Falls efficacy: Extending the understanding of self-efficacy in older adults towards managing falls

Journal of Frailty, Sarcopenia and Falls

article

Shawn Leng-Hsien Soh¹  Chee-Wee Tan³  Janet I. Thomas⁴  Gideon Tan⁵  Tianma Xu¹  Yoke Leng Ng¹  Judith Lane² 

[1] Health and Social Sciences Cluster, Singapore Institute of Technology;Dietetics, Nutrition & Biological Sciences, Physiotherapy, Podiatry & Radiography Division, Queen Margaret University;Department of Physiotherapy and Paramedicine, Glasgow Caledonian University;Nutrition & Biological Sciences, Physiotherapy, Podiatry & Radiography Division, Queen Margaret University;Department of Sport and Exercise Science, School of Sports, Health and Leisure;Curtin School of Allied Health, Faculty of Health Sciences, Curtin University

关键词: Falls efficacy;    Older Adults;    Person-centred care;    Physiotherapy;    Rehabilitation Abstract Falls efficacy is a widely studied construct. The understanding of falls efficacy has evolved over time. Falls efficacy was initially perceived to be suitably used as a measure of fear of falling. However;    further research suggested that falls efficacy and fear of falling are distinct constructs;    and therefore;    would be inappropriate to be used as a proxy. Instead;    some researchers posited that falls efficacy is synonymous with balance confidence. Falls efficacy has been conventionally understood as the perceived ability of individuals to perform activities without losing balance or falling. A recently conducted systematic review by the authors on existing falls efficacy related measures had revealed a fresh perspective of recognising falls efficacy as a perceived ability to manage a threat of a fall. Falls efficacy;    with a broadened interpreted construct;    relates to the individual’s perceived self-efficacy of performing necessary actions needed in different scenarios;    including pre-fall;    near-fall;    fall-landing and completed fall. The conventional interpretation of falls efficacy needs a rethinking of perspective. An extended understanding of falls efficacy would provide an integral approach towards improving the agency of individual to deal with falls and would enhance person-centred care.;   

DOI  :  10.22540/JFSF-06-131

学科分类：内科医学

来源: Hylonome Publications

【 摘 要 】

Falls efficacy is a widely studied construct. The understanding of falls efficacy has evolved over time. Falls efficacy was initially perceived to be suitably used as a measure of fear of falling. However, further research suggested that falls efficacy and fear of falling are distinct constructs, and therefore, would be inappropriate to be used as a proxy. Instead, some researchers posited that falls efficacy is synonymous with balance confidence. Falls efficacy has been conventionally understood as the perceived ability of individuals to perform activities without losing balance or falling. A recently conducted systematic review by the authors on existing falls efficacy related measures had revealed a fresh perspective of recognising falls efficacy as a perceived ability to manage a threat of a fall. Falls efficacy, with a broadened interpreted construct, relates to the individual’s perceived self-efficacy of performing necessary actions needed in different scenarios, including pre-fall, near-fall, fall-landing and completed fall. The conventional interpretation of falls efficacy needs a rethinking of perspective. An extended understanding of falls efficacy would provide an integral approach towards improving the agency of individual to deal with falls and would enhance person-centred care.

【 授权许可】

CC BY-NC-SA