Evidence map›Paper›PMID 34233599›Full record

ArticleClinical gerontologist

Maladaptive Fall Risk Appraisal and Falling in Community-Dwelling Adults Aged 60 and Older: Implications for Screening.

Ladda Thiamwong, Boon Peng Ng, Rick Yiu Cho Kwan, Jom Suwanno

Open access · greenAbstract read
In one paragraph

Article in Clinical gerontologist. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.5field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 18 citations in OpenAlex.

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  4. Every Fall Matters: Challenging Ageism and Negative Self-Perception of Aging.Journal of psychosocial nursing and mental health services · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 3 countries.

Ladda ThiamwongCollege of Nursing, University of Central Florida, Orlando, Florida, USA.ORCID 0000-0001-8506-5812
Boon Peng NgCollege of Nursing, University of Central Florida, Orlando, Florida, USA.ORCID 0000-0001-6070-661X
Rick Yiu Cho KwanCentre for Gerontological Nursing, School of Nursing, The Hong Kong Polytechnic University, Hong Kong.
Jom SuwannoSchool of Nursing, Walailak University, Nakhon Si Thammarat, Thailand.
University of Central Florida · USHong Kong Polytechnic University · HKWalailak University · TH

Funding

Technology-based fall risk assessments for older adults in low-income settingsR03AG069799 · NIA · UNIVERSITY OF CENTRAL FLORIDA · PI THIAMWONG, LADDA · 2020 to 2021
$149k
NIA NIH HHS R03 AG069799
6 · The paper itself

Abstract

objectivesWe aimed to examine the characteristics of maladaptive fall risk appraisal (FRA), discrepancies between physical and perceived-fall risk, and their associations with falls.

methodsFall risk appraisal was determined using the full-tandem stand test as an objective measure and the Fall Efficacy Scale-International as a subjective measure, and 433 adults aged ≥60 years from Thailand were classified into four groups: irrational (low physical/high perceived risk), incongruent (high physical/low perceived risk), congruent (high physical/high perceived risk) and rational (low physical/low perceived risk) FRAs.

resultsOnly 20.8% of adults aged ≥60 years had rational FRA. The rest of the participants had either irrational (57.3%) or incongruent (2.3%), or congruent (19.6%) FRAs. Approximately 74% of those with congruent FRA reported experiencing a fall last year, followed by incongruent (60%), irrational (41.1%), and rational FRAs (27.8%,

conclusionsMaladaptive FRA is highly prevalent among adults aged ≥60. Identifying maladaptive FRA is essential for ensuring that adults aged ≥60 receiving early treatment associated with falls. CLINICAL IMPLICATIONS: Preventing a transition from rational to irrational, incongruent, and congruent fall risk appraisals is vital to prevent falls and mitigate this problematic health condition.

Indexed as

Accidental FallsIndependent LivingAgedHumansMass ScreeningMiddle AgedThailandfall risk appraisalFallsfear of fallingmaladaptiveolder adults

Identifiers

PMID34233599
PMCPMC10900196
OpenAlexW3178326287

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.