Fear of Falling Avoidance Behavior Assessment and Intervention in Parkinson’s Disease: A Scoping Review

Rider, John V.; Longhurst, Jason; Lekhak, Nirmala; Young, Daniel L.; Landers, Merrill R.

doi:10.2147/jprls.s350890

Cited by 7 publications

(7 citation statements)

References 52 publications

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“…FFAB is gaining attention in the literature as a substantial concern and a potentially modifiable risk factor in preventing falls and increasing the quality of life among individuals with PD. [8][9][10][11][12] However, the relationship between FFAB and falling is complex and more research is needed.…”

Section: Introductionmentioning

confidence: 99%

Psychological Factors Associated With Fear of Falling Avoidance Behavior in Parkinson’s Disease: The Role of Depression, Anxiety, and Catastrophizing

Rider

Longhurst

Lekhak

et al. 2022

J Geriatr Psychiatry Neurol

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Purpose The purpose of this study was to examine the relationship between psychological factors (depression, anxiety, and catastrophizing) and fear of falling avoidance behavior (FFAB) among individuals with Parkinson’s disease (PD). Methods A secondary analysis of cross-sectional data from 59 individuals with PD using hierarchical multiple regression. Results Disease severity (Movement Disorder Society - Unified PD Rating Scale) and catastrophizing (Consequences of Falling Questionnaire (CoF)) explained approximately 48.2% of the variance in the FFAB Questionnaire scores ( P < .001). Catastrophizing was the only significant psychological variable ( P < .001). The damage to identity subscale of the CoF was significant in the final model ( P < .001). Conclusions Catastrophizing about the consequences of falls explained the largest portion of variability in FFAB after controlling for disease severity. Catastrophizing about the immediate consequences of falling may play a prominent role in FFAB and may be a potential treatment target for mitigating FFAB.

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Section: Introductionmentioning

confidence: 99%

Psychological Factors Associated With Fear of Falling Avoidance Behavior in Parkinson’s Disease: The Role of Depression, Anxiety, and Catastrophizing

Rider

Longhurst

Lekhak

et al. 2022

J Geriatr Psychiatry Neurol

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“…FFAB is complex and multifactorial, and rehabilitation clinicians should seek to understand how individuals with PD make decisions about activity engagement and fall risk to better co-design targeted interventions based on the values and priorities of the individual (Rider et al, 2022). If a person with PD reports avoiding activities due to FOF, they should be assessed for safety within that activity to determine if the FFAB is appropriate/adaptive or excessive/ maladaptive (Landers & Nilsson, 2022).…”

Section: Discussionmentioning

confidence: 99%

“…If a person with PD reports avoiding activities due to FOF, they should be assessed for safety within that activity to determine if the FFAB is appropriate/adaptive or excessive/ maladaptive (Landers & Nilsson, 2022). Evaluation and treatment should begin in the early stages of PD (Rider et al, 2022). Clinicians should help individuals with PD determine what level of risk is acceptable to balance fall risk, activity engagement, and quality of life appropriately.…”

Section: Discussionmentioning

confidence: 99%

“…Fear of falling (FOF) may develop as a direct consequence of a fall; however, it may also emerge without any history of falls (Howland et al, 1993). Individuals with PD and FOF may begin to avoid activities perceived to put them at risk of a fall, leading to fear of falling avoidance behavior (FFAB) and decreased participation in daily activities (Landers et al, 2011; Rider et al, 2022). FFAB has been shown to be a significant predictor of falls and related to fall history among individuals with PD (Kader et al, 2016; Landers et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

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Fear of Falling Avoidance Behavior in Parkinson’s Disease: Most Frequently Avoided Activities

Rider

Longhurst

Navalta

et al. 2022

OTJR: Occupation, Participation and Health

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Background: Fear of falling avoidance behavior (FFAB) is common in Parkinson’s disease (PD). Objectives: The objectives of the study are to determine what activities are most avoided due to FFAB among people with PD and whether any associations exist with demographic factors or fall history. Method: Cross-sectional analysis of 174 individuals with PD using the Modified FFAB Questionnaire. Results: Walking in dimly lit, unfamiliar places, and different surfaces, lifting and carrying objects, walking in crowded places, recreational/leisure activities, and going up/downstairs were most avoided. Fallers reported more FFAB ( ps < .029). FFAB for certain activities was associated with increased or decreased odds of falling. Conclusion: Individuals with PD avoid walking in compromised situations and engaging in recreational/leisure activities due to FFAB. While excessive FFAB may increase the odds of falling, protective forms may be associated with decreased odds. Targeting FFAB among individuals with PD may increase safe participation in meaningful occupations in the home and community.

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“…Despite extensive work on FoF, 1 2 14 15 there has not been a holistic inquiry into mapping FoF studies and research interest areas, except for very limited inquiries. 16 Some extensive research has been done on separate domains of FoF with systematic reviews, such as on Parkinson’s disease, 17 diabetes, 18 joint arthroplasty, 19 psychosocial responses 20 and common interventions. 21 However, there has never been an overarching review gauging the extent and range of research activity on FoF, partly because of the enormity of the task (almost a thousand research papers on FoF exist these days).…”

Section: Introductionmentioning

confidence: 99%

Fear of falling: scoping review and topic analysis protocol

Kolpashnikova

Desai

2023

BMJ Open

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IntroductionFear of falling (FoF) is a major challenge for the quality of life among older adults. Despite extensive work in previous scoping and systematic reviews on separate domains of FoF and interventions related to FoF, very little attention has been devoted to a comprehensive scoping review mapping the range and scope of this burgeoning area of study, with only a few exceptions. This scoping review aims to provide an overarching review mapping FoF research by identifying main topics, gaps in the literature and potential opportunities for bridging different strains of research on FoF. Such a comprehensive scoping review will allow the subsequent creation of an interdisciplinary theoretical and empirical framework, which may help push forward policy and practice innovations for people living with FoF.Methods and analysisFollowing the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses—Extension for Scoping Reviews (PRISMA-ScR), seven main databases will be searched from 2000 to the date of the start of the review: Cochrane Database of Systematic Reviews, CINAHL, Embase, MEDLINE, PsycInfo, Scopus and Web of Science. The review will include original research in English, published between 2000 and January 2023. Quality checks will be conducted collegially. Data will be extracted and analysed using PRISMA-ScR charting tools and conventions.Ethics and disseminationNo ethics approval is required for the review. The results will be submitted to a peer-reviewed journal and presented at academic conferences. The outcomes will be disseminated through social media, opinion pieces and science communication platforms to reach a wider audience.RegistrationThe scoping review was registered with the Open Science Framework (https://osf.io/gyzjq).

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Fear of Falling Avoidance Behavior Assessment and Intervention in Parkinson’s Disease: A Scoping Review

Cited by 7 publications

References 52 publications

Psychological Factors Associated With Fear of Falling Avoidance Behavior in Parkinson’s Disease: The Role of Depression, Anxiety, and Catastrophizing

Psychological Factors Associated With Fear of Falling Avoidance Behavior in Parkinson’s Disease: The Role of Depression, Anxiety, and Catastrophizing

Fear of Falling Avoidance Behavior in Parkinson’s Disease: Most Frequently Avoided Activities

Fear of falling: scoping review and topic analysis protocol

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