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  • Title: Fear of falling and falls self-efficacy and their relationship to higher-level competence among community-dwelling senior men and women in Japan.
    Author: Katsumata Y, Arai A, Tomimori M, Ishida K, Lee RB, Tamashiro H.
    Journal: Geriatr Gerontol Int; 2011 Jul; 11(3):282-9. PubMed ID: 21241446.
    Abstract:
    AIM: This cross-sectional study examined the relationships of fear of falling and falls self-efficacy with higher-level competence among community-dwelling senior citizens in Japan. METHODS: Of the 822 registered senior citizens, 731 (89%) community dwellers were requested to participate in the survey using a mailed self-accomplished questionnaire. Data from 648 respondents with duly accomplished questionnaires were analyzed using R(2) , the coefficient of determination, based on a multivariate regression analysis. RESULTS: Fear of falling, low falls self-efficacy and higher-level functional disability were observed among respondents. Of the hypothesized relationships examined by sex, fear of falling was significantly associated with disability among male respondents and low falls self-efficacy among both sexes. Several confounding variables were strongly associated with competence. CONCLUSION: While the data underscore the strategic importance of promoting higher-level competence among the senior citizens, there is much to suggest that their competence is likely to be maintained if their fear of falling and falls self-efficacy were modified. Programs must also consider a wide array of intervening factors.
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