Falls self-efficacy and falls incidence in community-dwelling older people: The mediating role of coping

Loft, CC; Jones, FW; Kneebone, II

Falls self-efficacy and falls incidence in community-dwelling older people: The mediating role of coping

Loft, CC Jones, FW Kneebone, II

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Publication Type:: Journal Article
Citation:: International Psychogeriatrics, 2018, 30 (5), pp. 727 - 733
Issue Date:: 2018-05-01

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Field	Value	Language
dc.contributor.author	Loft, CC	en_US
dc.contributor.author	Jones, FW	en_US
dc.contributor.author	Kneebone, II https://orcid.org/0000-0003-3324-7264	en_US
dc.date.available	2020-05-25T19:18:44Z
dc.date.issued	2018-05-01	en_US
dc.identifier.citation	International Psychogeriatrics, 2018, 30 (5), pp. 727 - 733	en_US
dc.identifier.issn	1041-6102	en_US
dc.identifier.uri	http://hdl.handle.net/10453/121858
dc.description.abstract	© 2018 International Psychogeriatric Association. Background: A cognitive behavioral model predicts that coping responses mediate the relationship between falls related psychological concerns and falls incidence, in community-dwelling older people. If empirical support could be found for this pathway then interventions could be developed to reduce falls risk by targeting coping strategies. Therefore, this study aimed to begin the process of testing whether coping responses mediate the association between falls self-efficacy (a principal element of falls related psychological concerns) and falls incidence, in community-dwelling older people.Method: In a cross-sectional design, 160 community-dwelling older people (31 male, 129 female; mean age 83.47 years) completed the Falls Efficacy Scale-International, the Revised-Ways of Coping Questionnaire, the Turning to Religion subscale of the COPE, and a falls questionnaire. Data were analyzed via mediation analysis using a bootstrapping approach.Results: Lower falls self-efficacy was associated with higher falls incidence, and more self-controlling coping was found to be a partial mediator of this association, with a confidence interval for the indirect effect of (0.003, 0.021) and an effect size of κ2 = 0.035. The association was not mediated by the other measured coping responses; namely, turning to religion, distancing, seeking social support, accepting responsibility, escape-avoidance, planful problem-solving, and positive reappraisal.Conclusions: Self-controlling coping may mediate the association between falls self-efficacy and falling. If longitudinal studies confirm this finding then coping could be targeted in interventions to reduce falls.	en_US
dc.relation.ispartof	International Psychogeriatrics	en_US
dc.relation.isbasedon	10.1017/S1041610217002319	en_US
dc.subject.classification	Geriatrics	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Incidence	en_US
dc.subject.mesh	Cross-Sectional Studies	en_US
dc.subject.mesh	Adaptation, Psychological	en_US
dc.subject.mesh	Self Efficacy	en_US
dc.subject.mesh	Accidental Falls	en_US
dc.subject.mesh	Aging	en_US
dc.subject.mesh	Quality of Life	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Aged, 80 and over	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Postural Balance	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.subject.mesh	United Kingdom	en_US
dc.title	Falls self-efficacy and falls incidence in community-dwelling older people: The mediating role of coping	en_US
dc.type	Journal Article
utslib.citation.volume	5	en_US
utslib.citation.volume	30	en_US
utslib.for	1701 Psychology	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	11 Medical and Health Sciences	en_US
utslib.for	17 Psychology and Cognitive Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
utslib.copyright.status	open_access
pubs.issue	5	en_US
pubs.publication-status	Published	en_US
pubs.volume	30	en_US

Abstract:

© 2018 International Psychogeriatric Association. Background: A cognitive behavioral model predicts that coping responses mediate the relationship between falls related psychological concerns and falls incidence, in community-dwelling older people. If empirical support could be found for this pathway then interventions could be developed to reduce falls risk by targeting coping strategies. Therefore, this study aimed to begin the process of testing whether coping responses mediate the association between falls self-efficacy (a principal element of falls related psychological concerns) and falls incidence, in community-dwelling older people.Method: In a cross-sectional design, 160 community-dwelling older people (31 male, 129 female; mean age 83.47 years) completed the Falls Efficacy Scale-International, the Revised-Ways of Coping Questionnaire, the Turning to Religion subscale of the COPE, and a falls questionnaire. Data were analyzed via mediation analysis using a bootstrapping approach.Results: Lower falls self-efficacy was associated with higher falls incidence, and more self-controlling coping was found to be a partial mediator of this association, with a confidence interval for the indirect effect of (0.003, 0.021) and an effect size of κ2 = 0.035. The association was not mediated by the other measured coping responses; namely, turning to religion, distancing, seeking social support, accepting responsibility, escape-avoidance, planful problem-solving, and positive reappraisal.Conclusions: Self-controlling coping may mediate the association between falls self-efficacy and falling. If longitudinal studies confirm this finding then coping could be targeted in interventions to reduce falls.

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http://hdl.handle.net/10453/121858