The Effect of Self-Efficacy Enhancement Program on Fall Prevention Behaviors and Physical Capabilities of the elderly Persons in Community

Abstract

This Quasi-experimental research was aimed to study effects of self- efficacy enhancement program on fall prevention behaviors and physical capabilities of older person who had fall risk in community. The sample consisted of 60 subjects, they were divided into 2 group, 30 subjects for experimental group and 30 subjects for comparison group. Instrument composed of personal Information Interview, Time up and go test and fall prevention behavior interview, approved by 5 experts for content validity. The Cronbach’s alpha coefficient of fall prevention behavior interview was 0.79.  The experimental group was administered a Self- efficacy enhancement program, developed by the researcher based on self-efficacy 4 concepts  which included mastery experience, vicarious experience, verbal persuasion and physiological feedback of results. Data were collected from June to July 2018. Descriptive statistics and independent t-test were used to analyze the data.

The results revealed that after completion of the intervention, the experimental group had mean scores of fall prevention behavior and perceived self-efficacy significantly higher than those in the control group.  These findings indicate that nurse practitioners who deliver healthcare service  for older persons in community should utilize this program through group learning process, role model, skill training of square-stepping exercise that relevance to local culture and community style, for promote fall prevention behaviors modification sustainable.