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Falls Are Associated With Decreased Autonomy, and Self-Efficacy Moderates This Relation: Results From a National
André Hajek1, Hans-Helmut König1
1Department of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Abstract:
The first aim of this study was to examine the association between falls and perceived autonomy. The second aim was to investigate whether this association is moderated by self-efficacy. Cross-sectional data were drawn from the German Ageing Survey-a nationally representative sample of individuals living in private households aged 40 and above (n = 7,746) in Germany. Perceived autonomy was quantified according to Schwarzer. Self-efficacy was assessed using a widely established scale by Schwarzer and Jerusalem. With covariates being adjusted, linear regressions revealed that experiencing a fall in the past 12 months was associated with lower perceived autonomy (β = -.09, p < .001). General self-efficacy moderated this association (β = .08, p = .02). Findings emphasized the association between falls and perceived autonomy as well as the moderating role of self-efficacy. Future longitudinal studies are required to gain insights into the temporal relationship between these variables.
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