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Fear of falling and disability traje...

University of Minnesota.

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Fear of falling and disability trajectories in community-dwelling older women.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Fear of falling and disability trajectories in community-dwelling older women./
作者:	Talley, Kristine Marie Carlson.
面頁冊數:	164 p.
附註:	Adviser: Jean Frances Wyman.
Contained By:	Dissertation Abstracts International69-05B.
標題:	Health Sciences, Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3313472
ISBN:	9780549630685

Fear of falling and disability trajectories in community-dwelling older women.
Talley, Kristine Marie Carlson.

Fear of falling and disability trajectories in community-dwelling older women. - 164 p.

Adviser: Jean Frances Wyman.

Thesis (Ph.D.)--University of Minnesota, 2008.

Fear of falling is common in older adults and increases the risk for falling and disability. Currently, little is known about how fear of falling changes, what predicts these changes and its long term consequences limiting knowledge to design treatments and to reduce associated consequences. This study was a secondary analysis of data collected from 272 cognitively intact, non-exercising community-dwelling older women enrolled in a fall prevention clinical trial. Generalized linear mixed models were used to describe fear of falling and disability growth curves. Fear of falling measured by the Activities-specific Balance Confidence (ABC) Scale varied at baseline (beta1=4.35, p<.001) and increased linearly over two years (beta2=-.002, p<.001). Treatment group assignment did not predict baseline levels (beta 1=-.03, p=.35) or change in fear of falling (beta2=-.0001, p=.50). Predisposing risk factors and pathologies significantly associated (beta < .05) with fear of falling growth parameters in univariate models were included in a multivariate model to identify independent predictors of change. The multivariate model indicated that baseline fear of falling varied significantly (p<.001) and was associated with poor physical function (beta=.0065, p<.001) and mental health (beta=.0036, p=.03). The linear parameter was not significant (p=.80), but specific tests indicated that poor emotional health (beta=-.0001, p=.04) and urological disorders (beta=.0063, p=.04) predicted change in fear of falling. Increasing fear of falling was associated with increasing impairments in balance (p<.001), and hip flexion strength (p<.001); functional limitations in mobility (p<.001), and rising from a chair (p<.00 1); and disabilities in physical activity levels (p<.001), activity restrictions (p<.001), and social support (p<.001). Fear of falling increases overtime, but few well-known risk factors for fear of falling predicted change. Increasing fear of falling plays an important role in the disablement process and should be included in disability research. Fear of falling should be treated in a context greater than fall prevention.

ISBN: 9780549630685Subjects--Topical Terms:

1017798
Health Sciences, Nursing.

Fear of falling and disability trajectories in community-dwelling older women.
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