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

Hughes, C. C. (2012) Falls-related psychological concerns in the community-dwelling older adult population. D.Clin.Psych. thesis, Canterbury Christ Church University.

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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.

Item Type: Thesis (Doctoral)
Uncontrolled Keywords: Older people, falls, fear of falling
Subjects: B Philosophy. Psychology. Religion > BF Psychology > BF0636 Applied psychology
H Social Sciences > HV Social pathology. Social and public welfare. Criminology > HV1450 Aged
Divisions: pre Nov-2014 > Faculty of Social and Applied Sciences > Applied Psychology
Depositing User: Mrs Kathy Chaney
Date Deposited: 15 Nov 2012 16:19
Last Modified: 27 Sep 2016 17:12
URI: https://create.canterbury.ac.uk/id/eprint/11191

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Last edited: 29/06/2016 12:23:00