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Confiance en son equilibre et equilibre percu chez les aines: Conceptualisation, mesure et impact d'un programme communautaire de prevention des chutes.

紀錄類型:	書目-電子資源 : 單行本
Title/Author:	Confiance en son equilibre et equilibre percu chez les aines: Conceptualisation, mesure et impact d'un programme communautaire de prevention des chutes./
Author:	Filiatrault, Johanne.
Description:	311 p.
Notes:	Source: Dissertation Abstracts International, Volume: 70-03, Section: B, page: 1622.
Contained By:	Dissertation Abstracts International70-03B.
Subject:	Gerontology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NR47697
ISBN:	9780494476970

Confiance en son equilibre et equilibre percu chez les aines: Conceptualisation, mesure et impact d'un programme communautaire de prevention des chutes.
Filiatrault, Johanne.

Confiance en son equilibre et equilibre percu chez les aines: Conceptualisation, mesure et impact d'un programme communautaire de prevention des chutes. - 311 p.

Source: Dissertation Abstracts International, Volume: 70-03, Section: B, page: 1622.

Thesis (Ph.D.)--Universite de Montreal (Canada), 2008.

Falls among the elderly represent a critical public health issue because falls occur frequently among this population and they have serious consequences on seniors' health and quality of life. A variety of interventions have been developed to prevent the occurrence of falls using strategies targeting a diversity of falls risk factors including balance decline associated with aging and/or disease as well as environmental and behavioural falls risk factors. More recently, falls prevention researchers have suggested that falls-related psychological factors such as fear of falling, balance confidence, and falls efficacy should be targeted as valued outcomes in and of themselves because there is evidence that these factors are associated with seniors' vulnerability to falls. However, limited data are available regarding the impact of falls prevention interventions on these factors. This thesis involved the mining of existing data collected within the context of a larger investigation lead by Robitaille and colleagues (2005) at the Montreal Public Health Department. One of the main goals of this larger investigation was to assess the impact of a falls prevention program called Stand Up! on seniors' balance, when the program is offered under the natural conditions of community-based organizations. In a complementary way, this thesis aims to establish the potential of community-based falls prevention programs (more specifically those including balance exercises and educational components offered in groups) in influencing falls-related psychological factors among seniors. Written in the form of a series of papers, this thesis has two specific objectives, namely to: (1) examine the psychometric properties of a simplified version of a questionnaire developed to assess balance confidence among elderly (the ABC-S or Activities-specific Balance Confidence (ABC)-Simplified Scale); and (2) examine the impact of Stand Up! on two falls-related psychological factors, namely balance confidence and perceived balance. The thesis also includes two other papers relevant to the research topic, namely: (1) a paper involving a systematic review of studies that have examined the impact of several preventive interventions on falls-related psychological factors; and (2) a second paper including a detailed description of Stand Up! and reporting the results of an analysis of the feasibility of implementing the program in community-based organizations. Stand Up! is a 12-week program that includes balance exercises and an educational component offered in a group format to independent seniors who have fallen or are concerned about their balance or falling. The doctoral project, as well as the main study to which it is linked, used a quasi-experimental pre-post design with a control group. Representatives of community-based organizations recruited 98 seniors to participate in the experimental group and 102 seniors to take part of the control group. Face-to-face interviews allowed for data collection on a series of variables, namely balance confidence (measured with the ABC-S Scale) and perceived balance. Balance performance tests were also administered by physical therapists. Data collected at baseline and post-test were used for this thesis. The psychometric study shows that the ABC-S scale has good internal consistency as well as a good convergent validity with scores obtained on balance tests, perceived balance, falls history, and fear of falling. The evaluative study show that a program that improve balance performance such as Stand Up! can also improve perceived balance. However, the program did not have an impact on participants' balance confidence. In conclusion, it appears that seniors are able to recognize an improvement in their balance following a falls prevention program such as Stand Up! However, this impact on perceived balance was not accompanied by a similar increase in participants' balance confidence. These findings indicate that a change in balance confidence likely requires actions on factors other than balance. Further studies are warranted to identify those critical ingredients that might allow Stand Up! to achieve the maximal benefits for seniors, both physically and psychologically.

