Intensity and correlates of fear of falling and hurting oneself in the next year - Baseline findings from a Roybal center fear of falling intervention

被引:98
作者
Lawrence, RH
Tennstedt, SL
Kasten, LE
Shih, J
Howland, J
Jette, AM
机构
[1] New England Res Inst, Inst Studies Aging, Watertown, MA 02172 USA
[2] Boston Univ, Boston, MA 02215 USA
关键词
D O I
10.1177/089826439801000301
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Fear of falling is highly prevalent and associated with restricted activity. To help inform design of interventions, the authors examined the correlates of this fear. Data came from baseline information on subjects in a community-based falls intervention study (N = 392). In a multivariate model, lower levels of fear of falling and hurting oneself in the next year were related to being younger, having higher levels of dysfunction, and having lower levels of perceived ability to manage falls, with the last two remaining significant even after controlling for generalized fearfulness. When analyzing specific domains of dysfunction, higher levels of fear of falling and hurting oneself in the next year were associated with higher levels of physical dysfunction. The findings lend support to the expanding awareness that fear of falling may imperil quality of life and suggest the importance of interventions aimed at enhancing ability to manage falls.
引用
收藏
页码:267 / 286
页数:20
相关论文
共 31 条
[1]   THE PREVALENCE AND CORRELATES OF FEAR OF FALLING IN ELDERLY PERSONS LIVING IN THE COMMUNITY [J].
ARFKEN, CL ;
LACH, HW ;
BIRGE, SJ ;
MILLER, JP .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1994, 84 (04) :565-570
[2]  
Bandura A., 1997, Self-efficacy: The Exercise of Control, DOI 10.1891/0889-8391.13.2.158
[3]   THE SICKNESS IMPACT PROFILE - DEVELOPMENT AND FINAL REVISION OF A HEALTH-STATUS MEASURE [J].
BERGNER, M ;
BOBBITT, RA ;
CARTER, WB ;
GILSON, BS .
MEDICAL CARE, 1981, 19 (08) :787-805
[4]   FALLS BY ELDERLY PEOPLE AT HOME - PREVALENCE AND ASSOCIATED FACTORS [J].
BLAKE, AJ ;
MORGAN, K ;
BENDALL, MJ ;
DALLOSSO, H ;
EBRAHIM, SBJ ;
ARIE, THD ;
FENTEM, PH ;
BASSEY, EJ .
AGE AND AGEING, 1988, 17 (06) :365-372
[5]   EXAMINATION BY LOGISTIC-REGRESSION MODELING OF THE VARIABLES WHICH INCREASE THE RELATIVE RISK OF ELDERLY WOMEN FALLING COMPARED TO ELDERLY MEN [J].
CAMPBELL, AJ ;
SPEARS, GF ;
BORRIE, MJ .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1990, 43 (12) :1415-1420
[6]   RISK-FACTORS FOR FALLS IN A COMMUNITY-BASED PROSPECTIVE-STUDY OF PEOPLE 70 YEARS AND OLDER [J].
CAMPBELL, AJ ;
BORRIE, MJ ;
SPEARS, GF .
JOURNALS OF GERONTOLOGY, 1989, 44 (04) :M112-M117
[7]   THE SICKNESS IMPACT PROFILE - SIP68, A SHORT GENERIC VERSION - FIRST EVALUATION OF THE RELIABILITY AND REPRODUCIBILITY [J].
DEBRUIN, AF ;
BUYS, M ;
DEWITTE, LP ;
DIEDERIKS, JPM .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1994, 47 (08) :863-871
[8]   THE DEVELOPMENT OF A SHORT GENERIC VERSION OF THE SICKNESS IMPACT PROFILE [J].
DEBRUIN, AF ;
DIEDERIKS, JPM ;
DEWITTE, LP ;
STEVENS, FCJ ;
PHILIPSEN, H .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1994, 47 (04) :407-418
[9]   SICKNESS IMPACT PROFILE - THE STATE-OF-THE-ART OF A GENERIC FUNCTIONAL STATUS MEASURE [J].
DEBRUIN, AF ;
DEWITTE, LP ;
STEVENS, F ;
DIEDERIKS, JPM .
SOCIAL SCIENCE & MEDICINE, 1992, 35 (08) :1003-1014
[10]  
DEYO RA, 1984, HEALTH SERV RES, V19, P275