Relationship Between Fall-Related Efficacy and Activity Engagement in Community-Dwelling Older Adults: A Meta-Analytic Review

• Autores: Stacey L. Schepens Niemiec, Ananda Sen, Jane A. Painter, Susan L. Murphy
• Localización: American Journal of Occupational Therapy, ISSN 0272-9490, Vol. 66, Nº. 2, 2012, págs. 137-148
• Idioma: inglés
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• Resumen

  • OBJECTIVE. Fear of falling can lead to restricted activity, but little is known about how this fear affects different aspects of people’s lives. This study examined the relationship between fall-related efficacy (i.e., confidence or belief in one’s ability to perform activities without losing balance or falling) and activity and participation.

    METHOD. We conducted a meta-analysis of studies comparing community-dwelling older adults’ fall-related efficacy to measures of activity or participation.

    RESULTS. An examination of 20 cross-sectional and prospective studies found a strong positive relationship between fall-related efficacy and activity (r = .53; 95% CI [.47, .58]). An insufficient number of studies examining fall-related efficacy and participation were available for analysis.

    CONCLUSION. Low fall-related efficacy may be an important barrier to occupational engagement for many older adults and warrants careful consideration by occupational therapists. Future research should explore interventions that target fall-related efficacy and examine their effects on activity performance and engagement