Falls efficacy: The self-efficacy concept for falls prevention and management

Soh, Shawn Leng-Hsien

doi:10.3389/fpsyg.2022.1011285

Cited by 4 publications

(7 citation statements)

References 41 publications

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“…The MFES is a highly validated fear of falling assessment tool 4) . Previous studies of hospitalized older adult participants have reported that the lower the score 2) , the higher the likelihood of falling 7) . However, the characteristics of fear of falling that are associated with falls have not been clarified to date.…”

Section: Introductionmentioning

confidence: 93%

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Characteristics of falls and their fear in older adults requiring long-term care

Yin,

Sawaya,

Sato

et al. 2023

J Phys Ther Sci

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Older adults requiring long-term care have a higher rate of falls than older adults who do not. This study aimed to examine the relationship between falls and fear of falling and their characteristics from the perspective of older adults requiring long-term care based on a sub-item in the Modified Falls Efficacy Scale. [Participants and Methods] This study included 51 older adults who were certified as needing long-term care. Fear of falling was measured using the Modified Falls Efficacy Scale. The Modified Falls Efficacy Scale and basic information, such as cognitive function, history of falls, level of care required, and age, were collected and analyzed based on the fall or non-fall groups.[Results] The fall and non-fall groups had 27 and 24 participants, respectively. Comparisons between the groups showed significant differences in the Modified Falls Efficacy Scale scores. Binomial logistic regression analysis results showed that "crossing the street (pedestrian crossing)" was significantly associated with falls (odds ratio=0.75). [Conclusion] In this study, falls were associated with fear of falling; specifically, among the Modified Falls Efficacy Scale items, "crossing the street (pedestrian crossing)" was significantly associated with falls.

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Section: Introductionmentioning

confidence: 93%

“…The Modified Falls Efficacy Scale (MFES) 2) is commonly used to assess the fear of falling. The MFES is a highly validated fear of falling assessment tool 4) .…”

Section: Introductionmentioning

confidence: 99%

Characteristics of falls and their fear in older adults requiring long-term care

Yin,

Sawaya,

Sato

et al. 2023

J Phys Ther Sci

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“…4 A recent study has concluded that falls efficacy is a wide concept that involves perceived ability to prevent and manage falls, and that applying measures for the targeted construct is helpful for the perceived capability in preventing and managing falls. 5 Users of lower limb prostheses often experience more falls and have a heightened fear of falling, with most prosthesis users reported having fallen at least once in the past year. 6,7 In another study, just over half of the participants reported having fallen in the past year, while just below half reported fear of falling.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Quantitative methods used to evaluate balance, postural control, and the fear of falling in lower limb prosthesis users: A systematic review

Johansson

Jensen

Barnett

et al. 2023

Prosthetics &Amp; Orthotics International

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Problems with balance, postural control, and fear of falling are highly prevalent in lower limb prosthesis users, with much research conducted to understand these issues. The variety of tools used to assess these concepts presents a challenge when interpreting research outcomes. This systematic review aimed to provide a synthesis of quantifiable methods used in the evaluation of balance, postural control, and fear of falling in lower limb prosthesis users with an amputation level at or proximal to the ankle joint. A systematic search was conducted in CINAHL, Medline, AMED, Cochrane, AgeLine, Scopus, Web of Science, Proquest, PsycINFO, PsycArticles, and PubPsych databases followed by additional manual searching via reference lists in the reviewed articles databases. Included articles used quantitative measure of balance or postural control as one of the dependent variables, lower limb prosthesis users as a sample group, and were published in a peer-reviewed journal in English. Relevant assessment questions were created by the investigators to rate the assessment methods used in the individual studies. Descriptive and summary statistics are used to synthesize the results. The search yielded (n 5 187) articles assessing balance or postural control (n 5 5487 persons in total) and (n 5 66) articles assessing fear of falling or balance confidence (n 5 7325 persons in total). The most used test to measure balance was the Berg Balance Scale and the most used test to measure fear of falling was the Activities-specific Balance Confidence scale. A large number of studies did not present if the chosen methods were valid and reliable for the lower limb prosthesis users. Among study limitations, small sample size was common.

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“…Falls are a serious concern in older adults as they can result in injuries such as fractures, head trauma, or even fatality (Iamtrakul et al, 2021;Rubenstein, 2006) even more during (Jung et al, 2023) and after COVID-19 (Briguglio et al, 2020). Therefore, it is crucial to identify and address potential fall risks to prevent injuries or fatalities (Soh, 2022). The fear of falling is a common concern among older adults, characterized by a heightened sense of apprehension regarding falls and their consequences (Smith et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

A pilot study on fear and risk of fall: The impact of a 8-month multicomponent exercise program in community-dwelling aged adults

