Browse > Article
http://dx.doi.org/10.12799/jkachn.2018.29.4.520

Factors Influencing Activities-specific Balance Confidence in Community-dwelling Old Adults  

Kim, Hee Ryang (Graduate School, College of Nursing, Gachon University)
Ko, Young (College of Nursing, Gachon University)
Publication Information
Research in Community and Public Health Nursing / v.29, no.4, 2018 , pp. 520-529 More about this Journal
Abstract
Purpose: The purpose of this study is to identify factors influencing activities-specific balance confidence in community-dwelling older adults. Methods: This is secondary analysis of data from an intervention study for improving cognitive function. The data were collected from March 2 to September 30, 2017 at a senior center. Data of 131 older adults were included for this secondary analysis, and were analyzed by using t-test, ANOVA, and multiple regression. Results: The mean score of activities-specific balance confidence is 65.08 out of a possible range of 0-100. The significant factors affecting activities-specific balance confidence among old adults include 'more than 85 years old', 'waist circumference', 'depressive symptoms', 'activity restriction due to fear of falling', and 'self-rated health' which explained 52.8% of the variance. Conclusion: The study results indicate that psychologic factors as well as physical condition should be considered for interventions to increase activities-specific balance confidence.
Keywords
Aged; Accidental falls; Independent living; Prevention & control; Postural balance;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Kim OH, Lee EK, Kim EM. Effects of fall prevention program on fall efficacy scale and activities-specific of balance confidence scale in rural residents. Journal of Korean Public Health Nursing. 2011;25(2):187-196.   DOI
2 Kim SH, Kim SK, Kang CY, Kim SJ, Lee HJ. Fall risk analysis of elderly living in the city. Journal of Digital Convergence. 2016;14(5):485-491.   DOI
3 Springstroh KA, Gal NJ, Ford AL, Whiting SJ, Dahl WJ. Evaluation of handgrip strength and nutritional risk of congregate nutrition program participants in Florida. Journal of Nutrition in Gerontology and Geriatrics. 2016;35(3):193-208. https://doi.org/10.1080/21551197.2016.1209146   DOI
4 Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society. 1991;39(2):142-148. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x   DOI
5 Rikli RE, Jones CJ. The reliability and validity of a 6-minute walk test as a measure of physical endurance in older adults. Journal of Aging and Physical Activity. 1998;6(4):363-375. https://doi.org/10.1123/japa.6.4.363   DOI
6 Kim GW, Kim MH, Kim BG, Kim JR, Kim TH, Moon SW, et al. Standardization of diagnostic tools for dementia. Research Report. Gyeonggido, Seongnam: Bundang Seoul National University Hospital; 2009 December. Report No.: 11-1351000-000589-01.
7 Kee BS. A preliminary study for the standardization of geriatric depression scale short form-Korea version. Journal of Korean Neuropsychiatr Association. 1996;35(2):298-307.
8 Son J, Kim S, Won C, Choi H, Kim B, Park M. Physical frailty predicts medical expenses in community-dwelling, elderly patients: three-year prospective findings from living profiles of older people surveys in Korea. European Geriatric Medicine. 2015;6(5):412-416. https://doi.org/10.1016/j.eurger.2015.05.003   DOI
9 Jung YM, Lee SE, Chung KS. Prevalence and associated factors of falls according to health status in elderly living in the community. Journal of the Korean Gerontological Society. 2006;26(2):291-303.
10 Yim ES, Kim DS, Kim BH. Comparisons of the falls and intrinsic fall risk factors according to gender in the elderly at transitional periods of life. The Journal of the Korea Contents Association. 2013;13(12):276-290. https://doi.org/10.5392/JKCA.2013.13.12.276.   DOI
11 Kim YH, Yang KH, Park KS. Fall experience and risk factors for falls among the community-dwelling elderly. Journal of Muscle and Joint Health. 2013;20(2):91-101.   DOI
12 Statistics Korea. Elderly Statistics [Internet]. Seoul: Statistics Korea. 2017 [cited 2018 April 20]. Available from: http://kosis.kr/publication/publicationThema.do
13 Jang KW, Oh Y, Lee YK, Oh M, Kang E, Kim KR, et al. 2017 living profile of older people survey in Korea. Research Report. Sejong: Korea Institute for Health and Social Affair; 2017 November. Report No.: 11-1352000-000672-12.
