Effect of Fall-Related Concerns on Physical, Mental, and Social Function in Community-Dwelling Older Adults: A Prospective Cohort Study
Objectives To determine the effect of fall‐related concerns on physical, mental, and social function. Design Community‐based prospective cohort study (secondary analysis using control group data from a randomized controlled trial). Setting Two municipalities in the south of the Netherlands. Particip...
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| Veröffentlicht in: | Journal of the American Geriatrics Society (JAGS) 2014-12, Vol.62 (12), p.2333-2338 |
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| container_title | Journal of the American Geriatrics Society (JAGS) |
| container_volume | 62 |
| creator | van der Meulen, Erik Zijlstra, G.A. Rixt Ambergen, Ton Kempen, Gertrudis I.J.M. |
| description | Objectives
To determine the effect of fall‐related concerns on physical, mental, and social function.
Design
Community‐based prospective cohort study (secondary analysis using control group data from a randomized controlled trial).
Setting
Two municipalities in the south of the Netherlands.
Participants
Community‐dwelling older adults (N = 260).
Measurements
Two groups were created using Modified Falls Efficacy Scale scores (high and low levels of fall‐related concerns). Five outcome measures representing physical, mental, and social function were included: activities of daily living (ADLs), symptoms of depression, feelings of anxiety, social participation, and social support interactions. Outcomes were measured at baseline and at 2, 8, and 14 months. Data were analyzed using analysis of covariance and mixed‐effect regression models for longitudinal data, adjusting for age, sex, living status (alone or with another person), educational level, cognitive status, self‐perceived health, and falls history at baseline.
Results
At baseline, significantly more limitations in ADLs and social participation were found for older persons with high levels of fall‐related concerns than for those with low levels of concern. These differences persisted over 14 months of follow‐up and were consistent over time. No significant differences were found for symptoms of depression, feelings of anxiety, or social support interactions, except for feelings of anxiety at 14 months.
Conclusion
Older persons with higher levels of fall‐related concerns reported up to 14 months poorer ADL and social participation for up to 14 months than those with lower levels of fall‐related concerns. From a clinical point of view, the clear relationship between fall‐related concerns and ADL dysfunction and social participation may help to target groups who are at risk of developing adverse consequences of concerns about falls. |
| doi_str_mv | 10.1111/jgs.13083 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1730564143</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1638000159</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5863-82566837ebc5c692b8ea3fbb8c287de64b2f0c08a6b6811e444de247c1813acd3</originalsourceid><addsrcrecordid>eNqN0t1u0zAUB_AIgVgZXPACyBJCAols_o7DXWnXAurYtIK4tBzH2Vxcp9gJo0_Aa-PQbkhIiPnGN7_jv3XOybKnCB6hdI5Xl_EIESjIvWyEGME5o4jdz0YQQpwLjuhB9ijGFYQIQyEeZgeYUSI4LEfZz5OmMboDbQNmyrn8wjjVmRpMWq9N8BG0HpxfbaPVyr0Gp8Z3w618DZattsqBWe91Z5OyPhWt17233TafXhvnrL8EZ642AYzr3nXxDRiD89DGTQq0303iV23owLLr6-3j7EGjXDRP9vdh9nl28mnyLl-czd9PxotcM8FJLjDjXJDCVJppXuJKGEWaqhIai6I2nFa4gRoKxSsuEDKU0tpgWmgkEFG6JofZy927m9B-603s5NpGnT6rvGn7KFFBIOMUUfJ_yjniSKR-34EyygtEIbwDJSLNDbEy0ed_0VXbB5_aMyjOigLTIfvVTunU2hhMIzfBrlXYSgTlsB4yrYf8vR7JPtu_2FdrU9_Km31I4MUeqJgm3gTltY1_XAlLCvEQerxz19aZ7b8T5Yf58iY631XY2JkftxUqfJW8IAWTXz7O5cWpeDudLogk5BeVxN1L</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1636577242</pqid></control><display><type>article</type><title>Effect of Fall-Related Concerns on Physical, Mental, and Social Function in Community-Dwelling Older Adults: A Prospective Cohort Study</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>van der Meulen, Erik ; Zijlstra, G.A. Rixt ; Ambergen, Ton ; Kempen, Gertrudis I.J.M.</creator><creatorcontrib>van der Meulen, Erik ; Zijlstra, G.A. Rixt ; Ambergen, Ton ; Kempen, Gertrudis I.J.M.</creatorcontrib><description>Objectives
To determine the effect of fall‐related concerns on physical, mental, and social function.
