Korean J Adult Nurs.  2015 Dec;27(6):684-694. 10.7475/kjan.2015.27.6.684.

A Structural Equation Model of Fall Prevention Behavior among Community-dwelling Older Adults with Osteoarthritis

• Jang KS
• Song R

• KMID: 2221722
• DOI: http://doi.org/10.7475/kjan.2015.27.6.684

Abstract

PURPOSE
The purpose of this study was to explain fall prevention behaviors of community-dwelling elderly with osteoarthritis based on the Health Belief Model.
METHODS
A total of 200 older adults with osteoarthritis residing in community was recruited from July 10 to August 30, 2013. The direct and indirect effects of perceived fall risk, perceived benefits and barriers, and self efficacy of fall prevention were examined on fall prevention behaviors. Data were collected with structured questionnaires and analyzed using SPSS/WIN 20.0 and AMOS 20.0 program.
RESULTS
The hypothetical model was a good fit for the data based on the model fit indices. Among socio-demographic variables, age and fall knowledge showed significant direct effects on fall prevention behaviors. The constructed model explained 34.2% of the variance of fall prevention behaviors, including perceived fall risk and efficacy of fall prevention behaviors as significant predictors.
CONCLUSION
The findings revealed the need to develop an effective nursing intervention to promote fall prevention behaviors of community-dwelling elderly with osteoarthritis by focusing on perceived fall risk and efficacy of fall prevention behaviors. Knowledge about fall can also be increased by an age-based education program.

MeSH Terms

Accidental Falls
Adult*
Aged
Education
Humans
Nursing
Osteoarthritis*
Self Efficacy

Figure

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  Figure 1 Conceptual framework of the study.

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  Figure 2 Path diagram of the hypothetical model of the study variables.

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