This research study aimed to answer the research question “Is there a relationship between the clinician-assessed falls risk for older men compared to their self-assessed confidence in completing activities of daily living without falling?”. Based on the findings from this retrospective cohort study, it can be concluded that there is a relationship between the two variables. Unexpected but valuable insights also found older men were more aware of their relationship between their falls risk and confidence levels when completing complex ADLs compared to basic ADLs. An implication of this may be that older men were less aware or overconfident in their ability to complete basic ADLs which may contribute to an increased risk of falls. Discussing self-rated confidence in completing basic ADLs with older men could be used as a predictor of falls risk for swift falls assessments to occur in an attempt to reduce older men’s risk of falling, although more research is needed to investigate this.
This study also considered how occupational therapists provide support to older men in relation to their falls risk and identified that there is a mis-match of education being offered currently.
Occupational therapists working in the scope of falls should focus on offering more directed education to older men pertaining to their confidence levels with ADLs and falls risk, and aim to provide the support to basic ADLs. Another finding that was identified was the use of current self-rated assessment tools which was developed over two decades ago predominantly by female researchers. There is an opportunity for new assessment tools to be created, including enhanced collaboration with older men, with the aim of improving the gender and cultural sensitivity of these assessments.
The overarching aim of this study was to contribute to the growing body of literature around falls and ADL confidence for older men, and this has also filled the identified gap between clinician-assessed falls risk and self-assessed confidence levels are viewed. The findings provide encouraging evidence that a relationship between these two variables is apparent for older men aged 65 to 75, pacing a path for future prospective studies to enhance the body of literature around falls.
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