Purpose: The purpose of this study was to examine the effects of a care prevention program on multiple domains of self-efficacy in frail elderly people with and without pain. Method: Subjects were 51 frail elderly people with an average age of 79.1±5.6 years (14 males and 32 females) who did not have dementia, and who were enrolled in the long term care insurance (LTCI) program. A self-reporting questionnaire was administered to participants before and after the 3-month community care prevention exercise program for improving body functions. Demographics, perceived pain, exercise habit, and fall experience were assessed in this study. Three self-efficacy measures [the self-efficacy scale regarding going out among community-dwelling elderly (SEGE), the fall prevention self-efficacy scale (FPSE), and the selfefficacy for health promotion scale (SEHP)] were also conducted. The SEHP was composed of four domains: health, exercise, diet, and mental health. Results: After the intervention, significant improvements in SEGE, SEHP, and the health and diet subscales were observed in the group without pain. Among the group with pain, significant increases in SEGE were only found among elderly people who did not reduce their pain. The existence of pain may influence the enhancement of self-efficacy.
