The Neighborhood Environment: Perceived Fall Risk, Resources, and Strategies for Fall Prevention
The Neighborhood Environment: Perceived Fall Risk, Resources, and Strategies for Fall Prevention
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DOI：
10.1093/geront/gnu019
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发表时间：
2015-08-01
期刊：
影响因子：
5.7
通讯作者：
Boltz, Marie
中科院分区：
文献类型：
--
作者：
Chippendale, Tracy;Boltz, Marie
研究目的：探讨老年人在他们的邻居在有关的经验，感知跌倒风险，害怕跌倒（FOF），和资源/策略为fallprevention.Design and Methods：14名老年人，65岁及以上的3个城市老年中心，参加了这项定性研究。研究人员根据文献和现有的步行性测量方法制定了半结构化访谈指南和背景问卷。这两种工具都是根据对老年人的试点访谈而改进的。Collaizzi的现象学方法进行数据分析。结果：从数据中出现了五个主题：（a）建筑环境有助于感知跌倒风险和FOF，（B）用于适应感知邻里跌倒风险的个人策略-行为方法，（c）体力活动和安全的资源，（d）体力活动和锻炼的障碍，（e）邻里特征作为动机。城市居住的老年人认为，邻里功能有助于或减轻跌倒风险和FOF。老年人使用行为策略来防止户外福尔斯跌倒。这些发现可以帮助临床医生为健康的老年人制定有针对性的跌倒预防干预措施，并帮助城市规划者设计和改造城市环境以降低跌倒风险。
Purpose of the Study: To explore the experience of older adults in their neighborhood in relation to perceived fall risk, fear of falling (FOF), and resources/strategies for fall prevention.Design and Methods: Fourteen older adults, 65 years of age and older from 3 urban senior centers, participated in this qualitative study. The semistructured interview guidelines and background questionnaire were developed by the researchers based on the literature and an existing measure of walkability. Both tools were refined based on pilot interviews with seniors. Collaizzi's phenomenological method was used for data analysis.Results: Five themes emerged from the data: (a) The built environment contributes to perceived fall risk and FOF, (b) personal strategies used to adapt to perceived neighborhood fall risks-behavioral approaches, (c) resources for physical activity and safety, (d) barriers to physical activity and exercise, and (e) neighborhood features as a motivator.Implications: Urban-dwelling seniors perceive that neighborhood features contribute to or mitigate fall risk and FOF. Behavioral strategies are used by seniors to prevent outdoor falls. The findings can help clinicians develop targeted fall prevention interventions for well elders and help urban planners to design and retrofit urban environments to reduce fall risk.