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The effects of fear of falling, fear...

The University of Regina (Canada).

The effects of fear of falling, fear of pain, and activity restriction among informal caregivers of seniors with dementia.

Record Type:	Electronic resources : Monograph/item
Title/Author:	The effects of fear of falling, fear of pain, and activity restriction among informal caregivers of seniors with dementia./
Author:	Williams, Jaime Lynn.
Description:	204 p.
Notes:	Source: Dissertation Abstracts International, Volume: 69-11, Section: B, page: 7156.
Contained By:	Dissertation Abstracts International69-11B.
Subject:	Gerontology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NR42516
ISBN:	9780494425169

The effects of fear of falling, fear of pain, and activity restriction among informal caregivers of seniors with dementia.
Williams, Jaime Lynn.

The effects of fear of falling, fear of pain, and activity restriction among informal caregivers of seniors with dementia. - 204 p.

Source: Dissertation Abstracts International, Volume: 69-11, Section: B, page: 7156.

Thesis (Ph.D.)--The University of Regina (Canada), 2008.

Pain among seniors with dementia is very prevalent and injurious falls represent a leading contributor to pain in this population. Ironically, high levels of fear of falling are associated with an increased risk of falling via avoidance of activity and deconditioning. According to the fear-avoidance model of pain, fear of pain is a contributing factor to disability, which also functions, in part through avoidance and deconditioning. Recent research has investigated fear of falling, fear of pain among cognitively-intact seniors, but the relationship between fear of falling, fear of pain, and falls has yet to be investigated in seniors with dementia. Because caregivers often make decisions about care-recipient activities, a modified version of the fear-avoidance model is proposed wherein caregiver fears and worries (about a care-recipient experiencing falls and pain) may contribute to excessive restriction of care-recipient activities, which could lead to functional decline and increased falls. In order to investigate this model, a measure of caregiver fears about falling and pain and associated activity restriction was developed, piloted, and psychometrically assessed (Studies I and II). In Study III, this measure and others were used to test the modified fear-avoidance model applied in the caregiving context. It was expected that fear of falling, fear of pain, and restriction/avoidance behaviours among caregivers would predict changes in care-recipient activities of daily living over time, future pain among the care recipient, future caregiver burden and whether or not the care-recipient fell over a six-month period. Hierarchical regression results from a six-month longitudinal study of 113 informal caregivers did not support this model. Caregiver fears about falling and pain and activity restrictions imposed upon care-recipients did not predict decline in activities/instrumental activities of daily living, future care-recipient pain, or whether or not the care-recipient experienced a fall. Caregiver burden, although not significantly predicted by fear of falling, fear of pain, and activity restriction, was related to fear of falling as indicated by significant point-biseral correlation coefficients. These results are interpreted by focusing on recent investigations of balance performance and fear and by discussing the possibility that activity restriction strategies utilized by the caregivers are appropriate, rather than excessive. A further modification of the modified fear-avoidance model is proposed within the caregiving context and future directions are provided including outlining the ways in which fear of falling may affect the caregiver/care-recipient relationship.

ISBN: 9780494425169Subjects--Topical Terms:

168436
Gerontology.

The effects of fear of falling, fear of pain, and activity restriction among informal caregivers of seniors with dementia.
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500 $a Source: Dissertation Abstracts International, Volume: 69-11, Section: B, page: 7156.
502 $a Thesis (Ph.D.)--The University of Regina (Canada), 2008.
520 $a Pain among seniors with dementia is very prevalent and injurious falls represent a leading contributor to pain in this population. Ironically, high levels of fear of falling are associated with an increased risk of falling via avoidance of activity and deconditioning. According to the fear-avoidance model of pain, fear of pain is a contributing factor to disability, which also functions, in part through avoidance and deconditioning. Recent research has investigated fear of falling, fear of pain among cognitively-intact seniors, but the relationship between fear of falling, fear of pain, and falls has yet to be investigated in seniors with dementia. Because caregivers often make decisions about care-recipient activities, a modified version of the fear-avoidance model is proposed wherein caregiver fears and worries (about a care-recipient experiencing falls and pain) may contribute to excessive restriction of care-recipient activities, which could lead to functional decline and increased falls. In order to investigate this model, a measure of caregiver fears about falling and pain and associated activity restriction was developed, piloted, and psychometrically assessed (Studies I and II). In Study III, this measure and others were used to test the modified fear-avoidance model applied in the caregiving context. It was expected that fear of falling, fear of pain, and restriction/avoidance behaviours among caregivers would predict changes in care-recipient activities of daily living over time, future pain among the care recipient, future caregiver burden and whether or not the care-recipient fell over a six-month period. Hierarchical regression results from a six-month longitudinal study of 113 informal caregivers did not support this model. Caregiver fears about falling and pain and activity restrictions imposed upon care-recipients did not predict decline in activities/instrumental activities of daily living, future care-recipient pain, or whether or not the care-recipient experienced a fall. Caregiver burden, although not significantly predicted by fear of falling, fear of pain, and activity restriction, was related to fear of falling as indicated by significant point-biseral correlation coefficients. These results are interpreted by focusing on recent investigations of balance performance and fear and by discussing the possibility that activity restriction strategies utilized by the caregivers are appropriate, rather than excessive. A further modification of the modified fear-avoidance model is proposed within the caregiving context and future directions are provided including outlining the ways in which fear of falling may affect the caregiver/care-recipient relationship.
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