Design
Community‐based prospective cohort study (secondary analysis using control group data from a randomized controlled trial).
Setting
Two municipalities in the south of the Netherlands.
Participants
Community‐dwelling older adults (N = 260).
Measurements
Two groups were created using Modified Falls Efficacy Scale scores (high and low levels of fall‐related concerns). Five outcome measures representing physical, mental, and social function were included: activities of daily living (ADLs), symptoms of depression, feelings of anxiety, social participation, and social support interactions. Outcomes were measured at baseline and at 2, 8, and 14 months. Data were analyzed using analysis of covariance and mixed‐effect regression models for longitudinal data, adjusting for age, sex, living status (alone or with another person), educational level, cognitive status, self‐perceived health, and falls history at baseline.
Results
At baseline, significantly more limitations in ADLs and social participation were found for older persons with high levels of fall‐related concerns than for those with low levels of concern. These differences persisted over 14 months of follow‐up and were consistent over time. No significant differences were found for symptoms of depression, feelings of anxiety, or social support interactions, except for feelings of anxiety at 14 months.
Conclusion
Older persons with higher levels of fall‐related concerns reported up to 14 months poorer ADL and social participation for up to 14 months than those with lower levels of fall‐related concerns. From a clinical point of view, the clear relationship between fall‐related concerns and ADL dysfunction and social participation may help to target groups who are at risk of developing adverse consequences of concerns about falls.</description><identifier>ISSN: 0002-8614</identifier><identifier>EISSN: 1532-5415</identifier><identifier>DOI: 10.1111/jgs.13083</identifier><identifier>PMID: 25438609</identifier><identifier>CODEN: JAGSAF</identifier><language>eng</language><publisher>Hoboken, NJ: Blackwell Publishing Ltd</publisher><subject>Accidental Falls - prevention & control ; Accidental Falls - statistics & numerical data ; Activities of Daily Living - psychology ; Adaptation, Psychological ; Aged ; Anxiety - psychology ; Biological and medical sciences ; Cognition & reasoning ; community-dwelling ; concerns about falls ; daily functioning ; Educational Status ; Falls ; Female ; General aspects ; Geriatric Assessment ; Geriatrics ; Health Status Indicators ; Humans ; Interpersonal Relations ; Longitudinal Studies ; Male ; Medical sciences ; Miscellaneous ; Motor ability ; Netherlands ; Prospective Studies ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Residence Characteristics ; Social Support</subject><ispartof>Journal of the American Geriatrics Society (JAGS), 2014-12, Vol.62 (12), p.2333-2338</ispartof><rights>2014, Copyright the Authors Journal compilation © 2014, The American Geriatrics Society</rights><rights>2015 INIST-CNRS</rights><rights>2014, Copyright the Authors Journal compilation © 2014, The American Geriatrics Society.</rights><rights>2014 American Geriatrics Society and Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5863-82566837ebc5c692b8ea3fbb8c287de64b2f0c08a6b6811e444de247c1813acd3</citedby><cites>FETCH-LOGICAL-c5863-82566837ebc5c692b8ea3fbb8c287de64b2f0c08a6b6811e444de247c1813acd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjgs.13083$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjgs.13083$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=29094022$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25438609$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van der Meulen, Erik</creatorcontrib><creatorcontrib>Zijlstra, G.A. Rixt</creatorcontrib><creatorcontrib>Ambergen, Ton</creatorcontrib><creatorcontrib>Kempen, Gertrudis I.J.M.</creatorcontrib><title>Effect of Fall-Related Concerns on Physical, Mental, and Social Function in Community-Dwelling Older Adults: A Prospective Cohort Study</title><title>Journal of the American Geriatrics Society (JAGS)</title><addtitle>J Am Geriatr Soc</addtitle><description>Objectives
To determine the effect of fall‐related concerns on physical, mental, and social function.
Design
Community‐based prospective cohort study (secondary analysis using control group data from a randomized controlled trial).
Setting
Two municipalities in the south of the Netherlands.
Participants
Community‐dwelling older adults (N = 260).
