Barriers to reporting fear of falling and participation in fall prevention strategies among older adults in Pakistan: a qualitative study
摘要
Falls are a major public health concern among older adults, causing injuries, disability, and reduced quality of life (QoL). Fear of falling (FoF) increases fall risk, yet barriers to reporting FoF and participating in fall prevention strategies (FPS) remain underexplored in culturally diverse and resource-limited settings like Pakistan.
ObjectiveThis study aimed to explore the perceived barriers older adults faced in Pakistan in reporting FoF and engaging in FPS, providing insights for culturally sensitive interventions.
MethodsA qualitative descriptive study was conducted with 12 community-dwelling older adults (aged 65–80 years) recruited using non-probability purposive sampling. Data was collected through semi-structured interviews, transcribed verbatim, and analyzed using thematic analysis. Trustworthiness was ensured through member checking, data triangulation, and investigator triangulation.
ResultsThree main themes emerged. First, FoF and communication—participants hesitated to disclose FoF due to stigma, fear of losing independence, or dismissal by healthcare providers (HCPs). Second, barriers and attitudes toward FPS—logistical challenges, health-related issues, and personal beliefs hindered participation in FPS. Third, support systems and recommendations—financial, motivational, and professional support were emphasized for engagement in FPS. Both groups recommended tailored, accessible FPS and enhanced communication about FoF.
ConclusionOlder adults in Pakistan face barriers to reporting FoF and participating in FPS. Culturally sensitive interventions with practical support, personalized care, and community resources are crucial. Findings emphasize the need for strategies to address barriers and enhance FPS participation in resource-limited settings.