Factors Predicting Fall Prevention Behaviors among Older Persons with Non – Communicable Disease
Article Sidebar
Main Article Content
Abstract
The purpose of this predictive research was to study the fall prevention behaviors among older persons, the relationship factors and factors predicting among health literacy about falls, fear of falls and history of falls to fall prevention behaviors of older persons with non - communicable diseases. Multistage random sampling was performed to recruit 130 older persons who were diagnosed non-communicable disease. Research instruments consisted of 1) demographic data 2) health literacy about falls 3) fear of falling, and 4) fall prevention behavior questionnaire. The content validity of the questionnaires were 0.82, 0.93 and 1.0, respectively. The Cronbach’s alpha reliability coefficients of the questionnaires were 0.93, 0.92 and 0.82 respectively. Descriptive statistics, Pearson’s product moment correlation, and Stepwise multiple regression were used for data analysis.
The results revealed that participants with non-communicable diseases had a high level of fall prevention behavior. The health literacy about falls had a positively significant correlation with fall prevention behaviors among older persons with non-communicable diseases. Whereas fall history and fear of falling had a negatively significant correlation (r = 0.473, r = -0.506, r = -0.371, p = < .001). Fall history and health literacy could predict fall prevention behavior among older persons with non - communicable diseases by 37.80 % (R2 = .378, p< .001). However, fear of falling could not predict fall prevention behavior. Therefore, healthcare professionals should focus on fall history assessment including health literacy enhancement about fall prevention to reduce fall among older persons.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Attavinijtrakarn, T., & Imarb, C. (2019). The effectiveness of preparation and fall prevention programs in the elderly. Region 4-5 Medical Journal, 38(4), 288-298. [In Thai].
Boonporn, J. (2022). The influence of health literacy on the health behaviors of patients with chronic diseases. Singburi Hospital Journal, 31(2), 95-105. [In Thai].
Chang, H.T., Chen, H.C., & Chou, P. (2016). Factors associated with fear of falling among community-dwelling older adults in the Shih-Pai study in Taiwan. PLoS ONE, 11(3), 1- 12.
Choi, K., Jeon, G.S., & Cho, S.I. (2017). Prospective study on the impact of fear of falling on functional decline among community dwelling elderly women. International Journal of Environmental Research and Public Health, 14(5), 1-11.
Daniel, W. (1995). Biostatistics: A foundation for analysis in the health sciences. New York: Wiley & Sons.
Darun, P., & Khunpijan, N. (2016). Factors affecting health literacy and health behavior outcomes of working-age population in Porncharoen district, Bueng Kan province. The Office of Disease Prevention and Control 9th Journal. 22(1), 14 -24. [In Thai].
Darun, P., & Krirat, P. (2019). Health literacy factors influencing on Health behavior of population in Bueng Kan province. Department of Health Service Support Journal, 15(3), 71-82. [In Thai].
Department of disease control of ministry of public health. (2022). Fall-related data in people aged 60 years and above. Retrieved from https://ddc.moph.go.th/odpc7/news.php?news=26077&deptcode=odpc7. [In Thai].
De Souza, A.Q., Pegorari, M.S., Nascimento, J.S., De Oliveira, P.B., Dos Santos Tavares, D.M. (2019). Incidence and predictive factors of falls in community-dwelling elderly: a longitudinal study. Cienc Saude Colet, 24(9), 3507-3516.
Duangpratoom, N., & Chusak, T. (2022). Factors related to falls preventing behaviors of the elderly in Khlong Ha sub-district, Klong Luang district, Pathum Thani province. Journal of Council of Community Public Health, 4(3), 43-55. [In Thai].
Dunlakan, C., & Charerntanyarak, L. (2019). Factor associated with fall in the elderly in Nabon Sub-district Khammuang District, Kalasin Province: A case control study. NU Journal of Nursing and Health Sciences, 13(1), 60-70. [In Thai].
Faul, F., Erdfelder, E., Buchner, A., & Lang, A.G., (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41, 1149-1160.
Jeon, M., Gu, M.O., & Yim, J. (2017). Comparison of walking, muscle strength, balance, and fear of falling between repeated fall group, one-time fall group, and non fall group of the elderly receiving home care service. Asian Nursing Research, 11(4), 290-296.
Ketcharoen, N. (2020). Factors related to fall prevention behavior among elders in community, Nongbua Lamphu province. Journal of Health and Environmental Education, 5(2), 155-165. [In Thai].
Kittipimpanon, K. (2016). Fall risk assessment and management among older adults in the community: The role of public health nurse in the primary care. Journal of Public Health Nursing, 30(3), 183-195. [In Thai].
