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• W2912793333 abstract "BACKGROUND:Fear of falling (FOF) is often reported post-hospitalization and has been associated with functional decline. Identifying the determinants of FOF during hospitalization and patients’ perception of FOF can help guide their managements. To inform a planned future intervention study, this s tudy aimed to evaluate (1) the effects of acute hospitalization on FOF among older adults, (2) older adults’ perception of risk factors, interventions and coping strategies for FOF. METHODS:Thirty-two older inpatients were recruited in an acute teaching hospital. This was a mixed methods study. FOF was measured quantitatively using the Single-item question “Are you afraid of falling?” and Fall-Efficacy Scale-International (FES-I), self-reported for premorbid status (retrospectively), on admission and again at discharge. Patients with FOF completed a questionnaire exploring their perception of FOF, possible coping strategies and interventions they believed may help. RESULTS:No significant changes in FES-I scores were detected over time, suggesting acute hospitalization did not change FOF in this cohort. A change in FOF (FES-I) score was associated with the history of falls in previous year. Perceived risk factors included balance problems (n = 10), breathlessness (n = 5), reduced lower limb muscle strength (n = 5) and history of falls (n = 4). To cope with FOF, most would avoid activity, seek help and slow their pace. Exercises and education were perceived as effective interventions to reduce FOF. CONCLUSIONS:Fear of falling did not appear to develop or change during hospitalization. Patients had faith in education and exercise prescription as effective treatments for FOF post-hospitalization." @default.
• W2912793333 created "2019-02-21" @default.
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• W2912793333 date "2019-02-07" @default.
• W2912793333 modified "2023-09-26" @default.
• W2912793333 title "Older inpatients’ experience and insights into fear of falling: A feasibility study" @default.
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• W2912793333 doi "https://doi.org/10.3233/ppr-180119" @default.
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