Concerns about falling in Parkinson’s Disease: Associations with disabilities and personal and environmental factors

Jonasson, Stina B., Ullen, Susann, Iwarsson, Susanne, Lexell, Jan and Nilsson, Marie H. (2015) Concerns about falling in Parkinson’s Disease: Associations with disabilities and personal and environmental factors. Journal of Parkinson's Disease, 5 2: 341-349. doi:10.3233/JPD-140524


Author Jonasson, Stina B.
Ullen, Susann
Iwarsson, Susanne
Lexell, Jan
Nilsson, Marie H.
Title Concerns about falling in Parkinson’s Disease: Associations with disabilities and personal and environmental factors
Journal name Journal of Parkinson's Disease   Check publisher's open access policy
ISSN 1877-7171
1877-718X
Publication date 2015-01-01
Sub-type Article (original research)
DOI 10.3233/JPD-140524
Open Access Status DOI
Volume 5
Issue 2
Start page 341
End page 349
Total pages 9
Place of publication Amsterdam, The Netherlands
Publisher I O S Press
Language eng
Formatted abstract
Background: Fear of falling can be conceptualized in different ways, e.g., as concerns about falling or low fall-related self-efficacy. It is common in people with Parkinson’s disease (PD), and there is growing knowledge about its contributing factors. However, previous multivariate studies have mainly focused on fear of falling in relation to PD-related disabilities, and less is known about the associations between fear of falling and personal and environmental factors.

Objective: To identify explanatory factors of concerns about falling in people with PD by focusing on personal and environmental factors as well as PD-related disabilities.

Methods: Data were collected from 241 persons with PD (39% women, median age 70 years, PD duration 8 years). Concerns about falling (assessed with the Falls Efficacy Scale-International, FES-I; categorized into low, moderate, or high concerns) were used as the dependent variable in a multivariate ordinal regression analysis. Personal factors, environmental factors and PD-related disabilities constituted independent variables.

Results: Low, moderate and high concerns about falling were reported by 29% , 24% and 47% of the participants, respectively. Walking difficulties, orthostatism, motor symptoms, age, and fatigue (presented in order of importance) were significant (p <  0.05) explanatory factors of concerns about falling.

Conclusions: Several factors significantly explained concerns about falling in people with PD. Walking difficulties was by far the strongest explanatory factor. This suggests that minimizing walking difficulties should be a primary target when aiming at reducing concerns about falling in people with PD.
Keyword Accidental falls
Parkinson disease
Fear
Multivariate Analysis
Regression analysis
Self efficacy
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Nursing, Midwifery and Social Work Publications
 
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Created: Sat, 26 Sep 2015, 00:56:33 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work