ISBN: 9780494476970Subjects--Topical Terms:

168436
Gerontology.

Confiance en son equilibre et equilibre percu chez les aines: Conceptualisation, mesure et impact d'un programme communautaire de prevention des chutes.
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502 $a Thesis (Ph.D.)--Universite de Montreal (Canada), 2008.
520 $a Falls among the elderly represent a critical public health issue because falls occur frequently among this population and they have serious consequences on seniors' health and quality of life. A variety of interventions have been developed to prevent the occurrence of falls using strategies targeting a diversity of falls risk factors including balance decline associated with aging and/or disease as well as environmental and behavioural falls risk factors. More recently, falls prevention researchers have suggested that falls-related psychological factors such as fear of falling, balance confidence, and falls efficacy should be targeted as valued outcomes in and of themselves because there is evidence that these factors are associated with seniors' vulnerability to falls. However, limited data are available regarding the impact of falls prevention interventions on these factors. This thesis involved the mining of existing data collected within the context of a larger investigation lead by Robitaille and colleagues (2005) at the Montreal Public Health Department. One of the main goals of this larger investigation was to assess the impact of a falls prevention program called Stand Up! on seniors' balance, when the program is offered under the natural conditions of community-based organizations. In a complementary way, this thesis aims to establish the potential of community-based falls prevention programs (more specifically those including balance exercises and educational components offered in groups) in influencing falls-related psychological factors among seniors. Written in the form of a series of papers, this thesis has two specific objectives, namely to: (1) examine the psychometric properties of a simplified version of a questionnaire developed to assess balance confidence among elderly (the ABC-S or Activities-specific Balance Confidence (ABC)-Simplified Scale); and (2) examine the impact of Stand Up! on two falls-related psychological factors, namely balance confidence and perceived balance. The thesis also includes two other papers relevant to the research topic, namely: (1) a paper involving a systematic review of studies that have examined the impact of several preventive interventions on falls-related psychological factors; and (2) a second paper including a detailed description of Stand Up! and reporting the results of an analysis of the feasibility of implementing the program in community-based organizations. Stand Up! is a 12-week program that includes balance exercises and an educational component offered in a group format to independent seniors who have fallen or are concerned about their balance or falling. The doctoral project, as well as the main study to which it is linked, used a quasi-experimental pre-post design with a control group. Representatives of community-based organizations recruited 98 seniors to participate in the experimental group and 102 seniors to take part of the control group. Face-to-face interviews allowed for data collection on a series of variables, namely balance confidence (measured with the ABC-S Scale) and perceived balance. Balance performance tests were also administered by physical therapists. Data collected at baseline and post-test were used for this thesis. The psychometric study shows that the ABC-S scale has good internal consistency as well as a good convergent validity with scores obtained on balance tests, perceived balance, falls history, and fear of falling. The evaluative study show that a program that improve balance performance such as Stand Up! can also improve perceived balance. However, the program did not have an impact on participants' balance confidence. In conclusion, it appears that seniors are able to recognize an improvement in their balance following a falls prevention program such as Stand Up! However, this impact on perceived balance was not accompanied by a similar increase in participants' balance confidence. These findings indicate that a change in balance confidence likely requires actions on factors other than balance. Further studies are warranted to identify those critical ingredients that might allow Stand Up! to achieve the maximal benefits for seniors, both physically and psychologically.
520 $a Keywords. Falls prevention, falls-related psychological factors, fear of falling, balance confidence, perceived balance, program evaluation, community intervention, seniors.
590 $a School code: 0992.
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791 $a Ph.D.
792 $a 2008
793 $a French and English
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