Self-efficacy, Neighborhood Walking, and Fall History in Older Adults
Gallagher, Nancy Ambrose, Philippa J. Clarke, C. Loveland-Cherry, David L. Ronis, and Kim A. Gretebeck. 2015. "Self-efficacy, Neighborhood Walking, and Fall History in Older Adults." Journal of Aging and Physical Activity, 23(1): 64-71.
This cross-sectional study examined the association of self-efficacy with neighborhood walking in older adult (mean age = 76.1, SD = 8.34) fallers (n = 108) and nonfallers (n = 217) while controlling for demographic characteristics and mobility. Hierarchical multiple regression indicated that the full model explained 39% of the variance in neighborhood walking in fallers (P <.001) and 24% in nonfallers (P <.001). Self-efficacy explained 23% of the variance in fallers (P <.001) and 11% in nonfallers (P <.001). Neighborhood walking was significantly associated with self-efficacy for individual barriers in both groups. Self-efficacy for neighborhood barriers trended toward significance in fallers (β =.18, P =.06). Fall history did not moderate the relationship between self-efficacy and neighborhood walking. Walking interventions for older adults should address self-efficacy in overcoming individual walking barriers. Those targeting fallers should consider addressing self-efficacy for overcoming neighborhood barriers.