Fear of Falling and Correlated-Factors in Community-Dwelling Older Adults in the Eastern Thailand
คำสำคัญ:
Fear of falling, Falls, Older adults, Activity restrictionบทคัดย่อ
Older adults with fear of falling and activity restriction are at high risk for future falls and disability. This cross-sectional study aims to examine the prevalence and correlates of fear of falling among Thai older adults. We used multi-stage sampling to recruit 175 older adults from six areas across eastern Thailand. Questionnaires were used to collect participants’ characteristics, health-related characteristics, and fear of falling. A full tandem stance test and Snellen chart were used to assess balance performance and visual acuity, respectively. Descriptive statistics and multivariate logistic regression were used for data analyses. The participants were 67.4% female, 28% experienced one or more fall in the past year, 85.1% reported fear of falling, and 39.4% restricted their activities due to this fear. All had no limitation of basic functional performance. Multivariate analysis indicated that female gender (OR 3.70, 95% CI 1.34- 10.21), fall history (OR 10.16, 95% CI 1.14- 90.37), and anticipation of difficulty from falling (OR 1.32, 95% CI 1.16- 1.50) were independently associated with fear of falling. About one-third of older participants received fall prevention education, 25.7% received home safety education, and only 18.3% received fear of falling education. The findings suggest a high prevalence of fear of falling in Thai older adults even though they are still having high functional performance. However, fall, fear of falling, and home safety education interventions were low delivered to older adults living in the eastern Thai communities. Community nurses should deliver more education regarding fall, fear of falling, and home safety, and health screening by targeting older women who experience falling and anticipate difficulty from falling.
เอกสารอ้างอิง
Allali, G., Ayers, E. I., Holtzer, R., & Verghese, J. (2017). The role of postural instability/gait difficulty and fear of falling in predicting falls in non-demented older adults. Archives of Gerontology and Geriatrics, 69, 15-20. https://doi.org/10.1016/j.archger.2016.09.008
Arfken, C. L., Lach, H. W., Birge, S. J., & Miller, J. P. (1994). The prevalence and correlates of fear of falling in elderly persons living in the community. American Journal of Public Health, 84(4), 565-570. https://doi.org/10.2105/ajph.84.4.565
Asadi Samani, Z., Rahnama, N., Reisi, J., & Lenjan Nejadian, S. (2020). Correlation between new activity-based balance index with accelerometer data and postural balance in elderly woman [Research]. Koomesh Journal, 22(1), 92-98. https://doi.org/10.29252/koomesh.22.1.92
Austin, N., Devine, A., Dick, I., Prince, R., & Bruce, D. (2007). Fear of falling in older women: A longitudinal study of incidence, persistence, and predictors. Journal of the American Geriatrics Society, 55(10), 1598-1603. https://doi.org/10.1111/j.1532-5415.2007.01317.x
Baek, W., Min, A., Ji, Y., Park, C. G., & Kang, M. (2024). Impact of activity limitations due to fear of falling on changes in frailty in Korean older adults: A longitudinal study. Scientific Reports, 14(1), 19121. https://doi.org/10.1038/s41598-024-69930-2
Birhanie, G., Melese, H., Solomon, G., Fissha, B., & Teferi, M. (2021). Fear of falling and associated factors among older people living in Bahir Dar City, Amhara, Ethiopia- A cross-sectional study. BMC geriatrics, 21(1), 586. https://doi.org/10.1186/s12877-021-02534-x
Bubela, D., Sacharko, L., Chan, J., & Brady, M. (2019). Balance and functional outcomes for older community-dwelling adults who practice Tai Chi and those who do not: A comparative study. Journal of Geriatric Physical Therapy, 42(4), 209-215. https://doi.org/10.1519/jpt.0000000000000153
Chang, H. T., Chen, H. C., & Chou, P. (2016). Factors associated with fear of falling among community-dwelling older adults in the Shih-Pai study in Taiwan. PloS One, 11(3), e0150612. https://doi.org/10.1371/journal.pone.0150612
Chang, H. T., Chen, H. C., & Chou, P. (2017). Fear of falling and mortality among community-dwelling older adults in the Shih-Pai study in Taiwan: A longitudinal follow-up study. Geriatrics & Gerontology International, 17(11), 2216–2223. https://doi.org/10.1111/ggi.12968
Choi, K., & Ko, Y. (2015). Characteristics Associated with fear of falling and activity restriction in south korean older adults. Journal of Aging and Health, 27(6), 1066-1083. https://doi.org/10.1177/0898264315573519
Chunharas, S. (2019). Situation of the Thai eldery 2019. Foundation of Thai Gerontology Research and Development Institute.
