Self-efficacy as a mediator between fear of falling and functional ability in the elderly
Self-efficacy as a mediator between fear of falling and functional ability in the elderly
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DOI：
10.1177/089826402237178
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发表时间：
2002-11-01
影响因子：
2.8
通讯作者：
Wilson, NL
中科院分区：
文献类型：
--
作者：
Li, FZ;McAuley, E;Wilson, NL
目的：本研究旨在探讨福尔斯自我效能感和跌倒恐惧感在跌倒恐惧感和功能能力之间的中介作用。研究方法：使用老年人活动和跌倒恐惧调查作为跌倒恐惧的测量方法，使用福尔斯自我效能的活动特定平衡信心量表，对老年人（N = 256，M年龄= 77.5）进行跌倒恐惧、自我效能、功能平衡和身体功能结果之间的结构关系进行了测试。结果如下：较低水平的跌倒恐惧与较高水平的福尔斯自我效能感显著相关，而这又与更好的功能结果相关。此外，福尔斯自我效能感介导跌倒恐惧对功能结果的影响。讨论内容：结果证实了假设的中介作用的福尔斯自我效能感的恐惧下降，并强调需要考虑的方式来提高福尔斯自我效能感的干预措施，旨在减少福尔斯和恐惧下降。
Objectives: This study examined falls self-efficacy and fear of falling to determine whether self-efficacy acts as a mediator between fear of falling and functional ability. Methods: Using the Survey of Activities and Fear of Falling in the Elderly as a fear-of-falling measure and the Activities-Specific Balance Confidence Scale for falls self-efficacy, structural relationships among fear of falling, self-efficacy, functional balance, and physical functioning outcomes were tested with older adults (N = 256, M age = 77.5). Results: Lower levels of fear of falling were significantly related to higher levels of falls self-efficacy, which was in turn associated with better functional outcomes. Moreover, falls self-efficacy mediated the effects of fear of falling on functional outcomes. Discussion: Results substantiate the hypothesized mediational role of falls self-efficacy in fear of falling and underscore the need to consider ways of enhancing falls self-efficacy in interventions aimed at reducing falls and fear of falling.