Fall-Related Activity Avoidance among Persons with Late Effects of Polio and Its Influence on Daily Life: A Mixed-Methods Study

Falls are common among persons with late effects of polio (LEoP), which may lead to fear of falling and activity avoidance in everyday life. Here, we assessed the occurrence of fall-related activity avoidance among persons with LEoP and explored how these experiences influenced daily life. Fourteen ambulatory persons (seven women; mean age 70 years) with LEoP participated. They responded to the modified Survey of Activities and Fear of Falling in the Elderly (mSAFFE) and participated in individual interviews, which were analysed by systematic text condensation. Each quotation was deductively analysed from its representation with regard to mSAFFE. We found that many persons often avoided activities related to standing and walking, for example, taking a bath, performing household chores, walking outdoors, attending social events if there were stairs in the building and travelling by public transport, due to fear of falling, increased pain and fatigability. To facilitate the performance of daily activities participants expressed that strategic thinking and aids were important to use. In conclusion, fall-related activity avoidance is common in persons with LEoP, which negatively influence daily life and social participation. To increase daily functioning in this population, fall-related activity avoidance should be included in a multifaceted fall management program.

Download Full-text

The reliability and validity of the Survey of Activities and Fear of Falling in the Elderly for assessing fear and activity avoidance among stroke survivors

PLoS ONE ◽

10.1371/journal.pone.0214796 ◽

2019 ◽

Vol 14 (4) ◽

pp. e0214796

Author(s):

Tai-Wa Liu ◽

Shamay S. M. Ng

Keyword(s):

Fear Of Falling ◽

Reliability And Validity ◽

The Elderly ◽

Stroke Survivors ◽

Activity Avoidance

Download Full-text

Exploring Fear of Falling Related Activity Avoidance among Postmenopausal Women

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18084042 ◽

2021 ◽

Vol 18 (8) ◽

pp. 4042

Author(s):

Sukhee Ahn ◽

Rhayun Song

Keyword(s):

Postmenopausal Women ◽

Urban Areas ◽

Fear Of Falling ◽

Secondary Analysis ◽

Related Activity ◽

Activity Avoidance ◽

Level Of Activity ◽

Convenience Sampling ◽

Original Survey ◽

Structured Questionnaire

Fear of falling was associated with activity avoidance and subsequent reduction of functioning capacity in postmenopausal women. This study aimed to determine the influencing factors for fear-of-falling related activity avoidance in Korean postmenopausal women. The sample of 687 postmenopausal women living in six urban areas was recruited using stratified convenience sampling for the original survey. A secondary analysis was applied to survey data from 541 postmenopausal women aged 50–64 years who experienced some degree of fear of falling. A structured questionnaire was administered to measure fear of falling, fall efficacy, and activity avoidance. Among 541 postmenopausal women with a mean age of 56 years who perceived at least some fear of falling, 15% (n = 81) reported they avoided performing some, not all, activities of daily living due to fear of falling. Fear of falling was significantly associated with the level of activity avoidance (χ2 = 16.94, p < 0.001). In multivariate analyses, fear of falling and fall efficacy were significant predictors of activity avoidance in postmenopausal women after adjusting for age, education level, and chronic disease. Fear of falling and fall efficacy contributed independently to explain activity avoidance in postmenopausal women. It is important to identify fear of falling and activity avoidance as the focus of public health in order to prevent the vicious cycle of future falls.

Download Full-text

Influências da sobrecarga no cônjuge do cuidador do idoso fragilizado

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963-v12i3a25349p658-664-2018 ◽

2018 ◽

Vol 12 (3) ◽

pp. 658

Author(s):

Hayzza Juliana Lopes Velasco ◽

Rafaely De Cassia Nogueira Sanches ◽

Cremilde Aparecida Trindade Radovanovic ◽

Ligia Carreira ◽

Maria Aparecida Salci

Keyword(s):

Frail Elderly ◽

Social Life ◽

Daily Life ◽

Family Relations ◽

Leisure Activities ◽

Well Being ◽

The Elderly ◽

Family Roles ◽

Individual Interviews ◽

The Family

RESUMOObjetivo: investigar as influências da sobrecarga no cônjuge do cuidador do idoso fragilizado. Método: estudo qualitativo, realizado com dez cônjuges de cuidadores de idosos fragilizados, por meio de entrevistas abertas e individuais no domicílio. A análise dos dados foi subsidiada pela técnica de Análise de Conteúdo, na modalidade Análise Temática. Resultados: identificaram-se diversas alterações no cotidiano familiar, com destaque para a perda da liberdade, que provocou alterações na vida social, com interrupções das atividades de lazer; alterações nos relacionamentos conjugal e com os filhos compreendidas pela falta de atenção que o cuidador do idoso consegue dispensar a essas pessoas no dia a dia da vida em família e apontamentos a aspectos negativos e positivos dessa relação. Conclusão: mesmo com todas as mudanças ocorridas na organização familiar, os cônjuges conseguiram promover um realinhamento dos papéis familiares para o bem-estar de todos os integrantes da família. Descritores: Saúde do Idoso; Envelhecimento; Família; Relações Familiares; Cuidadores; Cônjuges. ABSTRACT Objective: to investigate the influence of overload on the caregiver's spouse of the frail elderly. Method: a qualitative study, carried out with ten spouses of caregivers of frail elderly, through open and individual interviews at home. The analysis of the data was subsidized by the technique of Content Analysis, in the modality Thematic Analysis. Results: several changes were identified in family daily life, especially the loss of freedom, which caused alterations in social life, with interruptions of leisure activities; changes in marital and child relationships understood by the lack of attention that the elderly caregiver can give to these people in the daily life of the family and notes to the negative and positive aspects of this relationship. Conclusion: even with all the changes that occurred in the family organization, the spouses were able to promote a realignment of family roles for the well-being of all family members. Descriptors: Health for the Elderly; Aging; Family; Family Relations; Caregivers; Spouses.RESUMEN Objetivo: investigar las influencias de la sobrecarga en el cónyuge del cuidador del anciano fragilizado. Método: estudio cualitativo, realizado con diez cónyuges de cuidadores de ancianos fragilizados, por medio de entrevistas abiertas e individuales en el domicilio. El análisis de los datos fue subsidiada por la técnica de Análisis de Contenido en la modalidad Análisis Temático. Resultados: se identificaron diversas alteraciones en el cotidiano familiar, con destaque para la pérdida de la libertad, que provocó alteraciones en la vida social, con interrupciones de las actividades de ocio; cambios en las relaciones conyugales y con los hijos, comprendidas por la falta de atención que el cuidador del anciano logra dispensar a esas personas en el día a día de la vida en familia; y, apuntes a aspectos negativos y positivos de esa relación. Conclusión: incluso con todos los cambios ocurridos en la organización familiar, los cónyuges lograron promover un realineamiento de los papeles familiares, para el bienestar de todos los integrantes de la familia. Descriptores: Salud del Anciano; Envejecimiento; Familia; Relaciones Familiares; Cuidadores; Esposo.