Kittipimpanon, K., & Kraithaworn, P. (2021). Association between personal factors, health status, and health literacy about falling, with fall prevention behaviors among older adults living in the community. Ramathibodi Nursing Journal, 27(3), 331-342. [In Thai] .
Kosundilok, T., Wannapruek, P., Charoenvai, P., & Katungkang, P. (2023). Fear of falling in older adults: Nursing care with health belief model’s approach. Regional Health Promotion Center 9 Journal, 17(3), 1050-1061. [In Thai].
Lamid, P., Pongkaset, A., & Chainapong, K. (2021). Health literacy and influence of interpersonal relations towards food consumption behavior to prevent obesity among grade 6 students in municipality school, Yala municipality. Academic Journal of Community Public Health, 7(1), 35-46. [In Thai].
Lemeshow, S., Hosmer Jr, D.W., Klar, J., & Lwanga, S.K. (1990). Adequacy of sample size in health studies. chichester: Published on behalf of the World Health Organization by Wiley.
Lim, M.L., Van Schooten, K.S., Radford, K.A., Hadjistavropoulos, T., Everett, B., Zijlstra, R., …Delbaere, K. (2023). Theoretical framework of concerns about falling in older people: the role of health literacy. Health Promotion International, 38(5), 122.
Liu, Y.B., Liu, L., Li, Y.F., & Chen, Y.L. (2015). Relationship between health literacy, health-related behaviors and health status: A survey of elderly Chinese. International Journal of Environmental Research and Public Health,12, 9714-9725.
Marungga, L. (2014). Fear of falling experiences of older persons. Journal of Nursing science Chulalongkorn University, 24(3), 29-41. [In Thai].
Muangsiri, K., Maharachpong. N., & Rodjarkpai Y. (2017). Factors relating the behavior of fall prevention among elderly in Chonburi Province. Naresuan University Journal: Science and Technology, 25(4), 23-33. [In Thai].
Noimontree, W. (2018). Fear of falling: Geriatric syndrome and nursing role using evidence-based practice. The Journal of Faculty of Nursing Burapha University, 26(3), 96-101. [In Thai]
Noopud, P., Phrom-On, D., Woradet, S., & Chaimay, B. (2020). Prevalence of fall risk and factors associated with fall risk among elderly people. Journal of sports science and health. Journal of Sports Sciences and Health, 21(1), 125-137. [In Thai].
Nutbeam, D. (2008). The evolving concept of health literacy. Social Science & Medicine, 67(12), 2072-2078.
Paibulsir, P. (2018). Health literacy and health behaviors 3E 2S of public sector executives, Phra Nakhon Si Ayutthaya province. Journal of Preventive Medicine Association of Thailand, 8(1), 97-107. [In Thai].
Pitakthammakul, P. (2022). Health literacy and health behaviors among village health volunteers. Kanchanaburi: public health and behavioral health development group, health service support center 5. [In Thai].
Pholin, T., Jitramontree, N., & Wirojratana, V. (2017). The relationships between personal factors, health status, fear of falling and fall preventive behaviors of community dwelling older persons. Journal of Nursing Science Chulalongkorn University, 29(1), 36-50. [In Thai].
Pukemayung, L. (2021). Factors related to fear of falling among older adults with osteoarthritis of the knee. Journal of Health and Nursing Education, 27(1), 166-181. [In Thai].
Rongmuang, D., Nakchattri, C., Tongdee, J., & Sombutboon, J. (2016). Incidence and factors associated with fall among the community-dwelling elderly, Suratthani. Journal of Phrapokklao Nursing College, 27(1), 123-138. [In Thai].
Srisatidnarakul, B. (2020). Effect size, power analysis, optimal sample size calculations using G*power software. Bangkok: Chulalongkorn University Press. [In Thai].
Talley, K.M., Wyman, J.F., Gross, C.R., Lindquist, R.A., & Gaugler, J.E. (2014). Change in balance confidence and its associations with increasing disability in older community-dwelling women at risk for falling. Journal of Aging and Health, 26, 616-636.
Thanaboonpuang, P., Intana, J., & Khamthana, P. (2023). The study of needs and factors explaining for participatory to create well-being based on new normal life of the older adult among Urban Community, Ratchaburi Province. NU Journal of Nursing and Health Sciences, 17(1), 115–127. [In Thai].
Thiamwong, L., & Suwanno, J. (2014). Risk factors related to balance impairment among rural community-dwelling older adults. Journal of The Police Nurse, 6(2), 56-69. [In Thai].
Vanichbuncha, K., & Vanichbuncha, T. (2015). SPSS for Windows for data analysis. Bangkok: Samlada Printing House. [In Thai].
World Health Organization (WHO). (2021). Falls. Retrieved from https://www.who.int/news-room/fact-sheets/detail/falls.