Rodrigues,

Jacinto,

Antunes

et al. 2023

Cuad. Psicol. Deporte

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Sarcopenia, characterized by the age-related decline in muscle mass and strength, has been associated with an elevated risk of falls in older adults. The objective of this study was to investigate the impact of an 8-month multicomponent exercise program in community-dwelling older adults. A comprehensive approach was employed to assess the feasibility and effectiveness of a thrice-weekly exercise intervention. Aged over 60 years, the capacity to stand and walk with or without assistive equipment, being physically inactive, having medical clearance, and living in the community were all eligibility criteria. The Timed-up and Go test and Berg Balance Scale were used to examine the risk of falling. The Fall-Efficacy Scale International was used to examine the fear of falling. The community-based exercise program involved thirty-five participants, the average age was 67.54 years (SD = 3.81) and 71% were female. Attendance rates ranged from 76% to 100% on average. There was a significant trend toward a clinically important improvement in the timed-up and go test (t = 4.66; p < 0.001; d = 0.20), berg balance scale (t = -11.20; p < 0.001; d = 1.47), and fall-efficacy scale international (t = 5.81; p < 0.001; d = 0.88). This study has provided preliminary evidence that an 8-month community-based low-cost exercise program may be effective in improving agility, and balance, and decreasing fear of falling in older people. The community-based exercise program has provided the necessary data to design future randomized-controlled trials that can be implemented in the community in an ecologically feasible manner. Este estudio tuvo como objetivo examinar el impacto del efecto de un programa de ejercicio de componentes múltiples de 8 meses en adultos mayores que viven en la comunidad. Utilizamos una estrategia inclusiva para examinar la viabilidad de un programa de ejercicio de tres veces por semana. Tener más de 60 años, la capacidad de pararse y caminar con o sin equipo de asistencia, ser físicamente inactivo, autorización médica y vivir en la comunidad fueron todos los criterios de elegibilidad. Se utilizaron la prueba Timed-up and Go y la Berg Balance Scale para examinar el riesgo de caídas. Se utilizó la Fall-Efficacy Scale International para examinar el miedo a las caídas. El programa de ejercicio basado en la comunidad involucró a treinta y cinco participantes, la edad promedio fue de 67.54 años (SD = 3.81) y el 71% eran mujeres. Las tasas de asistencia variaron de 76% a 100% en promedio. Hubo una tendencia significativa hacia una mejora clínicamente importante en el timed-up and go test (t = 4.66; p < .001; d = 0.20), escala de equilibrio de Berg (t = -11.20; p < .001; d = 1.47) y escala internacional de eficacia contra caídas (t = 5.81; p < .001; d = 0.88). Este estudio ha proporcionado evidencia preliminar de que un programa de ejercicio de bajo costo basado en la comunidad de 8 meses puede ser efectivo para mejorar la agilidad, el equilibrio y disminuir el miedo a caerse en las personas mayores. A sarcopenia é a perda de massa e força muscular relacionada com a idade e tem sido associada a um risco aumentado de quedas em adultos mais velhos. Este estudo teve como objetivo examinar o impacto do efeito de um programa de exercício multicomponente de 8 meses em idosos residentes na comunidade. Usamos uma estratégia inclusiva para examinar a viabilidade de um programa de exercícios três vezes por semana. Idade acima de 60 anos, capacidade de ficar em pé e andar com ou sem equipamento auxiliar, ser inativo fisicamente, ter autorização médica e morar na comunidade foram todos os critérios de elegibilidade. O teste Timed-up and Go e a Escala de Equilíbrio de Berg foram usados para examinar o risco de queda. A Fall-Efficacy Scale International foi utilizada para examinar o medo de cair. O programa de exercícios comunitários envolveu trinta e cinco participantes, a idade média foi de 67,54 anos (DP = 3,81) e 71% eram do sexo feminino. As taxas de adesão variaram de 76% a 100%, em média. Houve uma tendência significativa para uma melhora clinicamente importante no timed-up and go test (t = 4,66; p < 0,001; d = 0,20), escala de equilíbrio de Berg (t = -11,20; p < 0,001; d = 1,47) e escala de eficácia de queda internacional (t = 5,81; p < 0,001; d = 0,88). Este estudo forneceu evidências preliminares de que um programa de exercícios de baixo custo baseado na comunidade de 8 meses pode ser eficaz para melhorar a agilidade, o equilíbrio e diminuir o medo de cair em idosos. O programa de exercícios forneceu os dados necessários para projetar futuros ensaios controlados randomizados que podem ser implementados na comunidade de maneira ecologicamente viável.

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Falls efficacy: The self-efficacy concept for falls prevention and management

Abstract: November CITATION Soh SLH () Falls e cacy: The self-e cacy concept for falls prevention and management.

Cited by 4 publications

References 41 publications

Characteristics of falls and their fear in older adults requiring long-term care

Characteristics of falls and their fear in older adults requiring long-term care

Quantitative methods used to evaluate balance, postural control, and the fear of falling in lower limb prosthesis users: A systematic review

A pilot study on fear and risk of fall: The impact of a 8-month multicomponent exercise program in community-dwelling aged adults

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