Falls-related psychological concerns in the community-dwelling older adult population.

PhD Thesis


Hughes, C. 2012. Falls-related psychological concerns in the community-dwelling older adult population. PhD Thesis Canterbury Christ Church University Department of Applied Psychology
AuthorsHughes, C.
TypePhD Thesis
Qualification nameDClinPsychol
Abstract

Section A explores the theoretical underpinnings of the four concepts included within the umbrella term ‘falls-related psychological concerns.’ These are fear of falling, falls-related self-efficacy (FSe), balance confidence and outcome expectancy. It goes on to examine the empirical literature on psychological factors associated with falls-related psychological concerns, and the limited literature exploring how the psychological factors mediate between falls-related psychological concerns and falls. A model of falls-risk is presented to consider these mediating roles. The clinical and research implications of the review findings are considered.
Section B reports an empirical study, which explored cognitive coping responses employed by community-dwelling older people to manage their falls-related psychological concerns. It explored if these coping responses mediate the relationship between falls-related psychological concerns and falls. Correlation and regression analyses were employed to explore the relationships between these variables. Robust analysis was conducted using bootstrapping, and a bootstrapped mediation analysis, based on Baron and Kenny’s (1986) model was employed. The study concluded that FSe and falls were strongly associated, and ‘self-controlling’ coping was found to be a partial mediator of this relationship. Study limitations, theoretical and clinical implications, and suggestions for further research are provided.

KeywordsOlder people, falls, fear of falling
Year2012
Publication process dates
Deposited15 Nov 2012
SubmittedJul 2012
Output statusUnpublished
Accepted author manuscript
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https://repository.canterbury.ac.uk/item/86v20/falls-related-psychological-concerns-in-the-community-dwelling-older-adult-population

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