Michelle A McKay, Janell L Mensinger, Christina R Whitehouse
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The Relationship of Fear of Falling and Quality of Life: The Mediating Effects of Frailty and Depression.
Purpose: To examine the sequential explanatory roles of frailty and depression in the relationship between fear of falling (FOF) and health-related quality of life (HRQoL) in older adults.
Design: Secondary data analysis.
Methods: Path models were constructed hypothesizing frailty and depression as serial mediators of the relationship between FoF and HRQoL.
Findings: Depression independently and along with frailty serially mediated the relationship between FoF and mental HRQoL.
Conclusions: Frailty and depression are not typically considered when assessing the effect of FOF on HRQoL.
Clinical evidence: Understanding the mediating effects and common risk factors on FOF and HRQoL may be an area for interventional development for older adults.
期刊介绍:
This innovative publication focuses on health care issues relevant to all aspects of community practice -- home health care, visiting nursing services, clinics, hospices, education, and public health administration. Well-researched articles provide practical and up-to-date information to aid the nurse who must frequently make decisions and solve problems without the back-up support systems available in the hospital. The journal is a forum for community health professionals to share their experience and expertise with others in the field.