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AuthorEckert, Tobiasdc.contributor.author
AuthorKampe, Karindc.contributor.author
AuthorKohler, Michaeladc.contributor.author
AuthorAlbrecht, Dianadc.contributor.author
AuthorBüchele, Giseladc.contributor.author
AuthorHauer, Klausdc.contributor.author
AuthorSchäufele, Martinadc.contributor.author
AuthorBecker, Clemensdc.contributor.author
AuthorPfeiffer, Klausdc.contributor.author
Date of accession2021-10-20T11:01:45Zdc.date.accessioned
Available in OPARU since2021-10-20T11:01:45Zdc.date.available
Date of first publication2019-12-02dc.date.issued
AbstractObjective: To gain a better understanding about the nature of fear of falling, this study analyzed associations between psychological and physical aspects related to fear of falling and falls efficacy in hip/pelvic fracture patients. Design: Baseline data of a randomized controlled trial. Setting: Geriatric inpatient rehabilitation hospital. Subjects: In all, 115 geriatric patients with hip/pelvic fracture (mean age: 82.5 years) reporting fear of falling within first week of inpatient rehabilitation. Interventions: None. Main measures: Falls efficacy (Short Falls Efficacy Scale–International; Perceived Ability to Manage Falls), fear of falling (one-item question), fall-related post-traumatic stress symptoms (six items based on Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV) criteria), physical performance (Short Physical Performance Battery) and psychological inflexibility (Acceptance and Action Questionnaire-II) were assessed. Results: Path analyses demonstrated that low falls efficacy (Short Falls Efficacy Scale International) was significantly related to poor physical performance (β* = –.277, P ⩽ .001), but not to psychological inflexibility and fall-related post-traumatic stress symptoms (P ⩾ .05.). Fear of falling was directly associated with fall-related post-traumatic stress symptoms (β*= .270, P = .007) and indirectly with psychological inflexibility (β*= .110, P = .022). Low perceived ability to manage falls was significantly related to previous falls (β* = –.348, P ⩽ .001), psychological inflexibility (β* = –.216, P = .022) and female gender (β* = –.239, P ⩽ .01). Conclusion: Falls efficacy and fear of falling constitute distinct constructs. Falls efficacy measured with the Short Falls Efficacy Scale International reflects the appraisal of poor physical performance. Fear of falling measured by the single-item question constitutes a fall-specific psychological construct associated with psychological inflexibility and fall-related post-traumatic stress symptoms. © In Copyright http://rightsstatements.org/vocab/InC/1.0/dc.description.abstract
Languageendc.language.iso
PublisherUniversität Ulmdc.publisher
LicenseIn Copyrightdc.rights
Link to license texthttp://rightsstatements.org/vocab/InC/1.0/dc.rights.uri
KeywordHip fracturedc.subject
Keywordelderlydc.subject
Keywordfear of fallingdc.subject
Keywordfalls efficacydc.subject
Keywordpost-traumatic stressdc.subject
Dewey Decimal GroupDDC 610 / Medicine & healthdc.subject.ddc
LCSHFalls (Accidents) in old agedc.subject.lcsh
LCSHFeardc.subject.lcsh
MeSHHip fracturesdc.subject.mesh
MeSHAgeddc.subject.mesh
MeSHAccidental fallsdc.subject.mesh
TitleCorrelates of fear of falling and falls efficacy in geriatric patients recovering from hip/pelvic fracturedc.title
Resource typeWissenschaftlicher Artikeldc.type
SWORD Date2020-05-21T05:44:52Zdc.date.updated
VersionpublishedVersiondc.description.version
DOIhttp://dx.doi.org/10.18725/OPARU-39166dc.identifier.doi
URNhttp://nbn-resolving.de/urn:nbn:de:bsz:289-oparu-39242-4dc.identifier.urn
GNDOberschenkelbruchdc.subject.gnd
GNDAlter <60-90 Jahre>dc.subject.gnd
FacultyMedizinische Fakultätuulm.affiliationGeneral
InstitutionInstitut für Epidemiologie und Medizinische Biometrieuulm.affiliationSpecific
Peer reviewjauulm.peerReview
DCMI TypeTextuulm.typeDCMI
CategoryPublikationenuulm.category
In cooperation withHochschule Mannheimuulm.cooperation
In cooperation withFriedrich-Alexander-Universität Erlangen-Nürnberguulm.cooperation
In cooperation withRobert-Bosch-Krankenhausuulm.cooperation
In cooperation withAgaplesion Bethanien Krankenhaus Heidelberguulm.cooperation
DOI of original publication10.1177/0269215519891233dc.relation1.doi
Source - Title of sourceClinical Rehabilitationsource.title
Source - Place of publicationSAGE Publicationssource.publisher
Source - Volume34source.volume
Source - Issue3source.issue
Source - Year2020source.year
Source - From page416source.fromPage
Source - To page425source.toPage
Source - ISSN0269-2155source.identifier.issn
Source - eISSN1477-0873source.identifier.eissn
FundingPROFinD / BMBF [01EC1007A]uulm.funding
CommunityMedizinische Fakultätuulm.community
Rights noticeDieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich.dc.rights.other
Rights noticeThis publication is with permission of the rights owner freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively.dc.rights.other
Bibliographyuulmuulm.bibliographie


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