TY - JOUR PY - 2017// TI - Effects of gait self-efficacy and lower-extremity physical function on dual-task performance in older adults JO - BioMed research international A1 - Ehlers, Diane K. A1 - Banducci, Sarah E. A1 - Daugherty, Ana M. A1 - Fanning, Jason A1 - Awick, Elizabeth A. A1 - Porter, Gwenndolyn C. A1 - Burzynska, Agnieszka A1 - Shen, Sa A1 - Kramer, Arthur F. A1 - McAuley, Edward SP - e8570960 EP - e8570960 VL - 2017 IS - N2 - OBJECTIVEs. Despite evidence of self-efficacy and physical function's influences on functional limitations in older adults, few studies have examined relationships in the context of complex, real-world tasks. The present study tested the roles of self-efficacy and physical function in predicting older adults' street-crossing performance in single- and dual-task simulations.

METHODS. Lower-extremity physical function, gait self-efficacy, and street-crossing success ratio were assessed in 195 older adults (60-79 years old) at baseline of a randomized exercise trial. During the street-crossing task, participants walked on a self-propelled treadmill in a virtual reality environment. Participants crossed the street without distraction (single-task trials) and conversed on a cell phone (dual-task trials). Structural equation modeling was used to test hypothesized associations independent of demographic and clinical covariates.

RESULTS. Street-crossing performance was better on single-task trials when compared with dual-task trials. Direct effects of self-efficacy and physical function on success ratio were observed in dual-task trials only. The total effect of self-efficacy was significant in both conditions. The indirect path through physical function was evident in the dual-task condition only.

CONCLUSION. Physical function can predict older adults' performance on high fidelity simulations of complex, real-world tasks. Perceptions of function (i.e., self-efficacy) may play an even greater role. The trial is registered with United States National Institutes of Health ClinicalTrials.gov (ID: NCT01472744; Fit & Active Seniors Trial).

Language: en

LA - en SN - 2314-6133 UR - http://dx.doi.org/10.1155/2017/8570960 ID - ref1 ER -