Self-efficacy and balance correlates of fear of falling in the elderly

Self-efficacy and balance correlates of fear of falling in the elderly
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DOI:
10.1123/japa.5.4.329
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发表时间:
1997-10-01
影响因子:
1.5
通讯作者:
Rosengren, K
Rosengren, K
中科院分区:
医学4区
文献类型:
--
作者:
McAuley, E;Mihalko, SL;Rosengren, K

文献摘要

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这项研究考察了老年人的体力活动模式、自我效能感、平衡性和跌倒恐惧之间的关系。58名老年人(52-85岁)完成了体力活动、自我效能和对摔倒的恐惧的测量。然后,受试者执行Berg平衡量表(Berg,Wood-Dauphinee,Williams,&Maki,1992)中的项目。身体活动越多的成年人摔倒的恐惧越小,平衡能力更强,对疗效的感知也更强。平衡能力较好的人不太害怕摔倒,而女性比男性更害怕摔倒。平衡和自我效能感对恐惧有显著的独立效应,而体力活动史对恐惧的贡献不显著。研究结果表明,行为、社会认知和生物因素可能是害怕摔倒的重要相关因素。进一步支持了自我效能感测量在预测跌倒恐惧中的作用,尽管依赖任何一种测量来评估这一结构可能低估了自我效能感的作用。
This study examined relationships among physical activity patterns, self-efficacy, balance, and fear of falling in older adults. Fifty-eight older adults (52-85 years) completed measures of physical activity, self-efficacy, and fear of falling. Subjects then performed the items found in the Berg Balance Scale (Berg, Wood-Dauphinee, Williams, & Maki, 1992). More physically active adults were less fearful of falling, had better balance, and had stronger perceptions of efficacy. Those with better balance were less fearful of falling, and females were more fearful than males. Balance and self-efficacy had significant independent effects on fear, whereas the contribution of history of physical activity was nonsignificant. The findings suggest that behavioral, social cognitive, and biological factors may be important correlates of fear of falling. Further support is provided for the utility of self-efficacy measures in the prediction of fear of falling, although reliance on any one measure to assess this construct may underestimate the role of self-efficacy.