Measurements
Two groups were created using Modified Falls Efficacy Scale scores (high and low levels of fall‐related concerns). Five outcome measures representing physical, mental, and social function were included: activities of daily living (ADLs), symptoms of depression, feelings of anxiety, social participation, and social support interactions. Outcomes were measured at baseline and at 2, 8, and 14 months. Data were analyzed using analysis of covariance and mixed‐effect regression models for longitudinal data, adjusting for age, sex, living status (alone or with another person), educational level, cognitive status, self‐perceived health, and falls history at baseline.
Results
At baseline, significantly more limitations in ADLs and social participation were found for older persons with high levels of fall‐related concerns than for those with low levels of concern. These differences persisted over 14 months of follow‐up and were consistent over time. No significant differences were found for symptoms of depression, feelings of anxiety, or social support interactions, except for feelings of anxiety at 14 months.
Conclusion
Older persons with higher levels of fall‐related concerns reported up to 14 months poorer ADL and social participation for up to 14 months than those with lower levels of fall‐related concerns. From a clinical point of view, the clear relationship between fall‐related concerns and ADL dysfunction and social participation may help to target groups who are at risk of developing adverse consequences of concerns about falls.</description><subject>Accidental Falls - prevention & control</subject><subject>Accidental Falls - statistics & numerical data</subject><subject>Activities of Daily Living - psychology</subject><subject>Adaptation, Psychological</subject><subject>Aged</subject><subject>Anxiety - psychology</subject><subject>Biological and medical sciences</subject><subject>Cognition & reasoning</subject><subject>community-dwelling</subject><subject>concerns about falls</subject><subject>daily functioning</subject><subject>Educational Status</subject><subject>Falls</subject><subject>Female</subject><subject>General aspects</subject><subject>Geriatric Assessment</subject><subject>Geriatrics</subject><subject>Health Status Indicators</subject><subject>Humans</subject><subject>Interpersonal Relations</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Motor ability</subject><subject>Netherlands</subject><subject>Prospective Studies</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Residence Characteristics</subject><subject>Social Support</subject><issn>0002-8614</issn><issn>1532-5415</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqN0t1u0zAUB_AIgVgZXPACyBJCAols_o7DXWnXAurYtIK4tBzH2Vxcp9gJo0_Aa-PQbkhIiPnGN7_jv3XOybKnCB6hdI5Xl_EIESjIvWyEGME5o4jdz0YQQpwLjuhB9ijGFYQIQyEeZgeYUSI4LEfZz5OmMboDbQNmyrn8wjjVmRpMWq9N8BG0HpxfbaPVyr0Gp8Z3w618DZattsqBWe91Z5OyPhWt17233TafXhvnrL8EZ642AYzr3nXxDRiD89DGTQq0303iV23owLLr6-3j7EGjXDRP9vdh9nl28mnyLl-czd9PxotcM8FJLjDjXJDCVJppXuJKGEWaqhIai6I2nFa4gRoKxSsuEDKU0tpgWmgkEFG6JofZy927m9B-603s5NpGnT6rvGn7KFFBIOMUUfJ_yjniSKR-34EyygtEIbwDJSLNDbEy0ed_0VXbB5_aMyjOigLTIfvVTunU2hhMIzfBrlXYSgTlsB4yrYf8vR7JPtu_2FdrU9_Km31I4MUeqJgm3gTltY1_XAlLCvEQerxz19aZ7b8T5Yf58iY631XY2JkftxUqfJW8IAWTXz7O5cWpeDudLogk5BeVxN1L</recordid><startdate>201412</startdate><enddate>201412</enddate><creator>van der Meulen, Erik</creator><creator>Zijlstra, G.A. Rixt</creator><creator>Ambergen, Ton</creator><creator>Kempen, Gertrudis I.J.M.</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>201412</creationdate><title>Effect of Fall-Related Concerns on Physical, Mental, and Social Function in Community-Dwelling Older Adults: A Prospective Cohort Study</title><author>van der Meulen, Erik ; Zijlstra, G.A. Rixt ; Ambergen, Ton ; Kempen, Gertrudis I.J.M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5863-82566837ebc5c692b8ea3fbb8c287de64b2f0c08a6b6811e444de247c1813acd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Accidental Falls - prevention & control</topic><topic>Accidental Falls - statistics & numerical data</topic><topic>Activities of Daily Living - psychology</topic><topic>Adaptation, Psychological</topic><topic>Aged</topic><topic>Anxiety - psychology</topic><topic>Biological and medical sciences</topic><topic>Cognition & reasoning</topic><topic>community-dwelling</topic><topic>concerns about falls</topic><topic>daily functioning</topic><topic>Educational Status</topic><topic>Falls</topic><topic>Female</topic><topic>General aspects</topic><topic>Geriatric Assessment</topic><topic>Geriatrics</topic><topic>Health Status Indicators</topic><topic>Humans</topic><topic>Interpersonal Relations</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Motor ability</topic><topic>Netherlands</topic><topic>Prospective Studies</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Residence Characteristics</topic><topic>Social Support</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van der Meulen, Erik</creatorcontrib><creatorcontrib>Zijlstra, G.A. Rixt</creatorcontrib><creatorcontrib>Ambergen, Ton</creatorcontrib><creatorcontrib>Kempen, Gertrudis I.J.M.