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Social support as a moderator in a fall prevention program for older adults
Yasuyuki Fukukawa1, Rumi Kozakai, Naoakira Niino
1Department of Social Welfare, Seitoku University, Matsudo, Chiba, Japan. fukukawa@seitoku.ac.jp
Journal of Gerontological Nursing
|June 3, 2008
Summary
This fall prevention program improved older adults' confidence in preventing falls, especially for those with less social support. Physical improvements were not observed, highlighting the role of social factors.
Area of Science:
- Gerontology
- Public Health
- Exercise Science
Background:
- Falls are a significant risk for community-dwelling older adults.
- Fall prevention programs often focus on physical interventions.
- The role of social support in program efficacy needs further investigation.
Purpose of the Study:
- To examine the moderating effect of social support on a fall prevention program for older adults.
- To assess the impact of an exercise program on physical and psychological functioning.
- To evaluate the long-term effects of the intervention.
Main Methods:
- A 2-month exercise program was implemented for 26 Japanese older adults (≥65 years).
- Measurements included anthropometrical, physical (balance, walking speed), and psychological (falls self-efficacy) functioning.
- Data were collected at baseline, 2 months, and 5 months post-intervention.
Main Results:
- The exercise program did not significantly improve body mass index, balance, or walking speed.
- Falls self-efficacy significantly increased from baseline to 5 months post-intervention.
- The increase in falls self-efficacy was more pronounced in participants with lower baseline social support.
Conclusions:
- Exercise interventions can enhance falls self-efficacy in older adults.
- Social support may moderate the effectiveness of fall prevention programs.
- Future interventions should consider social resources and tailored outcomes.
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