Dean, A.G., Sullivan, K.M., & Soe, M.M. (2013). OpenEpi: Open source epidemiologic statistics for public health. https://www.openepi.com/Menu/OE_Menu.htm
Delbaere, K., Close, J. C., Heim, J., Sachdev, P. S., Brodaty, H., Slavin, M. J., Kochan, N. A., & Lord, S. R. (2010). A multifactorial approach to understanding fall risk in older people. Journal of the American Geriatrics Society, 58(9), 1679-1685. https://doi.org/10.1111/j.1532-5415.2010.03017.x
Delbaere, K., Crombez, G., van Haastregt, J. C., & Vlaeyen, J. W. (2009). Falls and catastrophic thoughts about falls predict mobility restriction in community-dwelling older people: A structural equation modelling approach. Aging & Mental Health, 13(4), 587-592. https://doi.org/10.1080/13607860902774444
Denkinger, M. D., Lukas, A., Nikolaus, T., & Hauer, K. (2015). Factors associated with fear of falling and associated activity restriction in community-dwelling older adults: A systematic review. American Journal of Geriatric Psychiatry, 23(1), 72-86. https://doi.org/10.1016/j.jagp.2014.03.002
Deshpande, N., Metter, E. J., Bandinelli, S., Lauretani, F., Windham, B. G., & Ferrucci, L. (2008). Psychological, physical, and sensory correlates of fear of falling and consequent activity restriction in the elderly: The InCHIANTI study. American Journal of Physical Medicine and Rehabilitation, 87(5), 354-362. https://doi.org/10.1097/PHM.0b013e31815e6e9b
Healy, T. C., Peng, C., Haynes, M. S., McMahon, E. M., Botler, J. L., & Gross, L. (2008). The feasibility and effectiveness of translating a matter of balance into a volunteer lay leader model. Journal of Applied Gerontology, 27(1), 34-51. https://doi.org/10.1177/0733464807308620
Jarutach, T., & Lertpradit, N. (2020). Housing conditions and improvement guidelines for the elderly living in urban areas: Case studies of four Bangkok’s districts. Journal of Environmental Design and Planning, 18, 117-138.https://ph01.tci-thaijo.org/index.php/nakhara/article/view/232105
Jehu, D. A., & Skelton, D. A. (2023). The measurement and reporting of falls: Recommendations for research and practice on defining faller types. Journal of Frailty, Sarcopenia and Falls, 8(4), 200–203. https://doi.org/10.22540/JFSF-08-200
Jitapunkul, S. (1999). Principles of geriatric medicine. Chulalongkorn university printing house.
Lach, H. W. (2005). Incidence and risk factors for developing fear of falling in older adults. Public Health Nursing, 22(1), 45-52. https://doi.org/10.1111/j.0737-1209.2005.22107.x
Lach, H. W., & Noimontree, W. (2018). Fall prevention among community-dwelling older adults: Current guidelines and older adult responses. Journal of Gerontological Nursing, 44(9), 21-29. https://doi.org/10.3928/00989134-20180808-06
Lee, S., & Hong, G. S. (2020). The predictive relationship between factors related to fear of falling and mortality among community-dwelling older adults in Korea: Analysis of the Korean longitudinal study of aging from 2006 to 2014. Aging & Mental Health, 24(12), 1999-2005. https://doi.org/10.1080/13607863.2019.1663490
Liu, M., Hou, T., Li, Y., Sun, X., Szanton, S. L., Clemson, L., & Davidson, P. M. (2021). Fear of falling is as important as multiple previous falls in terms of limiting daily activities: A longitudinal study. BMC Geriatrics, 21(1), 350. https://doi.org/10.1186/s12877-021-02305-8
MacKay, S., Ebert, P., Harbidge, C., & Hogan, D. B. (2021). Fear of falling in older adults: A scoping review of recent literature. Canadian Geriatrics Journal : CGJ, 24(4), 379–394. https://doi.org/10.5770/cgj.24.521
Mahoney, J. E. (2014). "Stepping on": stepping over the chasm from research to practice. Frontiers in public health, 2, 148. https://doi.org/10.3389/fpubh.2014.00148
