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.
Foundation of Thai Gerontology Research and Development Institute (TGRI). Situation of The Thai Elderly 2019. 1st ed. Bangkok: Amarin Printing and Publishing Public Co., Ltd.; 2020. (in Thai).
Foundation of Thai Gerontology Research and Development Institute (TGRI). Ya Kan Lome: Fall prevention guide for the elderly. 3rd ed. Bangkok: Thai Health Promotion Foundation; 2015. (in Thai).
Srichang N, Kawee L. Forecasting reports of falls among the elderly (age 60 years and older) in Thailand, 2017-2021. Nontaburi: Division of Non-Communicable Diseases, Department of Diseases Control, Ministry of Public Health; 2016. (In Thai).
Institute of Geriatric Medicine, Department of Medical Services, Ministry of Public Health. Prevention Practices Assessment of falls in the elderly. 1st ed. Nontaburi: Sintavee printing; 2019. (in Thai).
Boonpleng W, Sriwongwan W, Pattana S. Rate and associated factors for falls among elderly people: Chaopraya Waterfront Community in Nonthaburi Province. J Nurs Sci 2015;33(3):74-86. (in Thai).
Samgampang T, Nathapindhu G. Factors related to the accidental incidence of elderly in Kham Pom Sub-district, Prayuen District, Khon Kaen. Journal of the office of DPC 7 Khon Kaen 2011;18(1):61-69. (in Thai).
Sarapun A, Sirisopon N, Kainaka P, Onsiri S, Outayanik B, Threrawachjareanchai S, et al. Factors ralated to a fall prevention behaviors of elderly. Journal of The Royal Thai Army Nurses 2017;18:215-22. (in Thai).
Lakman K. Perception and self-care behavior for falls prevention in elderly, Thakhumngoen Sub-district, Mae Tha District, Lamphun Province [Master of Public Health]. Chiang Mai: Chiang Mai University; 2015. (in Thai).
Pongpaew S. Predictive factors of fall prevention behaviors among olderadults, Nontaburi Province. J Gerontol Geriatr Med 2013;14(2):11-20. (in Thai).
Rosenstock I M. The health belief model and preventive health behavior. health education monographs 1974;2(4),354–86.
Sorysang L, Khompraya J, Natetanasombut K. A study of fall prevention guideline in older adult living in Mitraphappatana Community. Journal of The Royal Thai Army Nurses 2014;15(1):122-29. (in Thai).
Uthai Thani Provincial Public Health Office. Government documents [Internet]. 2017 [[cited 2017 Sep 18]. Available from: http://uthaihealth.moph.go.th/uthaihealth/showmtdoc.php?mid=10.
Thap Than Hospital. Government documents [Internet]. 2017 [[cited 2017 Sep 18]. Available from: http://188.8.131.52/ustat/thdcopdcause.php
Pholin T, Jitramontree N, Wirojratana V. The relationships between personal factors, health status, fear of falling, and fall preventive behaviors of community dwelling older persons. Jornal of Nursing Science Chulalongkorn University 2017;29(1):36-50. (in Thai).
Phongphanngam S. falls, fear of falling, and activity avoidance due to fear of falling among Thai Community-dwelling older adults living in Suburban Chiang Mai Thailand. Journal of Health and Nursing Research 2020;36(1):22-38. (in Thai).
Thiamwong L. Psychometric testing of the falls efficacy scale-international (FES-I) inThai older adults. Songkla Med J 2011;29:277-87. (in Thai).
Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc (1991);39(2):142-48.
Tinetti M, Richman D, Powell L. Falls efficacy as ameasure of fear of falling.
J Gerontol 1990;45(2):119-122.
Mahakote S, Khungtumneam K, Kompayak J. Factors related health promoting behaviors in elderly people: a case study in a Crowded Community, Bangkok. Journal of Health and Nursing Research 2020;36(2):225-33. (in Thai).
Muangsiri K, Maharachpong N, Rodjarkpai Y. Factors relating the behaviop of fall prevention among elderly in Chonburi Province. Naresuan University Journal: Science and Technology 2017;25(4):23-3. (in Thai).
Chantakeeree C. Promoting Exercise Behavior for Vulnerable Elderly. The Journal of Faculty of Nursing Burapha University 2016;24(2):1-13. (in Thai).
Saejiw W. Physical activity and physical fitness of elderly active in Chonburi Province [Master of Science in EXERCISE AND SPORT SCIENCE]. Chonburi: Burapha University; 2016 (inThai)
Pimdee A, Effectiveness of Health Education Program by application Health Belief Model and Social Support with Paslop dancing exercise for Falling Prevention in Pre-Elderly Thai Female, Roi-Et Province [Master of Public Health Thesis in Health Education and Health Promotion]. Khon Kaen: Khon Kaen Univerity; 2010. (in Thai).
Gardiner S, Glogowska M, Stoddart C, Pendlebury S, Lasserson D, Jackson D. Older people's experiences of falling and perceived risk of falls in the community: A narrative synthesis of qualitative research. Int J Older People Nurs 2017;12(4)
Rodseea P, Fall prevention among the elderly living in a community: the nursing role in home health care. Thai Red Cross Nursing Journal 2018;11(2):15-25.
How to Cite
Copyright (c) 2022 Journal of Health and Nursing Research (Journal of Boromarajonani College of Nursing, Bangkok)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Article published Is the copyright of the Journal of Health and Nursing Research (Boromarajonani College of Nursing, Bangkok) Cannot be republished in other journals