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Is there an association between balance confidence and balance performance in community-dwelling older adults?
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|Title:||Is there an association between balance confidence and balance performance in community-dwelling older adults?|
|Authors:||Wooton, Angela Kaye|
|Date Issued:||Dec 2011|
|Publisher:||[Honolulu] : [University of Hawaii at Manoa], [December 2011]|
|Abstract:||Falls are a major concern for older adults. Research suggests older adults do not accurately assess their actual balance and gait abilities placing them at risk of a fall. Although deficits in balance performance in older adults are normally attributed to underlying physiological factors, psychological constructs such as balance confidence may be associated with balance performance.|
The objectives of this study were to investigate the associations between balance confidence and balance performance in community-dwelling older adults, and to describe the relationships between sociodemographic, and socioeconomic characteristics of older adults, 65 years of age and older.
A correlational non-experimental research design was used to investigate the associations between balance confidence and balance performance in older adults. The study sample consisted of 140 community-dwelling older adults, 65 to 100 years of age. Data was collected from three residential apartment complexes in Henderson, Kentucky. Study participants completed the Demographic Questionnaire, Folstein Mini-Mental Exam (MMSE), Activities-specific Balance Confidence (ABC) Scale and the Tinetti Performance Oriented Mobility Assessment (POMA) Tool.
Study results indicated a significant correlation between balance confidence and balance performance F (7, 132) = 40.45, p < .001. Balance confidence, cognitive health, and number of falls were significant (p < .001) predictors of overall gait and balance performance on the POMA Tool. These three predictors explained 68.2% (R² = .682) of the variance in the multiple regression models.
This study provided evidence of the associations between balance confidence and balance performance in community-dwelling older adults. The ABC scale is a useful screening tool which can be used to identify older adults with deficits in balance confidence, placing them at higher risk for impaired balance, which may progress to a traumatic fall. Further research is warranted to explore the impact of balance confidence on impaired balance and/or gait, which has been associated with falls in older adults.
|Description:||Ph.D. University of Hawaii at Manoa 2011.|
Includes bibliographical references.
|Appears in Collections:||
Ph.D. - Nursing|
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