Mediating Role of Fall-related Efficacy in a Fall Prevention Program
Bibliographic Data
| ID | 15330659 |
|---|---|
| Authors | Aya Yoshikawa (0000-0002-0152-9948, Postdoctoral Research Associate, Center for Population Health and Aging, Texas A&M University, College Station, TX;, Email: [email protected], corresponding author), Matthew Lee Smith (0000-0002-8232-9285, Texas A&M University) |
| Year | 2019 |
| Volume | 43 |
| Issue | 2 |
| Pages | 393-405 |
| Publication date | 2019-02-27 |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Health Behavior (JOURNAL) |
| Journal identifiers | ISSN: 1087-3244 • E-ISSN: 1945-7359 |
| Publisher | PNG Publications (PUBLISHER • US) |
| DOI | 10.5993/ajhb.43.2.15 |
| PMID | 30808478 |
| OpenAlex | W2916803174 |
| Language | EN |
| Citations received | 2 |
Objectives: We examined the multidimensionality of the new Perceived Ability to Prevent and Manage Fall Risks (PAPMFR) scale that assesses fall-related efficacy (FE) and the mediating role of EF between fear of falling (FOF) and functional mobility (FM). Methods: We carried out a secondary data analysis of 552 participants (mean age = 76.45, SD = 7.79) in a fall prevention program, A Matter of Balance Volunteer Lay Leader Model (AMOB/VLL). We used exploratory and confirmatory factor analyses to evaluate the PAPMFR scale. We used structural equation modeling to test the mediating role of PAPMFR between FOF and FM. Results: We identified 3 dimensions of PAPMFR: steadiness/balance, gait, and fall management. We confirmed the mediating effect of the PAPMFR on the relation between FOF and FM with acceptable fit in cross-sectional (χ2/df = 2.25, RMSEA = .06, 95% CI: .04 to .09, CFI = .98 SRMR = .03) and half-longitudinal (χ2/df = 3.04, RMSEA = .08, 95% CI: .07 to .09, CFI = .95, SRMR = .04) models. Conclusions: AMOB/VLL shows promise to enhance FE, which may mediate FM improvements among participants. Find- ings suggest that improving confidence to prevent and manage falls can complement exercise training to promote active aging. Future research should investigate various FE dimensions
Balance (ability · Balance test · Confirmatory factor analysis · Environmental health · Fall prevention · Fear of falling · Injury prevention · Physical therapy · Poison control · Self-efficacy · Structural equation modeling · Theory of planned behavior · Balance, Gait, and Falls Prevention · Clinical Psychology · Medicine · Physical Activity and Health · Psychology · Social Psychology · Stroke Rehabilitation and Recovery · Gerontology
| Citations per year | 0.5 |
|---|---|
| Citation span | 2022 - 2024 (3) |
| Highly cited | No |