Gait, Balance, and Self‐efficacy in Older Black and White American Women

Rosengren, Karl S.; McAuley, Edward; Woods, Darrick; Mihalko, Shannon L.

doi:10.1111/j.1532-5415.2000.tb04738.x

Cited by 5 publications

(6 citation statements)

References 12 publications

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“…There is also evidence of the value of selfefficacy-based interventions for enhancing health behaviors in many populations, including race/ethnic minorities (Clark, 1995(Clark, , 1999De Bourdeaudhuij & Sallis, 2002;Hirai et al, 2002;Leigh & Fries, 2002;Rosengren et al, 2000). Clinicians, therefore, can use selfefficacy and outcome expectation scales to identify individuals who have low self-efficacy and outcome expectations related to exercise and then implement interventions to motivate these individuals to initiate and adhere to a regular exercise program (Resnick, 2002;Resnick, Magaziner, Orwig, & Zimmerman, 2002).…”

Section: Discussionmentioning

confidence: 97%

“…The relationship between self-efficacy and outcome expectations and a variety of behaviors has been studied in minority groups in the United States as well as in other populations throughout the world (Clark, 1995(Clark, , 1999De Bourdeaudhuij & Sallis, 2002;Hirai et al, 2002;Leigh & Fries, 2002;Rosengren, McAuley, Woods, & Mihalko, 2000). The literature has shown a consistently positive relationship among self-efficacy, outcome expectations, and related behaviors, regardless of population.…”

Section: Self-efficacy and Outcome Expectations In Minority Populationsmentioning

confidence: 94%

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Reliability and Validity of the Self-Efficacy for Exercise and Outcome Expectations for Exercise Scales with Minority Older Adults

Resnick

Luisi²,

Vogel³

et al. 2004

J Nurs Meas

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Older African Americans and Latinos tend to exercise less than older Whites and are more likely to have chronic diseases that could benefit from exercise. Measurement of self-efficacy of exercise and exercise outcome expectations in this older population is required if exercise is to be monitored carefully and enhanced in this population. The purpose of this study was to test the reliability and validity of the Self-Efficacy for Exercise Scale (SEE) and Outcome Expectations for Exercise Scale (OEE) in a sample of African American and Latino older adults. A total of 166 individuals, 32 males (19%) and 134 females (81%) with an average age of 72.8 +/- 8.4 years participated in the study. The SEE and OEE scales were completed using face-to-face interviews. There was evidence of internal consistency for both scales with alphas of .89 and .90 for the SEE scale and .72 and .88 for the OEE scale. There was some evidence of validity for both scales based on confirmatory factor analysis and hypothesis testing, because factor loadings were greater than .50 in all but two items in the OEE, and there were significant relationships between self-efficacy and outcome expectations and exercise behavior at all testing time-points. The measurement models showed a fair fit of the data to the models. The study provided some evidence for the reliability and validity of the SEE and OEE when used with minority older adults, and it provides some guidelines for future scale revisions and use.

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Section: Discussionmentioning

confidence: 97%

Section: Self-efficacy and Outcome Expectations In Minority Populationsmentioning

confidence: 94%

Reliability and Validity of the Self-Efficacy for Exercise and Outcome Expectations for Exercise Scales with Minority Older Adults

Resnick

Luisi²,

Vogel³

et al. 2004

J Nurs Meas

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“…For example, Wilson et al (2005) suggested that fear for falling may present differently in middle-aged African Americans compared to other racial or ethnic groups. In addition, Rosengren found that older African American women demonstrate higher falls efficacy than age- and activity-matched white women despite demonstrating the same degree of balance and slower walking speeds (Rosengren, McAuley, Woods, & Mihalko, 2000). …”

Section: Discussionmentioning

confidence: 99%

Falls efficacy and self-rated health in older African American adults

Tiernan¹,

Lysack²,

Neufeld³

et al. 2014

Archives of Gerontology and Geriatrics

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Fear of falling and mobility restrictions have a significant negative impact on the quality of life of older adults. Because older African American adults are at increased risk for various modifiable health problems, understanding potential constraints on their overall health and mobility is critical in this population. The current study investigated this issue by analyzing a dataset of 449 older African American adults (mean age = 72.3 years) living in Detroit. We characterized and investigated the relationships among the following falls- and health-related variables: previous falls, falls efficacy, mobility, self-rated health (SRH), and depression and well-being. As a whole, participants reported moderate health and well-being, little depression, few mobility problems (mean = 8.4/40), and very high falls efficacy (mean = 94.9/100) despite the fact that a quarter of the sample experienced a fall within the past year. Correlation results indicated that previous falls, falls efficacy, mobility, SRH and depression and well-being were all inter-related. Regression analyses revealed that higher falls efficacy was more closely associated with better SRH than was having previously fallen. Findings suggest that improving falls efficacy in older African American adults may be beneficial to their mobility and overall health and well-being. Further, by asking a single-item SRH question, clinicians may be able to quickly identify older African American adults who have low falls efficacy and are at high risk for falling.

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“…W ORRY that one might fall is a serious and common concern among older adults (1,2) regardless of whether it is measured as a general fear that one might fall (denoted ''fear of falling'' in this article) or a lack of confidence that one can perform activities without falling (denoted ''falls efficacy'') (2)(3)(4). Reported prevalence in the community of fear of falling or low falls efficacy ranges from 12% to 65% in adults older than 60 years, and fear of falling occurs frequently in the absence of a recent fall (2,(4)(5)(6)(7).…”

mentioning

confidence: 99%

“…Although there are some data about the prevalence of these phenomena at the population level (6,7,14,15), more studies are needed among minority populations-such as African Americansas available evidence highlights the existence of significant differences, which may have important clinical and therapeutic implications. For example, one recent study (3) demonstrated that the expression of fear of falling and falls efficacy and their relationships to other falls-related factors differ between African-American and white women. Compared to age-and activity-matched white women, older African-American women had higher self-efficacy and comparable balance performance but slower gait speeds.…”

mentioning

confidence: 99%

Fear of Falling and Related Activity Restriction Among Middle-Aged African Americans

Wilson¹,

Miller²,

Andresen³

et al. 2005

The Journals of Gerontology Series A: Biological Sciences and M

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In this population-based sample of 49- to 65-year-old African Americans, fear of falling and fear-related activity restriction were surprisingly common and not well explained by prior falls or low falls efficacy. These phenomena were already evident by age 49-55. Further study is warranted, including detailed qualitative investigations examining the timing, precursors, and consequences of fear of falling and fear-related activity restriction in minority and majority populations.

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Gait, Balance, and Self‐efficacy in Older Black and White American Women

Cited by 5 publications

References 12 publications

Reliability and Validity of the Self-Efficacy for Exercise and Outcome Expectations for Exercise Scales with Minority Older Adults

Reliability and Validity of the Self-Efficacy for Exercise and Outcome Expectations for Exercise Scales with Minority Older Adults

Falls efficacy and self-rated health in older African American adults

Fear of Falling and Related Activity Restriction Among Middle-Aged African Americans

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