Singapore Institute of Technology
v06i03_131.pdf (411.13 kB)

Falls efficacy: Extending the understanding of self-efficacy in older adults towards managing falls

Download (411.13 kB)
journal contribution
posted on 2023-03-31, 06:07 authored by Leng Hsien Shawn SohLeng Hsien Shawn Soh, Chee-Wee Tan, Janet I. Thomas, Gideon Tan, Tianma XuTianma Xu, Yoke Leng NgYoke Leng Ng, Judith Lane

Falls efficacy is a widely studied construct. The understanding of falls efficacy has evolved over time. Falls efficacy was initially perceived to be suitably used as a measure of fear of falling. However, further research suggested that falls efficacy and fear of falling are distinct constructs, and therefore, would be inappropriate to be used as a proxy. Instead, some researchers posited that falls efficacy is synonymous with balance confidence. Falls efficacy has been conventionally understood as the perceived ability of individuals to perform activities without losing balance or falling. A recently conducted systematic review by the authors on existing falls efficacy related measures had revealed a fresh perspective of recognising falls efficacy as a perceived ability to manage a threat of a fall. Falls efficacy, with a broadened interpreted construct, relates to the individual’s perceived self-efficacy of performing necessary actions needed in different scenarios, including pre-fall, near-fall, fall-landing and completed fall. The conventional interpretation of falls efficacy needs a rethinking of perspective. An extended understanding of falls efficacy would provide an integral approach towards improving the agency of individual to deal with falls and would enhance person-centred care.


Journal/Conference/Book title

Journal of Frailty, Sarcopenia and Falls

Publication date



  • Published

Usage metrics


    Ref. manager