Exploring the Mediating Role of Social Support and Fall Efficacy on the Association Between Falls and Physical Activity: A Cross-Sectional Study in an Assisted-Living Population

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Mobility restriction as a consequence of a fall is a major issue in assisted-living facilities. Although many factors are related to falling, little is known about the relationship between falls, social support, falls efficacy, and physical activity. The authors examined the relationship between falls and the Social Support Questionnaire, the Activities-specific Balance Confidence scale, and physical activity simultaneously in 81 older adults (66–94 years) using structural equation modeling. The structural equation model revealed that being older was associated with lower falls efficacy and a higher number of falls, and higher falls efficacy was associated with a higher number of steps per day. The development of a structural equation model illustrating the mediating effects of social support and falls efficacy on the relationship between falls and physical activity can help health care professionals in predicting risk factors of falls that may be compromised by residing in an assisted-living facility.

Schott is with the Institute of Sport and Exercise Science, University of Stuttgart, Stuttgart, Germany. Tietjens is with the Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany.

Address author correspondence to Nadja Schott at nadja.schott@inspo.uni-stuttgart.de.
Journal of Aging and Physical Activity
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