Download Full-text

The Effects of the Daily Life Management Program of the Elderly with Mild Cognitive Impairment on Cognition Function, Depression and Health Promoting Lifestyle

Journal of the Korea Entertainment Industry Association ◽

10.21184/jkeia.2020.12.14.8.295 ◽

2020 ◽

Vol 14 (8) ◽

pp. 295-303

Author(s):

Jong-Eun Yang ◽

Jong-Bae Choi

Keyword(s):

Cognitive Impairment ◽

Mild Cognitive Impairment ◽

Daily Life ◽

The Elderly ◽

Management Program ◽

Life Management ◽

Health Promoting ◽

Health Promoting Lifestyle

Download Full-text

On the Nature of Fear of Falling in Parkinson’s Disease

Behavioural Neurology ◽

10.1155/2011/274539 ◽

2011 ◽

Vol 24 (3) ◽

pp. 219-228 ◽

Cited By ~ 56

Author(s):

S. Rahman ◽

H. J. Griffin ◽

N. P. Quinn ◽

M. Jahanshahi

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Fear Of Falling ◽

Clinical Importance ◽

The Elderly ◽

Activity Restriction ◽

Activity Avoidance ◽

Significant Difference ◽

Perceived Consequences

In the elderly, fear of falling (FoF) can lead to activity restriction and affect quality of life (QoL). Our aim was to identify the characteristics of FoF in Parkinson's disease and assess its impact on QoL. We assessed FoF in 130 patients with Parkinson’s disease (PD) on scales measuring perceived self-efficacy in performing a range of activities (FES), perceived consequences of falling (CoF), and activity avoidance (SAFFE). A significant difference was found in FoF between PD patients who had previously fallen and those who had not and between frequent and infrequent fallers. Patient-rated disability significantly influenced FoF. Difficulty in rising from a chair, difficulty turning, start hesitation, festination, loss of balance, and shuffling were the specific mobility problems which were associated with greater FoF in PD. Disability was the main predictor of FoF, additionally depression predicted perceived consequences of falling, while anxiety predicted activity avoidance. The FoF measures explained 65% of the variance of QoL in PD, highlighting the clinical importance of FoF. These results have implications for the clinical management of FoF in PD.

Download Full-text

Fall-related activity avoidance in relation to a history of falls or near falls, fear of falling and disease severity in people with Parkinson’s disease

BMC Neurology ◽

10.1186/s12883-016-0612-5 ◽

2016 ◽

Vol 16 (1) ◽

Cited By ~ 19

Author(s):

Manzur Kader ◽

Susanne Iwarsson ◽

Per Odin ◽

Maria H. Nilsson

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Disease Severity ◽

Fear Of Falling ◽

Related Activity ◽

Activity Avoidance ◽

History Of ◽

Near Falls

Download Full-text

Participant-perceived outcomes of merging yoga and occupational therapy: Self-management intervention for people post stroke

British Journal of Occupational Therapy ◽

10.1177/0308022617690536 ◽

2017 ◽

Vol 80 (5) ◽

pp. 294-301 ◽

Cited By ~ 4

Author(s):

Karen E Atler ◽

Marieke Van Puymbroeck ◽

Jennifer D Portz ◽

Arlene A Schmid

Keyword(s):

Occupational Therapy ◽

Focus Groups ◽

Fall Prevention ◽

Fear Of Falling ◽

Management Program ◽

Self Management ◽

Post Stroke ◽

Individual Interviews ◽

Management Intervention ◽

Perceived Outcomes

Introduction There is a need for development and validation of post-stroke fall-prevention programs. This qualitative study provides an inside look into participant-perceived outcomes of a new and innovative self-management intervention: Merging Yoga and Occupational Therapy. Method A qualitative approach was employed. Thirteen participants, who were more than 6 months post stroke and self-reported falling or a fear of falling, engaged in focus groups and individual interviews following participation in the intervention twice weekly for 8 weeks. Data from focus groups and individual interviews were analyzed using an iterative, inductive approach. Findings Five outcomes emerged from the line-by-line analysis: (1) improved abilities and capacities, (2) gained new knowledge, (3) enhanced engagement in activities, (4) improved relaxation, and (5) increased confidence and inspiration. Conclusion Participants experienced positive outcomes from engagement in a community-based multimodal fall-prevention self-management program for people post stroke.

Download Full-text