14 Lee JH, Ahn EM, Kim GE, Jeong YK, Kim JH, Kim JH, et al. The effects of falling and fear of falling on daily activity levels in the elderly residing in Korean rural community. Journal of the Korean Geriatrics Society. 2009;13(2):79-88.   DOI
15 Jang SN, Cho SI, Ou SW, Lee ES, Baik HW. The validity and reliability of Korean fall efficacy scale (FES) and activitiesspecific balance confidence scale (ABC). Journal of the Korean Geriatrics Society. 2003;7(4):255-268.
16 Hinton R, Moody RL, Davis AW, Thomas SF. Osteoarthritis: diagnosis and therapeutic considerations. American Family Physician. 2002;65(5):841-848.
17 Yoo I. Fall and housing environmental problem of the couple and single elderly. Journal of the Korean Society of Living Environmental System. 2005;12:199-205.
18 Lim JY, Kim BH, Park JH, Lee SB, Paik NJ, Kim KW. The effect of age and gender in physical function and quality of life in Korean elderly: The Korean longitudinal study on health and aging. Journal of Korean Academy of Rehabilitation Medicine. 2007;31(4):457-465.
19 Jeon BJ, Lee JS, Lee OJ, Shim MS, Han SJ, Chang YS. A study on the factors affecting falls of the elderly in rural areas. The Journal of Korean Society of Occupational Therapy. 2009;17(4):99-112.
20 Boulgarides LK, McGinty SM, Willett JA, Barnes CW. Use of clinical and impairment-based tests to predict falls by community-dwelling older adults. Physical Therapy. 2003;83(4):328-339. https://doi.org/10.1093/ptj/83.4.328
21 Bandura A. Social cognitive theory of self-regulation. Organizational behavior and Human Decision Processes. 1991;50(2):248-287. https://doi.org/10.1016/0749-5978(91)90022-L   DOI
22 Cleary K, Skornyakov E. Predicting falls in community dwelling older adults using the activities-specific balance confidence scale. Archives of Gerontology and Geriatrics. 2017;72:142-145. https://doi.org/10.1016/j.archger.2017.06.007   DOI
23 Choi K, Ko Y. Characteristics associated with fear of falling and activity restriction in South Korean older adults. Journal of Aging and Health. 2015;27(6):1066-1083. https://doi.org/10.1177/0898264315573519   DOI
24 Kim JM, Suh HK. Risk factors for falls in the elderly by lifecycle. Korean Journal of Health Education and Promotion. 2010;27(1):21-34.
25 Ko Y, Lee IS. Factors affecting the self-rated health of vulnerable elderly. Journal of Korean Academy of Community Health Nursing. 2009;20(1):31-40.
26 Powell LE, Myers AM. The activities-specific balance confidence (ABC) scale. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 1995;50(1):M28-M34. https://doi.org/10.1093/gerona/50A.1.M28.   DOI
27 Landers MR, Oscar S, Sasaoka J, Vaughn K. Balance confidence and fear of falling avoidance behavior are most predictive of falling in older adults: prospective analysis. Physical Therapy. 2016;96(4):433-442. https://doi.org/10.2522/ptj.20150184.   DOI
28 Moiz JA, Bansal V, Noohu MM, Gaur SN, Hussain ME, Anwer S, et al. Activities-specific balance confidence scale for predicting future falls in Indian older adults. Clinical Interventions in Aging. 2017;12:645-651. https://doi.org/10.2147/CIA.S133523   DOI
29 Schott N. Reliability and validity of the German short version of the activities specific balance confidence (ABC-D6) scale in older adults. Archives of Gerontology and Geriatrics. 2014;59(2):272-279. https://doi.org/10.1016/j.archger.2014.05.003   DOI
30 Han DW, Park KY. Analysis of Factors influencing risk of fallings among rehabilitation patients with impaired of mobility: focusing on activities-specific balance confidence. Journal of Korean Academy of Fundamentals of Nursing. 2013;20(3):220-299. https://doi.org/10.7739/jkafn.2013.20.3.220   DOI