A hybrid concept analysis of fall risk appraisal: Integration of older adults’ perspectives with an integrative literature review

Nursing Forum ◽  
2019 ◽  
Vol 55 (2) ◽  
pp. 190-196 ◽  
Author(s):  
Ladda Thiamwong
Keyword(s):  
Older Adults ◽  
Literature Review ◽  
Fall Risk ◽  
Concept Analysis ◽  
Risk Appraisal ◽  
Hybrid Concept

Shifting Maladaptive Fall Risk Appraisal in Older Adults through an in-Home Physio-fEedback and Exercise pRogram (PEER): A Pilot Study

2019 ◽  
Vol 43 (4) ◽  
pp. 378-390 ◽  
Author(s):  
Ladda Thiamwong ◽  
Helen J. Huang ◽  
Boon Peng Ng ◽  
Xin Yan ◽  
Mary Lou Sole ◽  
...  
Keyword(s):  
Older Adults ◽  
Pilot Study ◽  
Fall Risk ◽  
Exercise Program ◽  
Risk Appraisal

scholarly journals Using Assistive Health Technology to Assess Fall Risk Appraisal, Body Composition, and Physical Activity

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 28-28
Author(s):  
Ladda Thiamwong ◽  
Joon-Hyuk Park ◽  
Renoa Choudhury ◽  
Oscar Garcia ◽  
Maxine Furtado ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Body Composition ◽  
Fall Risk ◽  
Fear Of Falling ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Health Technology ◽  
Cross Sectional ◽  
Risk Appraisal

Abstract One-third of older adults have a discrepancy between perceived and physiological fall risks or maladaptive fall risk appraisal (FRA). Older adults who report high fear of falling and overestimate their physiological fall risk are less likely to participate in physical activity (PA). Limited data suggest the interrelation between fall risk appraisal, body composition, and objective measured PA. This cross-sectional study examines the feasibility of recruitment and acceptability of Assistive Health Technology (AHT), including the BTrackS Balance System (BBS), Bioelectrical Impedance Analysis (InBody s10), and ActiGraph GT9X Link wireless activity monitor. This study demonstrates the benefits of using AHT to study the associations among FRA, body composition, and PA in older adults. We hypothesize that rational FRA is associated with higher levels of PA and skeletal muscle mass and lower levels of percent of body fat and body mass index. Topics presentation included research protocol and preliminary results.

scholarly journals Concept analysis of loneliness in older adults: A hybrid model

2020 ◽  
Author(s):  
Razieh Bandari ◽  
Farahnaz Mohammadi Shahboulaghi ◽  
Hamid Reza Khankeh ◽  
Abbas Ebadi ◽  
Ali Montazeri
Keyword(s):  
Older Adults ◽  
Personal Experience ◽  
Concept Analysis ◽  
Analysis Method ◽  
Working Definition ◽  
Hopelessness Depression ◽  
Hybrid Concept ◽  
Key Issues ◽  
Antecedents And Consequences ◽  
Analytical Phase

Abstract Background: Loneliness is an ontological structure in human existence that can occur in all stages of life. The purpose of this qualitative study was to clarify the meaning and the nature of loneliness in Iranian older adults.Methods: Loneliness in older adults was examined in three phases: (1) the theoretical phase; (2) the fieldwork and (3) the analytical phase. The hybrid concept analysis method was performed to explore the data and synthesis the findings on three key issues including attributes, antecedents, and consequences. Finally, a working definition was synthesized.Results: The critical attributes of loneliness included a variety of topics including suffering, and feeling of worthlessness. Antecedents included distal and proximal factors. The consequences of loneliness in most instances were negative and disturbing. The final definition originated from the theoretical phase and fieldwork was as follows: ‘loneliness is an unpleasant, negative, annoying, hard, scary and painful personal experience that causes feeling of despair, uselessness, hopelessness, depression, anxiety and seeing the world in black’.Conclusion: The findings from this study introduce a new definition for loneliness that includes a combination of attributes, antecedents and consequences for the concept.

