Fear of falling and changed functional ability following hip fracture among community-dwelling elderly people: an explanatory sequential mixed method study

Background and Purpose. The fear of falling can have detrimental effects on physical function in the elderly population, but the relationship between a persons' confidence in the ability to maintain balance and actual balance ability and functional mobility is not known. The extent to which balance confidence can be explained by balance performance, functional mobility, and sociodemographic, psychosocial, and health-related factors was the focus of this study. Subjects. The subjects were 50 community-dwelling elderly people, aged 65 to 95 years (X̄=81.7, SD=6.7). Methods. Balance was measured using the Berg Balance Scale. Functional mobility was measured using the Timed Up & Go Test. The Activities-specific Balance Scale was used to assess balance confidence. Data were analyzed using Pearson correlation, multiple regression analysis, and t tests. Results. Fifty-seven percent of the variance in balance confidence could be explained by balance performance. Functional mobility and subject characteristics examined in this study did not contribute to balance confidence. Discussion and Conclusion. Balance performance alone is a strong determinant of balance confidence in community-dwelling elderly people.

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The relationship between physical fitness and falling risk and fear of falling in community-dwelling elderly people with different physical activity levels

TURKISH JOURNAL OF MEDICAL SCIENCES ◽

10.3906/sag-1511-101 ◽

2017 ◽

Vol 47 ◽

pp. 455-462 ◽

Cited By ~ 8

Author(s):

Mehmet DURAY ◽

Arzu GENÇ

Keyword(s):

Physical Activity ◽

Physical Fitness ◽

Elderly People ◽

Fear Of Falling ◽

Community Dwelling ◽

Activity Levels ◽

Physical Activity Levels ◽

Falling Risk ◽

The Relationship

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Dependency in elderly people newly diagnosed with cancer – A mixed-method study

European Journal of Oncology Nursing ◽

10.1016/j.ejon.2011.04.011 ◽

2012 ◽

Vol 16 (2) ◽

pp. 137-144 ◽

Cited By ~ 12

Author(s):

Bente Appel Esbensen ◽

Bibbi Thomé ◽

Thordis Thomsen

Keyword(s):

Elderly People ◽

Mixed Method ◽

Mixed Method Study ◽

Newly Diagnosed

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A new measure of fear of falling: psychometric properties of the fear of falling questionnaire revised (FFQ-R)

International Psychogeriatrics ◽

10.1017/s1041610214001434 ◽

2014 ◽

Vol 27 (7) ◽

pp. 1121-1133 ◽

Cited By ~ 10

Author(s):

Emily S. Bower ◽

Julie Loebach Wetherell ◽

C. Caroline Merz ◽

Andrew J. Petkus ◽

Vanessa L. Malcarne ◽

...

Keyword(s):

Older Adults ◽

Hip Fracture ◽

Psychometric Properties ◽

Self Efficacy ◽

Fear Of Falling ◽

Community Dwelling ◽

Self Report ◽

Fracture Group ◽

Retest Reliability ◽

Test Retest Reliability

ABSTRACTBackground:Although fear of falling is prevalent among older adults recovering from hip fracture, current instruments are inadequate due to focus on specific situations and measurement of self-efficacy rather than fear.Methods:The authors revised and tested a form of the Fear of Falling Questionnaire with three groups of older adults: 405 recovering from hip fracture, 89 healthy community dwelling, and 42 with severe fear of falling. Test-retest reliability was evaluated in a subsample of 16 hip fracture patients. Internal consistency was compared across all groups. Construct validity was established through factor analysis, convergent validity with a measure of fall-related self-efficacy, and discriminant validity with measures of depression and affect.Results:A revised two-factor, six-item scale appears to have adequate psychometric properties. Scores were lower in the healthy comparison group relative to the hip fracture and fear of falling groups. Cronbach's α ranged from 0.72–0.83, with test-retest reliability of 0.82. Correlations with a measure of fall-related self-efficacy were moderate for the hip fracture group (0.42) and high with the healthy comparison (0.68) and fear of falling (0.70) groups. Correlations with depression and negative and positive affect were low to moderate.Conclusions:The Fear of Falling Questionnaire – Revised shows promise as a self-report measure of fear of falling, and is one of the first to be tested in older adults recovering from hip fracture. Advantages are that it is global rather than situation-specific and measures fear rather than self-efficacy. Future research on this scale is recommended in other older adult samples for whom fear of falling is relevant.

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User Acceptance of Wrist-Worn Activity Trackers Among Community-Dwelling Older Adults: Mixed Method Study

JMIR mhealth and uhealth ◽

10.2196/mhealth.8211 ◽

2017 ◽

Vol 5 (11) ◽

pp. e173 ◽

Cited By ~ 56

Author(s):

Arjun Puri ◽

Ben Kim ◽

Olivier Nguyen ◽

Paul Stolee ◽

James Tung ◽

...

Keyword(s):

Older Adults ◽

Mixed Method ◽

User Acceptance ◽

Community Dwelling ◽

Mixed Method Study ◽

Activity Trackers ◽

Community Dwelling Older Adults

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Gender Differences in Predictive Factors of Older Adults’ IADL Recovery Following Hip Fracture

Innovation in Aging ◽

10.1093/geroni/igaa057.957 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 299-299

Author(s):

Elise Colancecco ◽

Ann Kolanowski ◽

Vernon Chinchilli

Keyword(s):

Older Adults ◽

Gender Differences ◽

Hip Fracture ◽

Predictive Factors ◽

Fear Of Falling ◽

Secondary Analysis ◽

Cognitive Status ◽

Community Dwelling ◽

Complication Rates ◽

Comorbidity Burden

Abstract After hip fracture, older adults experience poor functional outcomes including a lack of IADL recovery. Gender differences exist in risk, incidence, mortality, and complication rates; yet, analyses of predictive factors of IADL especially by gender are often not conducted. The purpose of this study was to investigate gender differences in predictive factors of IADL recovery for older adults at two and six months following hip fracture. This secondary analysis used data (n=326 with IADL of n=399) the Baltimore Hip Studies (BHS-7 cohort). Participants were >65 years of age and community-dwelling. Men were sequentially enrolled; women were frequency-matched. Data analysis required building a shared parameter model was built that incorporated an ordinal logistic regression within a generalized linear mixed-effects model, in conjunction with a time-to-event hazards regression model for the time to death or withdrawal. Predictive factors included: age, race, marital status, and comorbidities; physical function; cognitive status (3MS); and psychosocial function (depression [CES-D], resilience, fear of falling, social participation, and perceived health status. Results indicated that higher age (OR 1.1 95% CI 1.05, 1.15, p< .01), greater comorbidity burden (OR 1.31 95% CI 1.08, 1.6, p < .01), poorer baseline Lower Physical ADL ( OR 1.8 95% CI 1.54, 2.15, p< .01), better cognitive function (OR 0.95 95% CI 0.9, 1; p= 0.047) and poorer LPADL recovery (OR 1.27 95% CI 1.07, 1.5, p< .05) significantly impacted IADL recovery. The stratified (by gender) model was not as strong as the full model, but did indicate some gender differences may exist.

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