The Relationship between Falls Efficacy and Improvement in Fall Risk Factors Following an Exercise Plus Educational Intervention for Older Adults with Hip Osteoarthritis.

Purpose: Older adults with decreased confidence in their ability to prevent a fall may benefit from an exercise programme that includes self-efficacy-enhancing education. The objectives of this study were to explore differences in fall-risk outcomes in older adults with higher vs. lower levels of fa...

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Publicado en:Physiotherapy Canada Vol. 63; no. 4; pp. 410 - 421
Autores principales: Arnold, C.M., Faulkner, R.A., Gyurcsik, N.C.
Formato: research tables/charts Journal Article
Publicado: University of Toronto Press 2011
Acceso en línea:Ver este registro en EBSCOhost
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      pub: University of Toronto Press
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        atl: The Relationship between Falls Efficacy and Improvement in Fall Risk Factors Following an Exercise Plus Educational Intervention for Older Adults with Hip Osteoarthritis.
      aug:
        au:
          Arnold, C.M.
          Faulkner, R.A.
          Gyurcsik, N.C.
        affil: A1
      sug:
        subj:
          Accidental Falls Risk Factors
          Aquatic Exercises Evaluation
          Osteoarthritis, Hip Therapy
          Aged
          Arthritis Impact Measurement Scales
          Descriptive Statistics
          Human
          Mann-Whitney U Test
          P-Value
          Scales
          Spearman's Rank Correlation Coefficient
          T-Tests
          Aged: 65+ years
      ab: Purpose: Older adults with decreased confidence in their ability to prevent a fall may benefit from an exercise programme that includes self-efficacy-enhancing education. The objectives of this study were to explore differences in fall-risk outcomes in older adults with higher vs. lower levels of falls efficacy and to evaluate the relationship between baseline falls-efficacy status and changes in fall risk factors following two interventions. Method: Fifty-four older adults with hip osteoarthritis and at least one risk factor for falls received aquatic exercise twice weekly plus education once weekly (EE) or aquatic exercise only, twice weekly (EO), for 11 weeks. Results: EE participants with low baseline falls efficacy demonstrated significantly (p<0.05) greater improvement in balance and falls efficacy compared to EE participants with high baseline falls efficacy. In the EE group only, baseline falls-efficacy status (low vs. high median split on the Activities-specific Balance Confidence Scale) was significantly (p<0.05) correlated with positive balance and falls-efficacy change scores (Spearman rank r=0.45 and 0.63 respectively). Conclusions: Individuals with one or more fall-risk factors and low falls efficacy may benefit from receiving an intervention that combines exercise with self-efficacy-enhancing education. Falls-efficacy screening may be important for decisions regarding referral to fall-prevention programmes.
      pubtype: Academic Journal
      doctype:
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    language: English
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