@article{ref1,
title="Mediating role of fall-related efficacy in a fall prevention program",
journal="American journal of health behavior",
year="2019",
author="Yoshikawa, Aya and Smith, Matthew Lee",
volume="43",
number="2",
pages="393-405",
abstract="<b>Objectives:</b> We examined the multidimensionality of the new Perceived Ability to Prevent and Manage Fall Risks (PAPMFR) scale that assesses fall-related efficacy (FE) and the mediating role of EF between fear of falling (FOF) and functional mobility (FM). <b>Methods:</b> We carried out a secondary data analysis of 552 participants (mean age = 76.45, SD = 7.79) in a fall prevention program, A Matter of Balance Volunteer Lay Leader Model (AMOB/VLL). We used exploratory and confirmatory factor analyses to evaluate the PAPMFR scale. We used structural equation modeling to test the mediating role of PAPMFR between FOF and FM. <b>Results:</b> We identified 3 dimensions of PAPMFR: steadiness/balance, gait, and fall management. We confirmed the mediating effect of the PAPMFR on the relation between FOF and FM with acceptable fit in cross-sectional (χ²/df = 2.25, RMSEA =.06, 95% CI:.04 to.09, CFI =.98 SRMR =.03) and half-longitudinal (χ²/df = 3.04, RMSEA =.08, 95% CI:.07 to.09, CFI =.95, SRMR =.04) models. <b>Conclusions:</b> AMOB/VLL shows promise to enhance FE, which may mediate FM improvements among participants. Find- ings suggest that improving confidence to prevent and manage falls can complement exercise training to promote active aging. Future research should investigate various FE dimensions.<p /> <p>Language: en</p>",
language="en",
issn="1087-3244",
doi="10.5993/AJHB.43.2.15",
url="http://dx.doi.org/10.5993/AJHB.43.2.15"
}