National Statistic Office. (2025). Key findings: Employment of older adults in Thailand in 2024. https://www.nso.go.th/nsoweb/storage/survey_detail/2025/20250327140934_65830.pdf
Phongphanngam, S., & Nawai, A. (2020). Falls, fear of falling, and activity avoidance due to fear of falling among thai community-dwelling older adults living in suburban Chiang Mai Thailand. Journal of Health and Nursing Research, 36(1), 22-38. https://he01.tci-thaijo.org/index.php/bcnbangkok/article/view/242136
Rossiter-Fornoff, J. E., Wolf, S. L., Wolfson, L. I., & Buchner, D. M. (1995). A cross-sectional validation study of the FICSIT common data base static balance measures. Frailty and Injuries: Cooperative Studies of Intervention Techniques. Journals of Gerontology. Series A: Biological Sciences and Medical Sciences, 50(6), M291-297. https://doi.org/10.1093/gerona/50a.6.m291
Scheffer, A. C., Schuurmans, M. J., van Dijk, N., van der Hooft, T., & de Rooij, S. E. (2008). Fear of falling: Measurement strategy, prevalence, risk factors and consequences among older persons. Age and Ageing, 37(1), 19-24. https://doi.org/10.1093/ageing/afm169
Schneider, J. K., Mercer, G. T., Herning, M., Smith, C. A., & Prysak, M. D. (2004). Promoting exercise behavior in older adults: Using a cognitive behavioral intervention. Journal of Gerontological Nursing, 30(4), 45-53. https://doi.org/10.3928/0098-9134-20040401-10
Sitdhiraksa, N., Piyamongkol, P., Chaiyawat, P., Chantanachai, T., Ratta-Apha, W., Sirikunchoat, J., & Pariwatcharakul, P. (2021). Prevalence and factors associated with fear of falling in community-dwelling Thai elderly. Gerontology, 67(3), 276-280. https://doi.org/10.1159/000512858
Thai Ministry of Public Health. (2023). Public Health Statistics A.D.2022. https://spd.moph.go.th/wp-content/uploads/2023/11/Hstatistic65.pdf
Thiamwong, L., & Suwanno, J. (2017). Fear of falling and related factors in a community-based study of people 60 years and older in Thailand. International Journal of Gerontology, 11(2), 80-84. https://doi.org/https://doi.org/10.1016/j.ijge.2016.06.003
Tomita, Y., Arima, K., Tsujimoto, R., Kawashiri, S. Y., Nishimura, T., Mizukami, S., Okabe, T., Tanaka, N., Honda, Y., Izutsu, K., Yamamoto, N., Ohmachi, I., Kanagae, M., Abe, Y., & Aoyagi, K. (2018). Prevalence of fear of falling and associated factors among Japanese community-dwelling older adults. Medicine, 97(4), e9721. https://doi.org/10.1097/md.0000000000009721
Viaje, S., Crombez, G., Lord, S. R., Close, J. C. T., Sachdev, P., Brodaty, H., & Delbaere, K. (2019). The role of concern about falling on stepping performance during complex activities. BMC Geriatrics, 19(1), 333. https://doi.org/10.1186/s12877-019-1356-z
Watson, Y. I., Arfken, C. L., & Birge, S. J. (1993). Clock completion: An objective screening test for dementia. Journal of the American Geriatrics Society, 41(11), 1235-1240. https://doi.org/10.1111/j.1532-5415.1993.tb07308.x
World Health Organization. (2021). Falls. https://www.who.int/news-room/fact-sheets/detail/falls
Yip, J. L., Khawaja, A. P., Broadway, D., Luben, R., Hayat, S., Dalzell, N., Bhaniani, A., Wareham, N., Khaw, K. T., & Foster, P. J. (2014). Visual acuity, self-reported vision and falls in the EPIC-Norfolk Eye study. British Journal of Ophthalmology, 98(3), 377-382. https://doi.org/10.1136/bjophthalmol-2013-304179
Zou, Z., Chen, Z., Ni, Z., Hou, Y., & Zhang, Q. (2022). The effect of group-based Otago exercise program on fear of falling and physical function among older adults living in nursing homes: A pilot trial. Geriatric Nursing (New York, N.Y.), 43, 288-292. https://doi.org/10.1016/j.gerinurse.2021.12.011
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