Fall-Related Self-efficacy in Instrumental Activities of Daily Living is Associated with Falls in Older Community-Living People. (1st June 2013)

• Record Type: Journal Article
• Authors: Hellström, Karin; Sandström, Marie; Heideken Wågert, Petra; Sandborgh, Maria; Söderlund, Anne; Thors Adolfsson, Eva; Johansson, Ann-Christin
• Is Part Of: Physical & occupational therapy in geriatrics. Volume 31:Number 2(2013:Jun.)
• Page Start: 128
• Page End: 139
• Publication Date: 2013-06-01
• Subjects: fall -- fall-related self-efficacy -- prevention -- older adults -- health-related quality of life; Physical therapy for older people -- Periodicals; Occupational therapy for older people -- Periodicals; Older people -- Rehabilitation -- Periodicals; 615.820846
• DOI: 10.3109/02703181.2013.792912
• Languages: English
• ISSNs: 0270-3181

Abstract

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.