Mobility Device Use Moderated Bidirectional Association of Fear of Falling with Homebound Status
2024

Fear of Falling and Homebound Status in Older Adults

Sample size: 3983 publication Evidence: moderate

Author Information

Author(s): Li Qianyuan, Peng Wenting, Wang Shuomin, Yang Huili, Zhang Haihong, Liu Minhui

Primary Institution: Central South University

Hypothesis

The study examines the bidirectional relationship between fear of falling and homebound status, and whether mobility device use moderates this relationship.

Conclusion

Fear of falling is a risk factor for becoming homebound, and vice versa, with the risks varying based on mobility device use.

Supporting Evidence

  • Fear of falling without fear-related activity restriction increases the risk of being semi-homebound or homebound.
  • Mobility device use moderates the effects of fear of falling on homebound status.
  • Semi-homebound status predicts the risk of developing fear of falling.

Takeaway

If older people are scared of falling, they might stay home more, and if they stay home more, they might become even more scared of falling. Using mobility aids can change this.

Methodology

The study used lagged generalized estimation equation models to analyze data from the National Health and Aging Trends Study.

Participant Demographics

Community-dwelling older adults.

Statistical Information

Confidence Interval

95% CI=1.19-1.52 for FOF without FAR; 95% CI=1.38-1.91 for FOF with FAR; 95% CI=1.21-1.53 for semi-homebound predicting FOF.

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1093/geroni/igae098.0234

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