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February 19, 2026Journal of Physical Therapy Science0 citationsOpen Access

Relationship between fall experience and fear of falling, health literacy, and self-efficacy among community-dwelling older adults

TATakeshi AraiRMRika Mangyo

Key Points

  • The research aims to analyze how fall experience impacts fear of falling, health literacy, and self-efficacy in older adults living in the community.
  • Surveyed 360 community-dwelling older adults
  • Assessed fall experience, fear of falling, health literacy, and self-efficacy
  • Compared mean scores between individuals with and without fall experiences and fear of falling
  • No significant differences in health literacy or self-efficacy between groups with and without fall experiences
  • Individuals without fear of falling exhibited significantly higher self-efficacy than those with fear of falling

Abstract

Purpose This study aimed to examine the relationship between fall experience and fear of falling, exercise-related health literacy, and self-efficacy in community-dwelling older adults. Participants and Methods A total of 360 community-dwelling older adults participated in the study. Surveys assessed fall experience, fear of falling, exercise-related health literacy, and exercise self-efficacy. Mean scores for these variables were compared between groups with and without fall experiences and between those with and without fear of falling. Results No significant differences in health literacy or self-efficacy were observed between the groups with and without fall experiences. However, self-efficacy was significantly higher among those without fear of falling than among those with fear of falling. Conclusion Lower self-efficacy was observed among individuals with fear of falling, indicating that fall prevention strategies should address both fear reduction and self-efficacy improvement to promote continued physical activity.

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Cite This Study

Arai et al. (2026) studied this question.

synapsesocial.com/papers/6996a768ecb39a600b3ed037https://doi.org/10.1589/jpts.38.54
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Exercise Self-Efficacy, Habitual Physical Activity, and Fear of Falling in Patients with Coronary Heart Disease2009 · 38 citations
  2. 2Understanding “Fear Of Falling” And How It Impacts Older Persons Motivation To Engage In Fall Prevention Exercise Interventions2024 · 3 citations
  3. 3Association of Fear of Falling and Low Physical Activity with Fall Risk among Older Taiwanese Community-dwellers2024
  4. 4Relationship Between Odds of Reporting a Fall in the Past Year and Health Literacy Among Community-Dwelling Older Adults in Japan: A Preliminary Cross-Sectional Study2026
  5. 5Impact of Documented Fall-Risk, Self-Reported Health and Confidence to Prevent Falls on Concern About Falling Among Community-Dwelling Older Adults: Secondary Analysis of a Randomized Clinical Trial2024 · 3 citations