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Both psychological factors and physical performance are associated with fall-related concerns
Luleå University of Technology, Department of Health Sciences, Health and Rehab.ORCID iD: 0000-0002-2510-7571
Luleå University of Technology, Department of Health Sciences, Health and Rehab.ORCID iD: 0000-0002-9813-2719
Luleå University of Technology, Department of Health Sciences, Health and Rehab.ORCID iD: 0000-0003-3901-0364
Luleå University of Technology, Department of Health Sciences, Health and Rehab.ORCID iD: 0000-0002-1682-8326
2018 (English)In: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background Fall-related concern strongly correlates to activity avoidance in older people.  In this complex phenomenon, different terminology and instruments are often used interchangeably. Three main concepts make up fall-related concerns: fear-of-falling, consequence concern, and falls self-efficacy. It is suggested that fall-related concerns are mediated by psychological and physical factors.

Aims Our aims were to describe the prevalence of fall-related concerns and find explanatory factors for its most studied concept – falls self-efficacy – in an older population.

Methods We executed a cross sectional study on a random sample of 153 community dwelling older people (70 years or older). We used validated and reliable instruments as well as structured interviews to gather data on the three concepts of fall-related concerns and possible mediating factors. We then calculated descriptive statistics on prevalence and regression models for the total group, and men and women separately.

Results 70% of the total sample (80% of women and 53% of men) reported at least one of the three concepts of fall-related concern. For the total sample, fear-of-falling, morale and physical performance were associated factors with falls self-efficacy. For women, number of prescription medications was added. For men, physical performance and concerns for injury were associated.

Conclusion Fall-related concern is prevalent in large proportions with higher prevalence for women than for men. Important factors are fear of falling, morale, and physical performance. Gender differences in the emergence and variance of fall-related concern and the relation between physical performance and fall-related concern should be targeted in future research endeavors. 

Place, publisher, year, edition, pages
2018.
Keywords [en]
aged, fall-related concerns, morale, ambulation, self-efficacy
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
URN: urn:nbn:se:ltu:diva-67031DOI: 10.1007/s40520-017-0882-9PubMedID: 29264814OAI: oai:DiVA.org:ltu-67031DiVA, id: diva2:1166612
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BAHRTAvailable from: 2017-12-15 Created: 2017-12-15 Last updated: 2018-04-24

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Pauelsen, MaschaNyberg, LarsRöijezon, UlrikVikman, Irene
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