The Effects of Self-Efficacy Enhancement in Paslop Exercise Program on Gait Balance and Fear of Falling Among Thai Elderly
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Abstract
Objectives: to examine the effects of Self-Efficacy Enhancement in Paslop Exercise Program (SEEPEP)on balance and fear of falling among Thai older adults. Methods: this study was quasi-experimental two-group pretest-posttest study included seventy-four participants who met inclusion criteria were selected from older adults who live in Songkhla Province. The instruments used in this study consisted of 1) The Self-Efficacy Enhancement in Paslop Exercise Program 2) the demographic and health behavior questionnaire 3) the record form of exercise activities and 4) the falls efficacy scale. The content of the program and scale was evaluated by experts, yielding a content validity index (S-CVI = .90). The record form of exercise activities and the falls efficacy scale was assessed with reliability of .98 and .90 respectively. Data of demographic and health behavior data were analyzed using descriptive statistics, Paired t-test was used to compare gait balance within group and Independent t-test for between groups. Wilcoxon signed ranks test was used to compare fear of falling within group and Mann-Witney U test for between groups. Results: the results revealed that the mean score of balance at post-intervention in the experimental group was statistically better than that at pre-intervention (t = 8.08, p < .001) and significantly better than that in the control group (t = 4.31, p < .001). The mean rank of fear of falling at post-intervention in the experimental group was statistically lower than that at pre-intervention (Z = -3.71, p < .001) and statistically lower than that in control group (Z = -2.34, p < .05). Conclusion: The results of this study recommended to apply this SEEPEP for enhance balance and reduce fear of falling among community-dwelling Thai older adults.
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