 16139984. Abstract: OBJECTIVE: The present study reports on the development of a Dutch version of an American intervention for community-residing older persons in The Netherlands. Adaptation of this cognitive behavioural group intervention, to reduce fear of falling and avoidance of activity in older persons, was required before evaluation in a different setting. METHODS: The process of adaptation consisted of defining the target population, translating the original intervention manual literally, consulting Dutch experts and a developer of the original intervention, selecting qualified facilitators and conducting a pilot study of the adapted manual. RESULTS: Adaptations were incorporated to improve the content, feasibility and didactic materials. The main adaptations were scheduling more time for some activities, changing session frequency from twice to once a week, adding a booster session after 6 months and adding more transparencies. CONCLUSION: A critical assessment of the appropriateness and feasibility of the original intervention provided important information to facilitate replication in the Dutch setting. Applying a systematic approach is recommended in the process of adapting an original intervention for use in a different setting. PRACTICE IMPLICATIONS: To facilitate replication, in general, more detailed information should be provided about interventions.[Abstract] [Full Text] [Related] [New Search]