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Title: Investigating the relationship between reduced self-awareness of falls risk, rehabilitation engagement and falls in older adults
Epworth Authors: Ponsford, Jennie
Other Authors: Mihaljcic, Tijana
Haines, Terry
Stolwyk, Renerus
Keywords: Accidental Falls
Patient's Engagement
Treatment Motivation
Self-Awareness of Falls Risk Measure
Significant Other
Prevention & Control
Activities of Daily Living
Anticipatory Awareness
Physiotherapist-Rated Engagement
Occupational Therapist-Rated Engagement
Patient Outcomes
Monash-Epworth Rehabilitation Research Centre, Epworth HealthCare, Melbourne, Australia
Issue Date: Mar-2017
Publisher: Elsevier
Citation: Arch Gerontol Geriatr. 2017 Mar - Apr;69:38-44
Abstract: The present study aimed to investigate whether self-awareness of falls risk is associated with rehabilitation engagement, motivation for rehabilitation, and number of falls after hospital discharge. The sample comprised 91 older adults (Mage=77.97, SD=8.04) undergoing inpatient rehabilitation. The Self-Awareness of Falls Risk Measure (SAFRM) was used to measure different aspects of self-awareness. The treating physiotherapist and occupational therapist rated the patient's engagement in rehabilitation and the patient reported his/her motivation for treatment. Falls information was collected from the patient and significant other once a month for three months following hospital discharge. Significant correlations were found between physiotherapist-rated engagement and intellectual (rs=-0.22, p<0.05) and anticipatory awareness (rs=-0.24, p<0.05). Occupational therapist-rated engagement and patient-reported motivation for rehabilitation was correlated with emergent awareness (rs=-0.38 and -0.31, p<0.05, respectively) and overall self-awareness (rs=-0.31 and -0.26, p<0.05, respectively). Regression analyses indicated that overall self-awareness provided a unique contribution to occupational therapist-rated engagement when controlling for age, gender, cognition and functional ability. Falls were reported by 29.9% of participants, however, self-awareness did not differ significantly between fallers and non-fallers. The findings suggest that self-awareness of falls risk is associated with rehabilitation engagement and motivation. Therefore, improving patient self-awareness of falls risk may increase engagement in therapy leading to better patient outcomes.
DOI: 10.1016/j.archger.2016.11.003
PubMed URL:
ISSN: 0167-4943
Journal Title: Archives of Gerontology and Geriatrics
Type: Journal Article
Affiliated Organisations: School of Psychological Sciences, Monash University, Wellington Road, Clayton, VIC 3800, Australia.
Department of Physiotherapy, Monash University, McMahons Road, Frankston, VIC 3199, Australia
Allied Health Research Unit, Monash Health, Warrigal Road, Cheltenham, VIC 3192, Australia
Type of Clinical Study or Trial: Prospective Observational Study
Appears in Collections:Rehabilitation

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