ArticleFrontiers in public health2026
The impact of fear of falling and social support on self-awareness of falls in older adult patients with cardiovascular multimorbidity: a multiple mediation model.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To construct and validate a multiple mediation model of self-awareness of falls in older adult patients with cardiovascular multi-morbidity (CMM), and to elucidate the direct effects of fear of falling and social support on self-awareness of falls, as well as the mediating roles of emotion and cognitive function in these associations. Methods: A cross-sectional study was conducted. From September 2025 to February 2026, 358 older adult patients with cardio-metabolic multi-morbidity were recruited from 8 communities in Anhui Province by convenience sampling. Data were collected using a general information questionnaire, the Self-Awareness of Falls Scale (SAFE), the Falls Efficacy Scale-International (FES-I), the Hospital Anxiety and Depression Scale (HADS), the Perceived Social Support Scale (PSSS), and the Montreal Cognitive Assessment (MoCA). Univariate analysis, Pearson correlation analysis, and multiple linear regression analysis were performed using SPSS 26.0. Structural equation modeling and path analysis were conducted with AMOS 26.0, and the bias-corrected Bootstrap method was applied to examine the mediating effects. Results: The total score of self-awareness of falls in older adult patients with CMM was 61.27 ± 9.28. The structural equation model showed excellent fit ( Conclusion: In older adult patients with CMM, self-awareness of falls is directly and positively associated with fear of falling and social support, with anxiety and cognitive function serving as mediator variables, respectively. Clinical interventions should target precise management of anxiety: while utilizing the alerting function of fear, efforts should be made to strengthen social support networks and cognitive maintenance, so as to synergistically improve patients' fall awareness.
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