Department of Psychology, McGill University, Montreal, Quebec, Canada.
Department of Health Sciences, School of Health and Human Sciences, Indianapolis, Indiana, USA.
J Gerontol B Psychol Sci Soc Sci. 2023 Jan 28;78(1):30-39. doi: 10.1093/geronb/gbac105.
This study applied an extended Protection Motivation Theory to investigate the relative importance of fear of falling (FoF) among motivational and intentional determinants of physical activity (PA) behavior.
Older U.S. adults (N = 667, 65+) were surveyed using online research panels and completed measures of self-efficacy and response efficacy (coping appraisal), perceived vulnerability and perceived severity (threat appraisal), FoF, autonomous motivation, intention, physical health, and past PA level.
Our structural equation model showed that past PA level and health predicted intention via cognitive constructs. PA and health predicted FoF and motivation via threat and coping appraisal. FoF did not directly predict intention.
Results from this sample provide support for the predictive effects of threat appraisal on fear. However, findings suggest that FoF may not be of great importance for the formation of PA intention compared with an established habit of being physically active and a subsequently fostered coping appraisal and motivation.
本研究应用扩展的保护动机理论，探讨跌倒恐惧（Fear of Falling，FoF）在体力活动（Physical Activity，PA）行为的动机和意图决定因素中的相对重要性。
使用在线研究小组对 667 名年龄较大的美国成年人（65 岁及以上）进行调查，并完成自我效能感和反应效能（应对评估）、易感性和严重性感知（威胁评估）、跌倒恐惧、自主动机、意图、身体健康和过去体力活动水平的测量。
我们的结构方程模型表明，过去的体力活动水平和健康状况通过认知结构预测意图。体力活动和健康状况通过威胁和应对评估预测跌倒恐惧和动机。跌倒恐惧并没有直接预测意图。
本研究结果为威胁评估对恐惧的预测作用提供了支持。然而，研究结果表明，与已经形成的积极参与体力活动的习惯以及随之而来的应对评估和动机相比，跌倒恐惧对于形成体力活动意图可能并不重要。
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