社区居住的老年人中与跌倒相关的功效与活动参与之间的关系：一项荟萃分析综述。
Relationship between fall-related efficacy and activity engagement in community-dwelling older adults: a meta-analytic review.
机构信息
Department of Physical Medicine and Rehabilitation, Institute of Gerontology, University of Michigan, 300 North Ingalls Street, 9th Floor, Ann Arbor, MI 48109-2007, USA.
出版信息
Am J Occup Ther. 2012 Mar-Apr;66(2):137-48. doi: 10.5014/ajot.2012.001156.
Abstract
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.
摘要
目的
对跌倒的恐惧可能会导致活动受限，但人们对这种恐惧如何影响生活的不同方面知之甚少。本研究调查了与跌倒相关的效能（即对自己在不失去平衡或跌倒的情况下执行活动的能力的信心或信念）与活动和参与之间的关系。
方法
我们对比较社区居住的老年人与跌倒相关的效能与活动或参与度的研究进行了荟萃分析。
结果
对 20 项横断面和前瞻性研究的检查发现，与跌倒相关的效能与活动之间存在很强的正相关关系（r =.53；95%置信区间 [.47，.58]）。可用于分析的研究数量不足以检验与跌倒相关的效能和参与度。
结论
对跌倒的低效能可能是许多老年人参与职业活动的一个重要障碍，值得职业治疗师的仔细考虑。未来的研究应探索针对跌倒相关效能的干预措施，并研究其对活动表现和参与度的影响。
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1
Prevention of Falls Network Europe: a thematic network aimed at introducing good practice in effective falls prevention across Europe.欧洲跌倒预防网络：一个旨在在全欧洲推广有效跌倒预防方面良好做法的主题网络。
Eur J Ageing. 2004 Dec;1(1):89-94. doi: 10.1007/s10433-004-0008-z. Epub 2004 Nov 4.
2
Risk factors for restriction in activity associated with fear of falling among seniors within the community.社区老年人因害怕跌倒而限制活动的相关危险因素。
J Patient Saf. 2010 Sep;6(3):187-91. doi: 10.1097/pts.0b013e3181f1251c.
3
Determinants of disparities between perceived and physiological risk of falling among elderly people: cohort study.老年人感知和生理跌倒风险之间差距的决定因素：队列研究。
BMJ. 2010 Aug 18;341:c4165. doi: 10.1136/bmj..
4
Difficult to measure constructs: conceptual and methodological issues concerning participation and environmental factors.难以衡量的构念：关于参与和环境因素的概念及方法学问题。
Arch Phys Med Rehabil. 2009 Nov;90(11 Suppl):S22-35. doi: 10.1016/j.apmr.2009.06.009.
5
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6
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Arch Gerontol Geriatr. 2010 Jul-Aug;51(1):9-12. doi: 10.1016/j.archger.2009.06.003. Epub 2009 Jul 16.
7
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BMC Public Health. 2009 Jun 2;9:170. doi: 10.1186/1471-2458-9-170.
8
Dual-task gait performance among community-dwelling senior women: the role of balance confidence and executive functions.社区居住老年女性的双任务步态表现：平衡信心和执行功能的作用。
J Gerontol A Biol Sci Med Sci. 2009 Sep;64(9):975-82. doi: 10.1093/gerona/glp063. Epub 2009 May 8.
9
Falls and fear of falling: burden, beliefs and behaviours.跌倒与跌倒恐惧：负担、观念与行为
Age Ageing. 2009 Jul;38(4):423-8. doi: 10.1093/ageing/afp053. Epub 2009 May 6.
10
Can personal and environmental factors explain participation of older adults?个人因素和环境因素能解释老年人的参与情况吗？
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