@article{ref1,
title="Maladaptive fall risk appraisal and falling in community-dwelling adults aged 60 and older: implications for screening",
journal="Clinical gerontologist",
year="2021",
author="Ng, Boon Peng and Thiamwong, Ladda and Suwanno, Jom and Kwan, Rick Yiu Cho",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: We aimed to examine the characteristics of maladaptive fall risk appraisal (FRA), discrepancies between physical and perceived-fall risk, and their associations with falls. <br><br>METHODS: Fall risk appraisal was determined using the full-tandem stand test as an objective measure and the Fall Efficacy Scale-International as a subjective measure, and 433 adults aged ≥60 years from Thailand were classified into four groups: irrational (low physical/high perceived risk), incongruent (high physical/low perceived risk), congruent (high physical/high perceived risk) and rational (low physical/low perceived risk) FRAs. <br><br>RESULTS: Only 20.8% of adults aged ≥60 years had rational FRA. The rest of the participants had either irrational (57.3%) or incongruent (2.3%), or congruent (19.6%) FRAs. Approximately 74% of those with congruent FRA reported experiencing a fall last year, followed by incongruent (60%), irrational (41.1%), and rational FRAs (27.8%, p < .001). After covariates adjustment, participants with congruent FRA were 3.06 times more likely of falling than those with rational FRA (p = .011). <br><br>CONCLUSIONS: Maladaptive FRA is highly prevalent among adults aged ≥60. Identifying maladaptive FRA is essential for ensuring that adults aged ≥60 receiving early treatment associated with falls. CLINICAL IMPLICATIONS: Preventing a transition from rational to irrational, incongruent, and congruent fall risk appraisals is vital to prevent falls and mitigate this problematic health condition.<p /> <p>Language: en</p>",
language="en",
issn="0731-7115",
doi="10.1080/07317115.2021.1950254",
url="http://dx.doi.org/10.1080/07317115.2021.1950254"
}