Fall-Related Self-efficacy in Instrumental Activities of Daily Living is Associated with Falls in Older Community-Living People
Abstract
Introduction: The aim of this study was to identify fall risk factors in community-living people 75 years or older. Methods: From a random selection of 525 older adults, a total of 378 (72%) individuals participated in the study. Mean age was 81.7 years (range 75–101 years). A study-specific questionnaire including self-reported fall history for the past 6 months, the Falls-Efficacy Scale (Swedish version: FES(S)) and EuroQol 5 Dimensions (EQ5D) was used. Logistic regression analysis was conducted to find risk factors for falls. Results: The strongest significant predictor of falls was scoring low on FES(S) in instrumental activities of daily living (IADL), with an odds ratio of 7.89 (95% confidence interval 2.93–21.25). One fifth had experienced one or more falls during the past 6 months. Both fall-related self-efficacy and health-related quality of life were significantly lower among fallers. Conclusion: Our results imply that identifying community-living older adults with an increased risk of falling should include a measure of fall-related self-efficacy in IADL.
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Measurement of ADLs allows conclusions about physical and cognitive status, provides information about frailty, and allows predictions about risk of falling.
“The measurement of ADLs allows conclusions to be drawn about the physical and cognitive status, provides information about frailty, and allows predictions about the risk of falling ( (Nourhashemi et al. 2001), (Hellström et al. 2013), (Tinetti et al. 1994)).”
From Advanced Sensing and Human Activity Recognition in Early Intervention and Rehabilitation of Elderly People (2020) · cites this paper as Hellström et al. 2013
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References 35 · Cited by 17
- Authors
- Hellström, K., Sandström, M., Heideken Wågert, P., Sandborgh, M., Söderlund, A., Thors Adolfsson, E., & Johansson, A.-C.
- Affiliations
- Uppsala University (SE)
- Corresponding author
- Hellström, Karin
- Venue
- Physical & Occupational Therapy In Geriatrics
- Publisher
- Informa UK Limited
- Published
- 2013-05-24
- Volume
- 31
- Issue
- 2
- Pages
- 128-139
- ISSN
- 0270-3181 (ISSN-L)
- 1541-3152
- OpenAlex
- W2126443701
- Cited by
- 17
- References
- 35
- Citations by year
- 2022: 1 · 2021: 2 · 2020: 4 · 2019: 3 · 2018: 2 · 2017: 2 · 2016: 2 · 2015: 1
- FWCI
- 2.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Physical & Occupational Therapy In Geriatrics (publishedVersion)
- Funders
- Uppsala Universitet
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Medicine › Surgery › Hip and Femur Fractures
- Keywords
- fall-related self-efficacy, instrumental activities of daily living, falls in older adults, fall risk factors, community-dwelling older adults, health-related quality of life, Falls Efficacy Scale, fall prevention
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