Selena E Washington1, Makenna Snyder2, Yi-Ling Hu3, Susan L Stark2. 1. Department of Occupational Science and Occupational Therapy, Saint Louis University Health Sciences Center, Saint Louis, MO, USA. 2. Program in Occupational Therapy, Washington University in Saint Louis School of Medicine, Saint Louis, MO, USA. 3. Institute of Gerontology, Wayne State University Eugene Applebaum College of Pharmacy and Health Sciences, Detroit, MI, USA.
Abstract
Objective: Determine whether race predicts fear of falling (FOF) in older adults with a history of previous fall(s) while controlling for mobility performance, activity of daily living (ADL) independence, age, gender, and education. Methods: We examined predictors of FOF among community-dwelling older adults using data from two longitudinal randomized controlled trials that implemented fall prevention programs for community-dwelling older adults. Results: Two hundred fifty-nine participants were included in the analysis; 145 reported low FOF, while 59 reported high FOF. After controlling for mobility performance, ADL independence, and sociodemographic factors, Black older adults were more likely to report FOF (OR = 2.17) compared to White older adults. Overall, older adults with lower mobility performance/functioning scores were more likely to have FOF (OR = 0.08).Conclusions: Older adults (aged ≥65 years) who are at higher risk, based on a prior history of fall(s), are more susceptible to developing FOF, as evidenced by the older adults within this study, due to limited mobility performance and functioning.Clinical Implications: Black older adults may be at greater risk of FOF than their White counterparts based on previous fall history and level of functional mobility. Incorporating measures of objective performance-based function along with measures of psychological factors are viable methods to identify and address FOF within Black older adult populations.
Objective: Determine whether race predicts fear of falling (FOF) in older adults with a history of previous fall(s) while controlling for mobility performance, activity of daily living (ADL) independence, age, gender, and education. Methods: We examined predictors of FOF among community-dwelling older adults using data from two longitudinal randomized controlled trials that implemented fall prevention programs for community-dwelling older adults. Results: Two hundred fifty-nine participants were included in the analysis; 145 reported low FOF, while 59 reported high FOF. After controlling for mobility performance, ADL independence, and sociodemographic factors, Black older adults were more likely to report FOF (OR = 2.17) compared to White older adults. Overall, older adults with lower mobility performance/functioning scores were more likely to have FOF (OR = 0.08).Conclusions: Older adults (aged ≥65 years) who are at higher risk, based on a prior history of fall(s), are more susceptible to developing FOF, as evidenced by the older adults within this study, due to limited mobility performance and functioning.Clinical Implications: Black older adults may be at greater risk of FOF than their White counterparts based on previous fall history and level of functional mobility. Incorporating measures of objective performance-based function along with measures of psychological factors are viable methods to identify and address FOF within Black older adult populations.
Entities:
Keywords:
Fear of falling; fall risk; older adults; race
Authors: Susan Stark; Emily Somerville; Marian Keglovits; Jane Conte; Melody Li; Yi-Ling Hu; Yan Yan Journal: BMC Geriatr Date: 2017-04-20 Impact factor: 3.921
Authors: Jan H M Visschedijk; Monique A A Caljouw; Eduard Bakkers; Romke van Balen; Wilco P Achterberg Journal: BMC Geriatr Date: 2015-12-04 Impact factor: 3.921