Fall Risk Assessment Among Indian Older Adults: A Literature Review

2015 ◽  
Vol 96 (10) ◽  
pp. e118-e119
Author(s):  
Amit Kumar ◽  
Kshitija Kulkarni ◽  
Srinivas Teppala ◽  
Shilpa Krishnan ◽  
Amol M. Karmarkar
Keyword(s):  
Older Adults ◽  
Risk Assessment ◽  
Literature Review ◽  
Fall Risk ◽  
Fall Risk Assessment

scholarly journals Technology-based fall risk assessments for older adults in low-income settings: A cross-sectional study protocol (Preprint)

2021 ◽  
Author(s):  
Ladda Thiamwong ◽  
Jeffrey R. Stout ◽  
Joon-Hyuk Park ◽  
Xin Yan
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Body Composition ◽  
Low Income ◽  
Fall Risk ◽  
Fear Of Falling ◽  
Cross Sectional Study ◽  
Balance Performance ◽  
Cross Sectional ◽  
Risk Appraisal

BACKGROUND One-third of older adults have maladaptive fall risk appraisal (FRA), a condition in which there is a discrepancy between a level of fear of falling (FOF) and physiological fall risk (balance performance). Older adults who overestimate their physiological fall risk and report high fear of falling are less likely to participate in physical activity. Limited data suggest the association between fear of falling, body composition, and physical activity intensity differs by fear severity. OBJECTIVE This study examines the associations among fall risk appraisal, body composition, and physical activity using Assistive Health Technology, including the BTrackS Balance System (BBS), Bioelectrical Impedance Analysis, and activity monitoring devices. This study also aims to examine the feasibility of recruitment and acceptability of technologies and procedures for use among older adults in low-income settings. METHODS This is a cross-sectional study. This study will be conducted at older adults’ homes/apartments in low-income settings in Central Florida, USA. Following consent, participants will be contacted, and our team will have two visits with them. The first visit includes questionnaires completion (e.g., socio-demographic, FOF) and the balance performance test using the BBS. Participants will be stratified by the FRA matrix. Also, they will perform the hand-grip strength and dynamic balance performance tests. Participants will then be asked to wear the ActiGraph GT9X Link wireless activity monitor on the non-dominant wrist for 7 consecutive days. The second visit includes body composition testing and a structured interview about the acceptability of technologies and procedures. RESULTS The ethical approval was obtained from the institutional review board, University of Central Florida (Protocol No. 2189; September 10, 2020). As of December 2020, the enrollment of participating is ongoing. CONCLUSIONS Accurate fall risk appraisal is essential in implementing physical activity programs, especially in low-income older adults. This study will provide data for developing technology-based fall risk assessments for improving participation in physical activity, thus enhancing healthy longevity among older adults in low-income settings.

scholarly journals The Risk Factors and Preventive Measures Regarding Fall-Related Injuries at Home Among Older Adults: A Literature Review

2020 ◽  
pp. 3-16
Author(s):  
Alexarae Deer ◽  
Carlyn Ellison ◽  
Linda Struckmeyer
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Literature Review ◽  
Fall Prevention ◽  
Fall Risk ◽  
Preventive Measures ◽  
Risk Prevention ◽  
Exclusion Criteria ◽  
Home Modifications

The purpose of this study was to identify the risk factors, among older adults, that play a role in causing fall-related injuries in the home as well as to investigate the various preventive measures via a literature review. 14 articles were identified to have met the inclusion/exclusion criteria for this review. The results showed that there were potentially modifiable risk factors (for example, musculoskeletal factors like balance and gait impairment), several available preventive measures (for example, home modifications and medication review), and effective multifactorial programs in preventing falls among older adults. This study also sought to locate gaps in the current literature regarding fall risk prevention in the older adult demographic. Additionally, selected articles were found to neglect the role of occupational therapy in fall prevention.

scholarly journals CHARACTERISTICS OF MALADAPTIVE FALL RISK APPRAISAL AMONG OLDER ADULTS AGES 60 YEARS AND OLDER

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S470-S471
Author(s):  
Ladda Thiamwong ◽  
Boon Peng Ng
Keyword(s):  
Older Adults ◽  
Fall Risk ◽  
Community Dwelling ◽  
Covariate Adjustment ◽  
Risk Appraisal ◽  
Stand Test ◽  
Fall Efficacy Scale ◽  
The Past ◽  
Southern Thailand ◽  
Community Dwelling Older Adults

