The effect that the Otago Exercise Programme had on fear of falling in community dwellers aged 65-80 and associated factors

Fear of falling (FOF) diminishes older people’s independence in daily activities, as well as causes serious health and economic consequences. This study examined the prevalence of FOF in older patients hospitalized due to fall-injuries, its effect on health-related quality of life (HRQOL), and its associated factors. We conducted a cross-sectional study in seven hospitals in Thai Binh, Vietnam. FOF was assessed using a single close-ended question. HRQOL was evaluated by the EQ-5D-5L instrument. Multilevel logistic regression and Tobit regression models were utilized. The prevalence of FOF in 405 older patients admitted to hospitals after fall injuries was 88.2%, with a mean EQ-5D index and EQ-VAS of 0.34 (SD = 0.38) and 61.6 (SD = 15.2), respectively. Factors associated with FOF included living alone (OR = 0.13, 95%CI = 0.04; 0.50.,), history of eye diseases (OR = 4.12; 95%CI = 1.91; 8.89), and experiencing psychological distress (OR= 3.56, 95% CI = 1.05; 12.00). After adjusting for confounders, the EQ-5D index in the FOF group reduced by 0.15 points (Coef. = −0.15; 95%CI= −0.24; −0.05) compared to that of non-FOF group. Our study shows that FOF had an independent negative relationship with HRQOL of patients. Improving knowledge about fall prevention in patients and caregivers could reduce the burden of falls in older people.

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Fall History and Associated Factors Among Adults Living With HIV-1 in the Cape Winelands, South Africa: An Exploratory Investigation

Open Forum Infectious Diseases ◽

10.1093/ofid/ofz401 ◽

2019 ◽

Vol 6 (10) ◽

Cited By ~ 1

Author(s):

Karina Berner ◽

Hans Strijdom ◽

M Faadiel Essop ◽

Ingrid Webster ◽

Linzette Morris ◽

...

Keyword(s):

South African ◽

Physical Performance ◽

Bone Quality ◽

Associated Factors ◽

Fear Of Falling ◽

Predisposing Factors ◽

Western Cape ◽

Balance Performance ◽

Mineral Density ◽

Hiv 1

Abstract Background People with HIV-1 (PWH) exhibit a high fall incidence and increased fracture risk. As little is known about fall frequency and associated factors in PWH residing in lower-middle-income countries (LMIC), we investigated fall frequency, bone quality, and factors associated with fall history in a South African cohort. Methods Fifty PWH without obvious predisposing factors for mobility impairments attending 2 public primary care clinics in the Western Cape region participated. Demographic, clinical, and physical performance data were collected. Falls were assessed retrospectively over 12 months. Mobility and balance were evaluated using a physical performance battery. Bone mineral density was screened using quantitative ultrasound (QUS). Associations between variables and falls grouping were analyzed using chi-square tests, t tests, and Mann-Whitney U tests, and effect sizes (ES) were calculated. Results Thirty-four percent of PWH (median age, 36.6 years) reported falling during the past year, and 41.2% of fallers reported multiple falls. Fallers had more mobility problems (P = .013), higher fear of falling (P = .007), higher fracture history (P = .003), worse balance performance (P < .001), higher proportions of detectable viral loads (P = .021), and poorer bone quality (P = .040). Differences were of medium to large ES. Conclusions This exploratory study is the first to show that relatively young South African PWH without obvious predisposing factors for gait and balance impairments experience falls. The observed fall-associated factors warrant further research using larger samples and longitudinal designs to ascertain fall predictors within this population.

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Fear of falling and associated factors among patients with peripheral vestibular hypofunction

Journal of Exercise Rehabilitation ◽

10.12965/jer.2040094.047 ◽

2020 ◽

Vol 16 (2) ◽

pp. 162-167

Author(s):

Hee Seung Song ◽

Hyun Jung Lee

Keyword(s):

Associated Factors ◽

Fear Of Falling ◽

Vestibular Hypofunction

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AB0353 Associated factors for falls and fear of falling in ambulatory patients with rheumatoid arthritis: a comparative study with healthy subjects

10.1136/annrheumdis-2017-eular.2888 ◽

2017 ◽

Author(s):

A Yesim ◽

Y Ulus ◽

T Berna ◽

L Tomak ◽

Y Zahiroglu ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Comparative Study ◽

Healthy Subjects ◽

Associated Factors ◽

Fear Of Falling ◽

Ambulatory Patients

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Falls, fear of falling, and associated factors in ambulatory patients with rheumatoid arthritis: A comparative study with healthy controls

Turkish Journal of Physical Medicine and Rehabilitation ◽

10.5606/tftrd.2018.1687 ◽

2018 ◽

Vol 64 (3) ◽

pp. 213-221 ◽

Cited By ~ 1

Author(s):

Yeşim Akyol

Keyword(s):

Rheumatoid Arthritis ◽

Comparative Study ◽

Associated Factors ◽

Fear Of Falling ◽

Healthy Controls ◽

Ambulatory Patients

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‘We got more than we expected.’ Older people’s experiences of falls-prevention exercise interventions and implications for practice; a qualitative study

Primary Health Care Research & Development ◽

10.1017/s1463423619000379 ◽

2019 ◽

Vol 20 ◽

Author(s):

Natasher Lafond ◽

Asiya Maula ◽

Steve Iliffe ◽

Kavita Vedhara ◽

Sarah Audsley ◽

...

Keyword(s):

Older Adults ◽

Fear Of Falling ◽

Controlled Trial ◽

Well Being ◽

Target Population ◽

Exercise Programme ◽

Falls Prevention ◽

Exercise Interventions ◽

Exercise Programmes ◽

Randomised Controlled

Abstract Aim: To explore the experiences of older adults participating in strength and balance exercise programmes and understand participants’ rationale for programme uptake and completion. Background: Regular physical activity, specifically strength and balance exercises, has been shown to improve health and well-being and reduce the risk of falling in older adults. With the number of people living into older age increasing, understanding older people’s experiences of strength and balance programmes and what encourages their take-up and completion is extremely important. This paper reports on the qualitative experiences of older adults that previously participated in ProAct65+, a randomised controlled trial of Falls Management Exercise (FaME) programme and Otago Exercise Programme (OEP) versus usual care. Methods: Ten general practices in Nottinghamshire and Derbyshire, England, who participated in the ProAct65+ trial were approached to take part. Using maximum variation sampling (age, gender, falls history, fear of falling and trial arm) we recruited, via the practices, 30 people that had participated in the FaME (n = 15) or OEP (n = 15) trial arms. Participants were interviewed in their own homes. Interviews were audio-recorded, transcribed verbatim and thematically analysed. Findings: We identified five themes: choice of exercise programme; commitment, discipline and motivation; benchmarking, feedback and monitoring; benefits of the exercise programmes and reactions to the end of the programmes. There were four sub-themes within the benefits theme: pleasure and boredom, social interaction and isolation, physical benefits, and knowledge and understanding. This study has outlined the experiences and identified specific barriers and facilitators to uptake and completion of falls-prevention exercises by older adults. The perspective and experiences of these participants is important if programmes are to be designed to meet the needs of the target population. Insights from this study will enable commissioners to develop and provide appropriate falls-prevention exercise programmes that encourage high uptake and programme completion.

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