title: Self-efficacy, neighborhood walking, and fall history in older adults.
abstract: This cross-sectional study examined the association of self-efficacy with neighborhood walking in older adult (mean age = 76.1, SD = 8.34) fallers (n = 108) and nonfallers (n = 217) while controlling for demographic characteristics and mobility. Hierarchical multiple regression indicated that the full model explained 39% of the variance in neighborhood walking in fallers (P < .001) and 24% in nonfallers (P < .001). Self-efficacy explained 23% of the variance in fallers (P < .001) and 11% in nonfallers (P < .001). Neighborhood walking was significantly associated with self-efficacy for individual barriers in both groups. Self-efficacy for neighborhood barriers trended toward significance in fallers (β = .18, P = .06). Fall history did not moderate the relationship between self-efficacy and neighborhood walking. Walking interventions for older adults should address self-efficacy in overcoming individual walking barriers. Those targeting fallers should consider addressing self-efficacy for overcoming neighborhood barriers.
authors.affiliation: University of Michigan School of Nursing, Ann Arbor, MI.
authors.forename: N A
authors.initials: NA
authors.lastname: Gallagher
authors.forename: P J
authors.initials: PJ
authors.lastname: Clarke
authors.forename: C
authors.initials: C
authors.lastname: Loveland-Cherry
authors.forename: D L
authors.initials: DL
authors.lastname: Ronis
authors.forename: K A
authors.initials: KA
authors.lastname: Gretebeck
mesh_terms: D000058:Accidental Falls; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D012111:Residence Characteristics; D020377:Self Efficacy; D016138:Walking / Q000502:physiology*