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van der Meulen, Erik</au><au>Zijlstra, G.A. Rixt</au><au>Ambergen, Ton</au><au>Kempen, Gertrudis I.J.M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of Fall-Related Concerns on Physical, Mental, and Social Function in Community-Dwelling Older Adults: A Prospective Cohort Study</atitle><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle><addtitle>J Am Geriatr Soc</addtitle><date>2014-12</date><risdate>2014</risdate><volume>62</volume><issue>12</issue><spage>2333</spage><epage>2338</epage><pages>2333-2338</pages><issn>0002-8614</issn><eissn>1532-5415</eissn><coden>JAGSAF</coden><abstract>Objectives
To determine the effect of fall‐related concerns on physical, mental, and social function.
Design
Community‐based prospective cohort study (secondary analysis using control group data from a randomized controlled trial).
Setting
Two municipalities in the south of the Netherlands.
Participants
Community‐dwelling older adults (N = 260).
Measurements
Two groups were created using Modified Falls Efficacy Scale scores (high and low levels of fall‐related concerns). Five outcome measures representing physical, mental, and social function were included: activities of daily living (ADLs), symptoms of depression, feelings of anxiety, social participation, and social support interactions. Outcomes were measured at baseline and at 2, 8, and 14 months. Data were analyzed using analysis of covariance and mixed‐effect regression models for longitudinal data, adjusting for age, sex, living status (alone or with another person), educational level, cognitive status, self‐perceived health, and falls history at baseline.
Results
At baseline, significantly more limitations in ADLs and social participation were found for older persons with high levels of fall‐related concerns than for those with low levels of concern. These differences persisted over 14 months of follow‐up and were consistent over time. No significant differences were found for symptoms of depression, feelings of anxiety, or social support interactions, except for feelings of anxiety at 14 months.
Conclusion
Older persons with higher levels of fall‐related concerns reported up to 14 months poorer ADL and social participation for up to 14 months than those with lower levels of fall‐related concerns. From a clinical point of view, the clear relationship between fall‐related concerns and ADL dysfunction and social participation may help to target groups who are at risk of developing adverse consequences of concerns about falls.</abstract><cop>Hoboken, NJ</cop><pub>Blackwell Publishing Ltd</pub><pmid>25438609</pmid><doi>10.1111/jgs.13083</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-8614 |
| ispartof | Journal of the American Geriatrics Society (JAGS), 2014-12, Vol.62 (12), p.2333-2338 |
| issn | 0002-8614 1532-5415 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1730564143 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Accidental Falls - prevention & control Accidental Falls - statistics & numerical data Activities of Daily Living - psychology Adaptation, Psychological Aged Anxiety - psychology Biological and medical sciences Cognition & reasoning community-dwelling concerns about falls daily functioning Educational Status Falls Female General aspects Geriatric Assessment Geriatrics Health Status Indicators Humans Interpersonal Relations Longitudinal Studies Male Medical sciences Miscellaneous Motor ability Netherlands Prospective Studies Public health. Hygiene Public health. Hygiene-occupational medicine Residence Characteristics Social Support |
| title | Effect of Fall-Related Concerns on Physical, Mental, and Social Function in Community-Dwelling Older Adults: A Prospective Cohort Study |
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