Development and initial validation of the Falls Efficacy Scale-International (FES-I)

被引:1420
作者
Yardley, L [1 ]
Beyer, N
Hauer, K
Kempen, G
Piot-Ziegler, C
Todd, C
机构
[1] Univ Southampton, Sch Psychol, Southampton SO9 5NH, Hants, England
[2] Copenhagen Univ Hosp, Inst Sports Med Copenhagen, Copenhagen, Denmark
[3] Robert Bosch Krankenhaus, Stuttgart, Germany
[4] Heidelberg Univ, Bethanien Krankenhaus, D-6900 Heidelberg, Germany
[5] Maastricht Univ, Dept Hlth Care Studies, Maastricht, Netherlands
[6] Univ Lausanne, CH-1015 Lausanne, Switzerland
[7] Univ Manchester, Sch Nursing Midwifery & Social Work, Manchester M13 9PL, Lancs, England
关键词
quality of life; accidental falls; aged; questionnaires; elderly;
D O I
10.1093/ageing/afi196
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background: there is a need for a measure of fear of falling that assesses both easy and difficult physical activities and social activities and is suitable for use in a range of languages and cultural contexts, permitting direct comparison between studies and populations in different countries and settings. Objective: to develop a modified version of the Falls Efficacy Scale to satisfy this need, and to establish its psychometric properties, reliability, and concurrent validity (i.e. that it demonstrates the expected relationship with age, falls history and falls risk factors). Design: cross-sectional survey. Setting: community sample. Method: 704 people aged between 60 and 95 years completed The Falls Efficacy Scale-International (FES-I) either in postal self-completion format or by structured interview. Results: the FES-I had excellent internal and test-retest reliability (Cronbach's alpha=0.96, ICC=0.96). Factor analysis suggested a unitary underlying factor, with two dimensions assessing concern about less demanding physical activities mainly in the home, and concern about more demanding physical activities mainly outside the home. The FES-I had slightly better power than the original FES items to discriminate differences in concern about falling between groups differentiated by sex, age, occupation, falls in the past year, and falls risk factors (chronic illness, taking multiple or psychoactive medications, dizziness). Conclusions: the FES-I has close continuity with the best existing measure of fear of falling, excellent psychometric properties, and assesses concerns relating to basic and more demanding activities, both physical and social. Further research is required to confirm cross-cultural and predictive validity.
引用
收藏
页码:614 / 619
页数:6
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