Objectives: We examined the multidimensionality of the new Perceived Ability to Prevent and Manage Fall Risks (PAPMFR) scale that assesses fall-related efficacy (FE) and the mediating role of EF between fear of falling (FOF) and functional mobility (FM). Methods: We carried
out a secondary data analysis of 552 participants (mean age = 76.45, SD = 7.79) in a fall prevention program, A Matter of Balance Volunteer Lay Leader Model (AMOB/VLL). We used exploratory and confirmatory factor analyses to evaluate the PAPMFR scale. We used structural equation modeling to
test the mediating role of PAPMFR between FOF and FM. Results: We identified 3 dimensions of PAPMFR: steadiness/balance, gait, and fall management. We confirmed the mediating effect of the PAPMFR on the relation between FOF and FM with acceptable fit in cross-sectional (χ2/df
= 2.25, RMSEA = .06, 95% CI: .04 to .09, CFI = .98 SRMR = .03) and half-longitudinal (χ2/df = 3.04, RMSEA = .08, 95% CI: .07 to .09, CFI = .95, SRMR = .04) models. Conclusions: AMOB/VLL shows promise to enhance FE, which may mediate FM improvements among participants.
Find- ings suggest that improving confidence to prevent and manage falls can complement exercise training to promote active aging. Future research should investigate various FE dimensions.
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Document Type: Research Article
Postdoctoral Research Associate, Center for Population Health and Aging, Texas A&M University, College Station, TX;, Email: [email protected]
Associate Professor and Co-Director Center for Population Health and Aging, Texas A&M University, College Station, TX
March 1, 2019
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The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.
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