Relationship between fall-related efficacy and activity engagement in community-dwelling older adults: a meta-analytic review.

Am J Occup Ther

Department of Physical Medicine and Rehabilitation, Institute of Gerontology, University of Michigan, 300 North Ingalls Street, 9th Floor, Ann Arbor, MI 48109-2007, USA.

Published: July 2013

AI Article Synopsis

  • This study looked at how fear of falling impacts the activity level of older adults, specifically focusing on their confidence in performing activities without falling.
  • The meta-analysis included 20 studies and discovered a strong link between fall-related confidence and higher levels of activity, indicating that those who feel more confident tend to engage in more activities.
  • The findings suggest that low confidence in avoiding falls could hinder older adults' ability to participate in various occupations, highlighting the need for occupational therapists to address this issue and for further research on interventions that boost fall-related efficacy.

Article Abstract

Objective: Fear of falling can lead to restricted activity, but little is known about how this fear affects different aspects of people's lives. This study examined the relationship between fall-related efficacy (i.e., confidence or belief in one's ability to perform activities without losing balance or falling) and activity and participation.

Method: We conducted a meta-analysis of studies comparing community-dwelling older adults' fall-related efficacy to measures of activity or participation.

Results: An examination of 20 cross-sectional and prospective studies found a strong positive relationship between fall-related efficacy and activity (r = .53; 95% CI [.47, .58]). An insufficient number of studies examining fall-related efficacy and participation were available for analysis.

Conclusion: Low fall-related efficacy may be an important barrier to occupational engagement for many older adults and warrants careful consideration by occupational therapists. Future research should explore interventions that target fall-related efficacy and examine their effects on activity performance and engagement.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3324848PMC
http://dx.doi.org/10.5014/ajot.2012.001156DOI Listing

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