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.
| Identifer | oai:union.ndltd.org:bl.uk/oai:ethos.bl.uk:566786 |
| Date | January 2012 |
| Creators | Hughes, C. C. |
| Publisher | Canterbury Christ Church University |
| Source Sets | Ethos UK |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
| Source | http://create.canterbury.ac.uk/11191/ |
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