Abstract Even though one-third of older adults have maladaptive fall risk appraisal (FRA), no studies has examined this discrepancy between perceived fall risk and physical fall risk among older adults in Thailand. We examined the characteristics of fall risk appraisal (FRA). 433 community-dwelling older adults were randomly selected from two provinces in Southern Thailand. Physical fall risk was assessed by a full tandem stand test and perceived fall risk was assessed by the Fall-Efficacy Scale International. We classified FRA into: 1) Rational FRA means low physical fall risk and low perceived fall risk; 2) Irrational FRA means low physical fall risk but high-perceived fall risk; 3) Congruent FRA means high physical fall risk and high-perceived fall risk; and 4) Incongruent FRA means high physical fall risk but low perceived fall risk. Irrational FRA and Incongruent FRA are a maladaptive FRA. About 60% of the participants had maladaptive FRA, which consisted of irrational FRA (57.3%) and incongruent FRA (2.3%). 20.8% were in rational FRA and 19.6% in congruent FRA. Among those with rational FRA, incongruent FRA, irrational FRA, and congruent FRA, 27.8%, 60%, 41.1%, and 74.1% reported having at least one fall in the past year, respectively. After covariate adjustment, participants in the congruent FRA group were 3.29 times more likely (p=0.006) to fall than those in rational FRA. High proportion of participants had maladaptive FRA so screening individuals with maladaptive FRA and prevent them to transition into the congruent FRA group is important efforts to mitigate health and economic burdens.

scholarly journals Associations among Fall Risk Appraisal, Body Composition, and Physical Activity in Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1001-1002
Author(s):  
Ladda Thiamwong ◽  
Rui Xie ◽  
Renoa Choudhury ◽  
Joon-Hyuk Park ◽  
Oscar Garcia ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Skeletal Muscle ◽  
Body Composition ◽  
Body Fat ◽  
Fall Risk ◽  
Health Technology ◽  
Whole Body ◽  
Risk Appraisal ◽  
Difficulty Walking

Abstract One-third of older adults have maladaptive fall risk appraisal (FRA), a condition in which there is a discrepancy between perceived fall risk or levels of fear of falling (FOF) and physiological fall risk (balance performance). We aimed to examine the associations among FRA, body composition, and physical activity (PA) using Assistive Health Technology, including the Bioelectrical Impedance Analysis, BTrackS Balance System, and activity monitoring devices. We evaluated 124 older adults with a mean age of 74.81 (SD=7.31, range 60 to 96), 77% were female, and 72% had no history of falls. The multinomial logistic regression was used to analyze the data. FRA was classified into 4 quadrants, and we found 47% of rational FRA (low FOF and normal balance), 19% of incongruent FRA (low FOF despite poor balance), 18% of irrational FRA (high FOF despite normal balance), and 16% congruent FRA (high FOF and poor balance). We found these following variables are associated with FRA: accelerometer-based moderate to vigorous physical activity (MVPA: mins), self-reported PA score (strength & flexibility), had difficulty walking up 10 steps without resting (resistance), had difficulty walking several city blocks (ambulation), left-hand average handgrip strength, CDC fall risk score, Senior Technology Acceptance (STA) score and body composition including Body Fat Mass (BFM), Percent Body Fat (PBF), Body Mass Index (BMI), Whole Body Phase Angle, Skeletal Muscle Mass (SMM) and Skeletal Muscle Index (SMI). Our results support the efficacy of using Assistive Health Technology on screening individuals with maladaptive FRA with targeted interventions to reduce fall risk.

The Relationship Between Fear of Falling and Functional Fitness among Older Adults Living in Rest Home

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
H Tuna ◽  
Ö Bozan ◽  
B Gürpınar ◽  
N İlçin
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Fall Risk ◽  
Fear Of Falling ◽  
Dynamic Balance ◽  
Upper Body ◽  
Functional Fitness ◽  
Fall Risk Factors ◽  
Rest Home ◽  
History Of

Objective: This study aimed to report the fear of falling and assess its associations with several fall-related characteristics and functional fitness parameters among older adults living in the rest home. Methods: Seventy-eight older adults aged between 65-94 years were included in the study. History of falling and the number of risk factors for falling were recorded. Fear of falling was evaluated with The Falls Efficacy ScaleInternational. Functional fitness was assessed with Senior Fitness Test, including tests for the functional measurement of strength, flexibility, aerobic endurance and dynamic balance. Result: The mean age of participants was 78.46±7.16 years. There were correlations exist between fear of falling and number of fall risk factors, dynamic balance, upper body flexibility and aerobic endurance (p<0.05). Multiple linear regression analysis showed that the parameters with the highest determinants of fear of falling were the dynamic balance and history of falling (p<0.05). Conclusions: In our study, history of falling, number of fall risk factors, flexibility for the upper body, aerobic endurance and dynamic balance were parameters related to fear of falling among older adults, but the most influential factors in fear of falling were dynamic balance and history of falling.

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