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document
Hip protectors improve falls self-efficacy . OBJECTIVES To investigate the effect of use of external hip protectors on subjects ' fear of falling and falls self-efficacy ( belief in their own ability to avoid falling ) . DESIGN Randomized controlled trial . SETTING Aged-care health services in Sydney , Australia . PARTICIPANTS 131 women aged 75 years or older , who had two or more falls or one fall requiring hospital admission in the previous year and who live at home . Sixty-one subjects were in the intervention group and 70 in the control group . INTERVENTION Use of external hip protectors and encouragement to use the protectors by an adherence nurse . MEASUREMENTS At the time of enrolment into a wider study examining the effect of hip protectors on hip fractures , participants recruited at home completed an assessment of fear of falling and falls efficacy as measured by the Falls Efficacy Scale and the Modified Falls Efficacy Scale . At 4-month follow-up , these scales were readministered by an observer who was not aware of the allocation of the participant to intervention or control groups . RESULTS Fear of falling and falls self-efficacy , as measured by the Falls Efficacy and Modified Falls Efficacy Scales , were similar at baseline in both groups . Fear of falling was present at follow-up in 43 % of subjects using hip protectors and 57 % of the control group ( chi2 = 2.58 , P = 0.11 ) . Hip protector users had greater improvement in falls self-efficacy at follow-up as measured by the Falls Efficacy Scale ( t = 2.44 , P = 0.016 ) and the Modified Falls Efficacy Scale ( t = 2.08 , P = 0.039 ) . CONCLUSION Hip protectors improve falls self-efficacy . As users of hip protectors feel more confident that they can complete tasks safely , they may become more physically active and require less assistance with activities of daily living .
2919
Intervention_Physical
Hip protectors
2920
Intervention_Physical
external hip protectors
2921
Intervention_Control
control
2922
Intervention_Physical
external hip protectors and encouragement to use the protectors
2923
Intervention_Educational
by an adherence nurse
2924
Intervention_Physical
hip protectors
2925
Intervention_Physical
Hip protector
2926
Intervention_Physical
Hip protectors
2927
Intervention_Physical
hip protectors
2928
Outcome_Mental
fear of falling
2929
Outcome_Other
falls efficacy
2930
Outcome_Other
Falls Efficacy Scale
2931
Outcome_Other
Modified Falls Efficacy Scale
2932
Outcome_Mental
Fear of falling
2933
Outcome_Other
falls self-efficacy
2934
Outcome_Other
Falls Efficacy
2935
Outcome_Other
Modified Falls Efficacy Scales
2936
Outcome_Mental
Fear of falling
2937
Outcome_Other
self-efficacy
2938
Outcome_Other
Falls Efficacy Scale
2939
Outcome_Other
Modified Falls Efficacy Scale
2940
Participant_Age
Aged-care health services
2941
Participant_Sample-size
131
2942
Participant_Sex
women
2943
Participant_Age
aged 75 years or older
2944
Participant_Condition
had two or more falls or one fall requiring hospital admission in the previous year
2945
Participant_Condition
live at home
2946
Participant_Sample-size
Sixty-one
2947
Participant_Sample-size
70