Fear of Falling Assessment and Interventions in Community-Dwelling Older Adults: A Mixed Methods Case-Series
Fear of Falling Assessment and Interventions in Community-Dwelling Older Adults: A Mixed Methods Case-Series
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DOI：
10.1080/07317115.2019.1701169
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发表时间：
2019-12-07
影响因子：
2.8
通讯作者：
Thiamwong, Ladda
中科院分区：
文献类型：
--
作者：
Cappleman, Amanda S.;Thiamwong, Ladda
目的：（1）使用主观和客观测量方法评估社区居住老年人的跌倒恐惧（FOF），（2）探索老年人对FOF评估和干预的看法。方法：采用混合方法病例系列。它包括定量数据收集的客观措施，包括BTrackS（TM）平衡测试（BBT）和测力计，以评估生理跌倒风险，并深入采访了四个老年人在奥兰多，佛罗里达。采用单一的跌倒恐惧量表和国际福尔斯疗效量表（FES-I）评估FOF。为了将联合收割机的定量和定性数据结合起来，我们采用了特定病例分析，然后进行了跨病例分析，以更全面地了解FOF。结果：我们发现了一个不一致的恐惧下降与生理下降的风险。出现了四个主题：（1）“恐惧”的波动性定义导致评估和干预的困难，（2）缺乏对跌倒恐惧的基本评估，（3）来自客观测量的反馈是有价值的，（4）害怕跌倒的家庭经历驱动个人干预。结论：从定量和定性数据的综合观点表明，需要FOF评估的基础上老年人的感知和生理措施。
Objectives: (1) assess fear of falling (FOF) in community-dwelling older adults using subjective and objective measures and, (2) explore older adults' perceptions of FOF assessments and interventions. Methods: A mixed methods case-series was utilized. It consisted of quantitative data collection by objective measures including the BTrackS(TM) Balance Test (BBT) and a dynamometer to assess physiological fall risk, and in-depth interviews from four older adults in Orlando, Florida. A single Fear of Falling Scale and Falls Efficacy Scale-International (FES-I) were used to assess FOF. To combine quantitative and qualitative data, a case-specific analysis was used and followed by a cross-case analysis to gain a more comprehensive understanding of FOF. Results: We found an incongruent fear of falling with physiological fall risk. Four themes emerged: (1) Fluctuating definitions of "fear" contribute to difficulty in assessments and interventions, (2) Fundamental assessments for fear of falling are missing, (3) Feedback from an objective measure is valuable, and (4) Family experiences with fear of falling drive personal interventions. Conclusions: The integrated viewpoints from quantitative and qualitative data suggest a need for FOF assessment based on older adults' perceptive and physiological measures.