Journal of Aging and Physical Activity · 2003 · 10 citations · 25 references
MedicineGeriatric MedicineRehabilitation MedicineFunctional Movement AssessmentGeriatric AssessmentGeriatric RehabilitationBalance AssessmentBalance ImpairmentFall RiskGait AssessmentGait EvaluationMobility AssessmentFalls In Older AdultsFalls In The ElderlyHip Abduction StrengthHip Abductor Strength TestingMobility Outcome MeasurementPostural SwayStepwise RegressionSway Motion
This study assessed changes in balance self-efficacy (BSE) over 1 year in community-dwelling elderly, compared changes in BSE between fallers and nonfallers, and assessed the relationship between specific balance and mobility risk factors for side falls and BSE scores. Elderly fallers ( n = 67; 80.2 ± 5.9 years) and nonfallers ( n = 75; 79.4 ± 4.9), categorized based on self-reported falls over 1 year, were tested at baseline on postural sway, hip-abduction strength, lateral-stepping velocity, tandem walk, and get-up-and-go and given a BSE questionnaire. Fallers had lower BSE scores than nonfallers did (141.6 ± 33.5 and 154.9 ± 25.4; p = .008). BSE did not change over 1 year. In stepwise regression, BSE scores were predictive of time on the get-up-and-go, mediolateral sway, and tandem walk independent of age, height, and strength ( p < .001). The BSE scale might be useful for screening individuals at risk for injurious falls because it is inexpensive and noninvasive.
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Self-efficacy: Toward a unifying theory of behavioral change.
Psychological Review · 1977 · 42.6K citations · Full text