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

Dados Bibliográficos

ID23332159
AutoresLiz Yardley (0000-0002-3853-883X, University of Southampton, autor correspondente), Lucy Yardley, Nina Beyer (0000-0001-5180-260X, Copenhagen University Hospital), Klaus Hauer (0000-0001-8041-5705, Heidelberg University), G I J M Kempen (0000-0002-7053-2198, Maastricht University), Gertrudis Kempen, Chantal Piot-Ziegler, Chantal Piot‐ziegler (University of Lausanne), Chris Todd (0000-0001-6645-4505, University of Manchester)
Ano2005
Volume34
Fascículo6
Páginas614-619
Data de publicação2005-11-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAge and Ageing (JOURNAL)
Identificadores do periódicoISSN: 0002-0729 • E-ISSN: 1468-2834
EditoraOxford University Press (OUP) (PUBLISHER)
DOI10.1093/ageing/afi196
PMID16267188
OpenAlexW2100959123
IdiomaEN
Citações recebidas79
Referências citadas27

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.

Concurrent validity · Cronbach's alpha · Environmental health · Fear of falling · Injury prevention · Internal consistency · Poison control · Power (physics) · Psychometrics · Reliability (semiconductor) · Scale (ratio) · Balance, Gait, and Falls Prevention · Clinical Psychology · Medicine · Musculoskeletal pain and rehabilitation · Physical Activity and Health · Psychology · Gerontology