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Fall-related self-efficacy in instrumental activities of daily living is associated with falls in older community-living people
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
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2013 (English)In: Physical & Occupational Therapy in Geriatrics, ISSN 0270-3181, E-ISSN 1541-3152, Vol. 31, no 2, 128-139 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2013. Vol. 31, no 2, 128-139 p.
National Category
Clinical Medicine
Research subject
Physiotherapy
Identifiers
URN: urn:nbn:se:uu:diva-278377DOI: 10.3109/02703181.2013.792912OAI: oai:DiVA.org:uu-278377DiVA: diva2:906471
Available from: 2016-02-24 Created: 2016-02-24 Last updated: 2017-04-26Bibliographically approved

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Hellström, KarinSandström, Marie

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