Physical and Psychosocial Correlates of Fear of Falling Among Older Adults in Assisted Living Facilities

Sharaf, Amira Y.; Ibrahim, Hassan A.H.

doi:10.3928/00989134-20081201-07

Cited by 50 publications

(14 citation statements)

References 31 publications

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“…Consistent with prior research (Filiatrault, Desrosiers, & Trottier, 2009; Ní Mhaoláin et al, 2012; Painter & Elliott, 2009; Sharaf & Ibrahim, 2008) we found that women were more likely to be fearful of falling. Conversely, we did not find that gender was associated with falls as it has been in prior studies (Hawkins et al, 2011; Painter & Elliott, 2009; Sharaf & Ibrahim, 2008).…”

Section: Discussionsupporting

confidence: 91%

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The Impact of Osteoporosis, Falls, Fear of Falling, and Efficacy Expectations on Exercise Among Community-Dwelling Older Adults

Nahm

Zhu

Brown

et al. 2014

Orthopaedic Nursing

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Purpose The purpose of this study was to test a model delineating the factors known to influence fear of falling and exercise behavior among older adults. Design and Methods This was a secondary data analysis using baseline data from the Bone Health study. A total of 866 individuals from two online communities participated in the study, 161 (18.6%) were from SeniorNet and 683 (78.9%) were from MyHealtheVet. More than half (63%) of the participants were male with a mean age of 62.8 (SD= 8.5). The majority was white (89%), married (53%) and had some college (87%). Results Knowledge about osteoporosis and awareness one has a diagnosis of osteoporosis directly influenced fear of falling, and knowledge of osteoporosis directly and indirectly influenced exercise behavior. A diagnosis of osteoporosis indirectly influenced exercise behavior. Taken together, the hypothesized model explained 13% of the variance in exercise behavior. Implications Improving knowledge of osteoporosis and awareness of having a diagnosis of osteoporosis, decreasing fear of falling and strengthening self-efficacy and outcome expectations for exercise may help improve exercise behavior among older adults.

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Section: Discussionsupporting

confidence: 91%

“…Conversely, we did not find that gender was associated with falls as it has been in prior studies (Hawkins et al, 2011; Painter & Elliott, 2009; Sharaf & Ibrahim, 2008). This may due to sample selectivity.…”

Section: Discussioncontrasting

confidence: 87%

The Impact of Osteoporosis, Falls, Fear of Falling, and Efficacy Expectations on Exercise Among Community-Dwelling Older Adults

Nahm

Zhu

Brown

et al. 2014

Orthopaedic Nursing

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“…The relationship between depression and FOF is particularly relevant for older adult men, given the fact that analyses of veterans attending Veterans Administration gait and balance clinics have cited depression rates as high as 23% among male participants (Bishop, Meuleman, Robinson, & Light, 2007). Sharaf and Ibrahim (2008) found nearly identical predictors of FOF (balance, depression, and assistive-device use) in their study of 208 individuals living in assisted-living facilities compared with our community-dwelling participants.…”

Section: Discussionmentioning

confidence: 59%

Fear of Falling and Balance Ability in Older Men: The Priest Study

Klima

Newton²,

Keshner³

et al. 2013

Journal of Aging and Physical Activity

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Studies examining fear of falling among older adult men remain limited. The objectives of this study were to compare balance confidence in 2 age cohorts of older clergy and identify predictive determinants of balance confidence in a liturgical research initiative. Participants included 131 community-dwelling Roman Catholic priests age 60–97 yr living in religious communities in 10 mid-Atlantic states. Subjects completed the Activities-specific Balance Confidence Scale (ABC), Berg Balance Scale (BBS), timed up-and-go (TUG) test, and 15-item Geriatric Depression Scale (GDS). Younger priests (60–74 yr) demonstrated a significantly higher ABC score than the older cohort (75 and above yr) of priests (89.1 ± 12.6 vs.78.4 ± 13.9, p = .001). Confidence was significantly correlated with BBS (rho = .69, p < .01), TUG (r = –.58, p < .01), and GDS (r = –.39, p < .01) scores. A stepwise-regression model demonstrated that balance ability, mood, assistive-device use, and physical activity predicted 52% of the variance in balance confidence.

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“…Knowledge of any possible relationships between these factors contributes to the rehabilitation process by enabling clinicians to avoid fall incidents during training sessions. Studies have assessed FOF in the elderly population [9] and in persons with Parkinson disease [10] and stroke [11]. Lin et al investigated the kinematic, kinetic, and electromyographic aspects of postural control during falling with rapid reach-and-grasp balance reaction in individuals with thoracic (T) SCI wearing KAFOs [12].…”

Section: Introductionmentioning

confidence: 99%

Postural control and fear of falling in persons with low-level paraplegia

John

Cherian²,

Babu³

2010

JRRD

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Abstract-Falls are prevalent reasons for spinal cord injury (SCI). Postinjury fear of falling (FOF) can affect rehabilitation potential. We quantified FOF in 15 men with paraplegia (ambulatory with bilateral knee-ankle-foot orthoses [KAFOs] and elbow crutches) in correlation with their postural control at the center for long-term SCI rehabilitation of a tertiary-care teaching hospital. Our outcome measures comprised the American Spinal Injury Association Impairment Scale, the Modified Falls Efficacy Scale (MFES), postural sway measurements in the anteroposterior and mediolateral directions; and walking speed, cadence, and endurance. We assessed FOF with the MFES followed by measuring postural sway with a force platform. We measured gait parameters by asking the participant to ambulate on an indoor pathway. The mean postural sway was 314.13 +/-184.05 mm (mean +/-standard deviation) in the anteroposterior direction and 222.16 +/-112.34 mm in the mediolateral direction. The MFES score was 41.29 +/-12.77, which showed a statistically significant negative correlation with postural control. The self-perception of confidence as measured by MFES might not really represent the actual postural stability in individuals with low-level paraplegia. FOF can adversely affect the postural control of individuals with low-level paraplegia. Clinicians should consider FOF as an influential factor in postural control during rehabilitation.

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Physical and Psychosocial Correlates of Fear of Falling Among Older Adults in Assisted Living Facilities

Cited by 50 publications

References 31 publications

The Impact of Osteoporosis, Falls, Fear of Falling, and Efficacy Expectations on Exercise Among Community-Dwelling Older Adults

The Impact of Osteoporosis, Falls, Fear of Falling, and Efficacy Expectations on Exercise Among Community-Dwelling Older Adults

Fear of Falling and Balance Ability in Older Men: The Priest Study

Postural control and fear of falling in persons with low-level paraplegia

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