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dc.contributor.authorKuys, Suzanne
dc.contributor.authorDonovan, Jacquelin
dc.contributor.authorMattin, Sarah
dc.contributor.authorLow Choy, Nancy L.
dc.date.accessioned2018-11-09T01:31:50Z
dc.date.available2018-11-09T01:31:50Z
dc.date.issued2015
dc.identifier.issn0342-5282
dc.identifier.doi10.1097/MRR.0000000000000106
dc.identifier.urihttp://hdl.handle.net/10072/141101
dc.description.abstractOlder adults discharging from inpatient rehabilitation were investigated to determine change in self-efficacy at 1 month after discharge, the relationship with discharge balance performance and physical function, and the influence of diagnosis. A prospective cohort of 101 adults older than 50 years of age, 43% men, average age 75.84 (SD 9.8) years, were recruited at discharge from inpatient rehabilitation. Balance self-efficacy was assessed using Activities-specific Balance Confidence (ABC) scale at discharge and 1 month following discharge. Balance and physical function were measured at discharge using the Functional Independence Measure, Balance Outcome Measure for Elder Rehabilitation, Modified Elderly Mobility Scale and gait speed. At discharge, balance self-efficacy was moderate (ABC score 62, SD 23) and did not change at follow-up. When grouped by discharge self-efficacy (ABC scores: low<50; moderate 51–80; high>80), significant between-group differences were found for balance (P=0.005) and physical function (P=0.035). At the 1-month follow-up, those with low discharge balance self-efficacy showed improvement (mean-change ABC score 12, 95% confidence interval 2–22) and those with high discharge balance self-efficacy had lower scores (mean-change ABC score 18, 95% confidence interval -8 to -28). Differences in ABC change scores were also found between diagnostic groups (F=3.740, P=0.03), with the orthopaedic group improving (ABC mean change=8) and the general frailty group showing a decrease in confidence (ABC mean change=10). The differences in balance self-efficacy change at 1 month following discharge were related to self-efficacy level at discharge and clinical group requiring rehabilitation. Clinicians need to be aware of these changes as patients are prepared for discharge.
dc.description.peerreviewedYes
dc.languageenglish
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofpagefrom167
dc.relation.ispartofpageto172
dc.relation.ispartofissue2
dc.relation.ispartofjournalInternational Journal of Rehabilitation Research
dc.relation.ispartofvolume38
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchClinical sciences not elsewhere classified
dc.subject.fieldofresearchAllied health and rehabilitation science
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode320299
dc.subject.fieldofresearchcode4201
dc.titleBalance self-efficacy in older adults following inpatient rehabilitation
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Rehabilitation Sciences
gro.hasfulltextNo Full Text
gro.griffith.authorKuys, Suzanne S.


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