A qualitative study of older adults' facilitators, barriers, and cues to action to engage in falls prevention using health belief model constructs

Vincenzo, Jennifer L.; Patton, Susan; Lefler, Leanne L.; McElfish, Pearl A.; Wei, Jeanne Y.; Curran, Geoffrey M.

doi:10.1016/j.archger.2021.104610

Cited by 21 publications

(11 citation statements)

References 44 publications

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“…Elderly people’s cultural belief is that they have better access to information especially as it relates to their health problems. A few studies have been conducted on the link between culture influence and behavioural perception of elderly people [ 62 ]. However, similar studies are absent in Saudi Arabia where social activities are determined by a strong cultural belief system.…”

Section: Research Framework and Hypothesesmentioning

confidence: 99%

Factors influencing the elderly’s behavioural intention to use smart home technologies in Saudi Arabia

2022

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In recent years, smart home technologies have offered opportunities for elderly people to manage their daily health-related activities. Despite the advancement in smart home technology (SHT), the level of end-user acceptance among elderly people is still low. This study proposes an SHT framework by examining the determinants of elderly behavioural intention (BI) to use smart home technologies by extending the Unified Theory of Acceptance and Use of Technology (UTAUT) model. This study uses the quantitative approach to survey about 486 elderly people in Saudi Arabia, and it applies the Partial Least Square Structural Equation Model (PLS-SEM) technique to perform the data analysis. Findings reveal that culture influence and technology awareness are significant factors in determining the BI to use SHT among elderly people. The study also finds that attitude mediates the relationships between performance expectancy, effort expectancy, and behavioural intention. We find that region and education moderate the relationships between culture influence, technology awareness, and behavioural intention. This study theoretically extends the UTAUT theory by including external constructs: culture influence, technology awareness, attitude, education, and region.

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Section: Research Framework and Hypothesesmentioning

confidence: 99%

Factors influencing the elderly’s behavioural intention to use smart home technologies in Saudi Arabia

2022

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“…Thus, despite relatively small indirect effects, multimodal fall prevention strategies that address social factors may have significant absolute benefits (i.e., number of falls prevented) when combined with traditional approaches, especially for older adults with depression. Research suggests, for instance, that social support and encouragement decreases barriers to sustained engagement in fall prevention activities like exercise programs, environmental modifications, and use of adaptive tools (Bunn et al, 2008; Stevens et al, 2018; Vincenzo et al, 2022). Some existing fall prevention approaches include elements of social engagement through group-based exercise programs, by incorporating fall risk evaluation into social service delivery, through health promotion games, or by other means (Dispennette et al, 2019; Goethals et al, 2021; Greenwood-Hickman et al, 2015; Juckett et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Social Mediators of the Association Between Depression and Falls Among Older Adults

et al. 2023

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Objectives To investigate the role of social factors in the association between depression and falls among older adults. Methods The sample included data from 3443 older adults from three waves of the Health and Retirement Study (2010–2014). A Lifestyle Questionnaire was used to measure social engagement, social network contact, and neighborhood social context. Mediating effects of social factors were estimated through causal mediation analysis. Results: Poorer social engagement and network contact were associated with greater likelihood of falls, while poorer neighborhood context was associated with greater likelihood of fall injuries. Social engagement mediated a significant portion of the effect of depression on falls (OR: 1.03, 95% CI: 1.00, 1.06), and neighborhood context mediated a portion of the effect of depression on fall injuries (OR: 1.03, 95% CI: 1.00, 1.07). Discussion: The direct and indirect impacts of social factors suggest that considering them may help improve existing fall prevention approaches.

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“…Furthermore, the act of cue factor affects the mother's awareness regarding the problem of stunting. Signals for action can be internal or external [11]. These cues for action include exposure to information obtained by the mother from health workers during visits to the Public Health Center and the unsanitary health condition of the child, which makes the mother switch from formula feeding to breastfeeding.…”

Section: Mother's Awareness Regarding Stunting Problemsmentioning

confidence: 99%

Awareness, Motivation, and Intentions in Preventing Stunting in the Dry Land Area of Kupang Regency, East Nusa Tenggara Province

Marni¹,

Zulkifli²,

Thaha³

et al. 2023

IJSDP

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This study aims to determine mothers' level of awareness, motivation, and intentions in preventing stunting in dry areas that tend to be food insecure. The type of research used was qualitative, using a phenomenological approach through interviews, forum group discussions, and observations. The informants involved were 20 mothers with babies 0-23 months and 3 health workers responsible for the Kupang Regency stunting program. The mother's awareness regarding stunting prevention efforts could be seen from the mother's knowledge, action cues, and risk perception. In-depth interviews were conducted with informants regarding the mother's motivation, reflected in the mother's attitude and self-confidence in carrying out stunting prevention efforts. The results of FGDs and in-depth interviews with mothers revealed that they knew nothing about stunting and had never even heard of the term. This was similar to what health workers stated; people generally did not know the term stunting. Actions to prevent stunting in the form of breastfeeding revealed that they act to provide breast milk to children which is part of efforts to prevent stunting due to encouragement from health workers and also families. The mother's intention to make efforts to prevent stunting properly is by doing a number of things, including providing nutritious food, routinely checking children at the Puskesmas and taking good care of them. The conclusion is mother's awareness regarding stunting prevention efforts, judging from the variety of mothers' knowledge, some have never heard of the term stunting, some know the term stunting but don't know what it means. Their cues to act were obtained from health workers and their families. Perceptions of risks related to stunting in children, mothers consider it not a problem.

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A qualitative study of older adults' facilitators, barriers, and cues to action to engage in falls prevention using health belief model constructs

Cited by 21 publications

References 44 publications

Factors influencing the elderly’s behavioural intention to use smart home technologies in Saudi Arabia

Factors influencing the elderly’s behavioural intention to use smart home technologies in Saudi Arabia

Social Mediators of the Association Between Depression and Falls Among Older Adults

Awareness, Motivation, and Intentions in Preventing Stunting in the Dry Land Area of Kupang Regency, East Nusa Tenggara Province

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