Factors Influencing Falls Prevention Behavior Among the Elderly in Thapthan District, Uthaithani Province
Keywords:Fall prevention behavior, Fall, Elderly
Introduction: Good fall prevention behavior among the elderly is essential in preventing and reducing the risk factors of both internal and external falls and these help to promote the quality of life for the elderly.
Research objectives: This cross-sectional descriptive study aimed to investigate fall prevention behavior in older adults. Also, the influencing factors of falls prevention behavior among older people living in Thap Than District, Uthai Thani Province were examined.
Research methodology: A sample consisted of 349 older adults aged 60 years and over. Data were collected using interviews. The instruments consisted of a set of questionnaires, including personal data, fall assessment tool, health beliefs questionnaire, questionnaires of factors leading to the practice, house environmental questionnaire, and fall prevention behavior questionnaire. Data were analyzed using descriptive statistics. Binary logistic regression analysis was used to assess factors influencing fall prevention behavior.
Results: About 89.7% of participants reported that they had a good level of fall prevention behaviors (= 53.32, SD = 4.20). Age (Adj. OR = 5.90, 95%CI = 1.50-23.40, p = 0.012), employment (Adj. OR = 3.14, 95%CI = 1.15-8.62, p = 0.026), perception severity (Adj. OR = 6.40, 95%CI = 2.10-19.63, p = 0.001), perception barriers (Adj. OR = 11.27, 95%CI = 1.18-107.89, p = 0.036), access to information (Adjusted OR=5.31, 95%CI = 2.06-13.71, p = 0.001), and safety of a residential environment, both internal and external (Adjusted OR=9.51, 95%CI = 3.15 - 26.58, p = 0.001) were statistically significant factors influencing fall prevention behavior of the elderly.
Conclusions: age, occupation, perceived severity of falls, perceived barriers to practice of fall prevention behavior, information exposure, and safety of housing were factors influencing fall prevention behavior in the elderly.
Implications for practice: Healthcare organization should promote and prepare for a pre-aging period and elderly to solve health problems and health services in accordance with elderly need. Precedence to the correct behavior and the daily life of the elderly should be given.
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