title: Falls in old age: a threat to identity.
abstract: OBJECTIVE
  This study aimed to understand older people's perceptions of their and other older peoples' falls risk, to increase understanding of why older people might not believe falls are relevant to themselves.
  
  
  BACKGROUND
  One-third of the people aged≥65 years (older people) fall yearly. Many older people do not participate in falls prevention programmes because they purport they are not personally vulnerable.
  
  
  METHODS
  A qualitative study was conducted, guided by the tenets of grounded theory.
  
  
  METHODS
  Semi-structured interviews were conducted with nine community-dwelling older people living in metropolitan Adelaide, South Australia. The interview explored participant's direct and indirect experience of falling, their perceived chance of falling in the next 12 months and that of others of the same age and sex to themselves and their reasons for this.
  
  
  RESULTS
  Participants carefully presented themselves as being 'not the type who fall', who they view negatively. They believed their or their friends past or future falls were (or could be) because of factors outside of their personal control or because they were not paying attention at that moment of falling, as opposed to being the type of person who falls. They used these explanations as strategies to maintain or protect their identity as being physically competent.
  
  
  CONCLUSIONS
  Older people know that falling can be viewed negatively. Falling is a threat to their identity as the type of person who does not fall. This explanation is consistent with self-presentation theory, where people use accounting strategies in social interaction to create a desired impression.
  
  
  CONCLUSIONS
  Falls prevention messages are likely to be rejected if the target group associate the message with a negative identity. These findings can assist nurses to understand older people's reluctance to engage in falls prevention and can stimulate thinking regarding alternative engagement strategies.
authors.affiliation: Discipline of General Practice, School of Population Health and Clinical Practice, University of Adelaide, Adelaide, SA, Australia. joanne.dollard@adelaide.edu.au
authors.forename: Joanne
authors.initials: J
authors.lastname: Dollard
authors.forename: Christopher
authors.initials: C
authors.lastname: Barton
authors.forename: Jonathan
authors.initials: J
authors.lastname: Newbury
authors.forename: Deborah
authors.initials: D
authors.lastname: Turnbull
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D013021:South Australia