Age and Ageing, Vol 29, 57-62, Copyright © 2000 by British Geriatrics Society
ID Cameron, B Stafford, RG Cumming, C Birks, SE Kurrle, K Lockwood, S Quine, T Finnegan and G Salkeld
OBJECTIVES: To investigate the effect of use of external hip protectors on
subjects' fear of falling and falls self-efficacy (belief in their own
ability to avoid falling). DESIGN: Randomized controlled trial. SETTING:
Aged-care health services in Sydney, Australia. PARTICIPANTS: 131 women
aged 75 years or older, who had two or more falls or one fall requiring
hospital admission in the previous year and who live at home. Sixty-one
subjects were in the intervention group and 70 in the control group.
INTERVENTION: Use of external hip protectors and encouragement to use the
protectors by an adherence nurse. MEASUREMENTS: At the time of enrolment
into a wider study examining the effect of hip protectors on hip fractures,
participants recruited at home completed an assessment of fear of falling
and falls efficacy as measured by the Falls Efficacy Scale and the Modified
Falls Efficacy Scale. At 4-month follow-up, these scales were
readministered by an observer who was not aware of the allocation of the
participant to intervention or control groups. RESULTS: Fear of falling and
falls self-efficacy, as measured by the Falls Efficacy and Modified Falls
Efficacy Scales, were similar at baseline in both groups. Fear of falling
was present at follow-up in 43% of subjects using hip protectors and 57% of
the control group (chi2 = 2.58, P = 0.11). Hip protector users had greater
improvement in falls self-efficacy at follow-up as measured by the Falls
Efficacy Scale (t = 2.44, P = 0.016) and the Modified Falls Efficacy Scale
(t = 2.08, P = 0.039). CONCLUSION: Hip protectors improve falls
self-efficacy. As users of hip protectors feel more confident that they can
complete tasks safely, they may become more physically active and require
less assistance with activities of daily living.
ARTICLES
Hip protectors improve falls self-efficacy
Department of Medicine, University of Sydney, NSW, Australia. ianc@pub.health.usyd.edu.au
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