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Fall-Related Psychological Concerns and Anxiety among Community-Dwelling Older Adults: Systematic Review and Meta-Analysis

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  • Marie-Christine Payette
  • Claude Bélanger
  • Vanessa Léveillé
  • Sébastien Grenier

Abstract

Fear of falling and other fall-related psychological concerns (FRPCs), such as falls-efficacy and balance confidence, are highly prevalent among community-dwelling older adults. Anxiety and FRPCs have frequently, but inconsistently, been found to be associated in the literature. The purpose of this study is to clarify those inconsistencies with a systematic review and meta-analysis and to evaluate if the strength of this relationship varies based on the different FRPC constructs used (e.g., fear of falling, falls-efficacy or balance confidence). A systematic review was conducted through multiple databases (e.g., MEDLINE, PsycINFO) to include all articles published before June 10th 2015 that measured anxiety and FRPCs in community-dwelling older adults. Active researchers in the field were also contacted in an effort to include unpublished studies. The systematic review led to the inclusion of twenty relevant articles (n = 4738). A random-effect meta-analysis revealed that the mean effect size for fear of falling and anxiety is r = 0.32 (95% CI: 0.22–0.40), Z = 6.49, p

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  • Marie-Christine Payette & Claude Bélanger & Vanessa Léveillé & Sébastien Grenier, 2016. "Fall-Related Psychological Concerns and Anxiety among Community-Dwelling Older Adults: Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-17, April.
    • Handle: RePEc:plo:pone00:0152848
    DOI: 10.1371/journal.pone.0152848
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    2. Fragkos, Konstantinos C. & Tsagris, Michail & Frangos, Christos C., 2014. "Publication Bias in Meta-Analysis: Confidence Intervals for Rosenthal’s Fail-Safe Number," MPRA Paper 66451, University Library of Munich, Germany.
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    Cited by:

    1. Hayoung Shim & Miji Kim & Chang Won Won, 2020. "Motoric Cognitive Risk Syndrome Using Three-Item Recall Test and Its Associations with Fall-Related Outcomes: The Korean Frailty and Aging Cohort Study," IJERPH, MDPI, vol. 17(10), pages 1-16, May.
    2. Jieun Kim & Worlsook Lee & Seon Heui Lee, 2020. "A Systematic Review of the Guidelines and Delphi Study for the Multifactorial Fall Risk Assessment of Community-Dwelling Elderly," IJERPH, MDPI, vol. 17(17), pages 1-23, August.
    3. Uday Narayan Yadav & Om Prakash Yadav & Devendra Raj Singh & Saruna Ghimire & Binod Rayamajhee & Sabuj Kanti Mistry & Lal Bahadur Rawal & ARM Mehrab Ali & Man Kumar Tamang & Suresh Mehta, 2021. "Perceived fear of COVID-19 and its associated factors among Nepalese older adults in eastern Nepal: A cross-sectional study," PLOS ONE, Public Library of Science, vol. 16(7), pages 1-15, July.

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