Evaluating the psychometric properties of the iconographical falls efficacy scale (ICON-FES)

Moreira, Ana Carolina Silva de Souza; Mazo, Giovana Zarpellon; Vieira, Mariluce Poerschke; Machado, Deyse Borges; Cardoso, Fernando Luíz; Carvalho, Raquel Vieira Costa de; Cruz, Roberto Moraes

doi:10.6061/clinics/2020/e1427

Cited by 4 publications

(4 citation statements)

References 24 publications

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“…In the Turkish version study, factor loads of the scale items varied between 0.569 and 0.819. Moreira et al (2020) reported that ICON-FES contains some redundant items but, there was no finding to support this result in the current study. That the scale items were gathered under a single factor and high factor loads indicate that the items in the scale can measure the fear of falling, together.…”

Section: Ta B L E 3 Validity Correlation Analysis Resultscontrasting

confidence: 88%

“…included in the low fear factor group, while items 11, 18, 22 and 27 under the low fear factor are included in the high fear factor group in this study (Delbaere et al, 2011). Moreira et al (2020) examined the construct validity of Icon-FES and similarly obtained a 2-factor structure. Differences were found in the distribution of factor loads for some items (2,5,13,14,22,23,24,25,28,29) compared to the current study.…”

Section: Ta B L E 3 Validity Correlation Analysis Resultsmentioning

confidence: 99%

“…Moreira et al. (2020) examined the construct validity of Icon‐FES and similarly obtained a 2‐factor structure. Differences were found in the distribution of factor loads for some items (2, 5, 13, 14, 22, 23, 24, 25, 28, 29) compared to the current study.…”

Section: Discussionmentioning

confidence: 99%

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The cross‐cultural adaptation and factor analysis of the Turkish version of Iconographical Falls Efficacy Scale Long Version

Şentürk¹,

Livanelioğlu

2022

Int J Older People Nursing

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Background Iconographical Falls Efficacy Scale (Icon‐FES) is the first visual scale for fear of falling. Unlike the others, Icon‐FES, including 30 items offers a unique perspective to assess the fear of falling by providing more precise contexts. Objectives The study aimed to introduce the 30‐item Icon‐FES, the first visual content fear of falling scale, into Turkish and to explore its psychometric properties. Methods First, the Turkish language validity of Icon‐FES was ensured by following the forward‐backward translation protocol. A total of 150 older adults independent in their daily living activities were included in the study. Falls Efficacy Scale International (FES‐I) and Activities Specific Balance and Confidence Scale (ABC), which are frequently preferred in the literature for the same purpose, were used to provide the criterion validity of the scale. The exploratory factor analysis method was utilised for the construct validity of the scale. Results Factor analysis revealed a two‐factor structure. 52.22% of the total variance was explained with single‐factor analysis. In the criterion validity analysis, while there was a strong positive correlation between Icon‐FES and FES‐I (r = 0.910, p < 0.01), a strong negative correlation was found between Icon‐FES and ABC (r = −0.887, p < 0.01). The Cronbach Alpha value for the internal consistency of the scale was calculated as 0.965. The intraclass correlation coefficient between two measurements performed one‐week interval was found to be 0.985 (p < 0.001). Conclusion The study showed that Icon‐FES is a valid, reliable and rapid result assessment tool for community‐dwelling older adults without cognitive dysfunction.

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Section: Ta B L E 3 Validity Correlation Analysis Resultscontrasting

confidence: 88%

Section: Ta B L E 3 Validity Correlation Analysis Resultsmentioning

confidence: 99%

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The cross‐cultural adaptation and factor analysis of the Turkish version of Iconographical Falls Efficacy Scale Long Version

Şentürk¹,

Livanelioğlu

2022

Int J Older People Nursing

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“…Finally, in Figure 2 the CFA shows that the FES-I scale partially preserves its measurement properties, since it was necessary to remove five items with high error components so that the measurement model would fit the data, considering the two factors proposed in the literature. Similarly, other studies have found valid fit indices considering a single factor and in versions of the FES-I scale with seven items (Norouzi et al, 2023) and with images (Moreira et al, 2020).…”

Section: Discussionsupporting

confidence: 57%

Adaptation and Validation of the Falls Efficacy Scale-International (FES-I) in Community-Dwelling Older Mexican Adults

Medina-Jiménez,

Acosta-Quiroz,

García-Flores

2023

Gerontology and Geriatric Medicine

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The objective of this study was to evaluate the reliability and validity of the FES-I scale in community-dwelling older Mexican adults. Participants were 222 older adults, with a mean age of 70 years; 75% were women who completed a sociodemographic data sheet, a Spanish version of the FES-I scale, intended to explore measures of depression, quality of life, and instrumental activities of daily living. Discriminant validity was demonstrated for all items on the FES-I scale and when groups of older adults were compared according to age. Evidence of internal consistency was found in all the items of the FES-I scale (α = .91) and convergent and divergent validity of the FES-I scale with measures of depression and quality of life, except instrumental activities of daily living. The Confirmatory Factor Analysis shows that the FES-I scale partially retains its two-factor measurement properties since five items were removed from the model to fit the data. The FES-I scale is a valid and reliable measure for clinical evaluations of fear of falls in older Mexican adults in the community.

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A systematic review and meta-analysis of the measurement properties of concerns-about-falling instruments in older people and people at increased risk of falls

et al. 2023

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Background The 16-item Falls Efficacy Scale International (FES-I) is widely used to assess concerns-about-falling. Variants include 7-item Short FES-I, 30-item Iconographical Falls Efficacy Scale (Icon FES) and 10-item short Icon FES. No comprehensive systematic review and meta-analysis has been conducted to synthesise evidence regarding the measurement properties of these tools. Objectives To conduct a systematic review and meta-analysis of the measurement properties of four FES-I variants. Methods MEDLINE, Embase, CINAHL Plus, PsycINFO and Web of Science were searched systematically and articles were assessed for eligibility independently. The methodological quality of eligible studies was assessed using COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) Risk of Bias checklist. The quality of measurement properties was assessed using COSMIN criteria for good measurement properties. Where possible, meta-analysis was conducted; otherwise, narrative synthesis was performed. Overall certainty of evidence was rated using a modified Grading of Recommendations, Assessment, Development and Evaluation system approach. Results The review included 58 studies investigating measurement properties of the four instruments. There was high-quality evidence to support internal consistency, reliability and construct validity of all instruments. Moderate- to high-certainty evidence suggests one-factor structure of FES-I with two underlying dimensions, one-factor structure of Short FES-I and two-factor structure of Icon FES. There was high-certainty evidence to support the responsiveness of FES-I, with further research needed for the other instruments. Conclusion There is evidence for excellent measurement properties of all four instruments. We recommend the use of these tools with healthy older people and people at a greater risk of falls due to conditions that might affect mobility and balance.

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Evaluating the psychometric properties of the iconographical falls efficacy scale (ICON-FES)

Cited by 4 publications

References 24 publications

The cross‐cultural adaptation and factor analysis of the Turkish version of Iconographical Falls Efficacy Scale Long Version

The cross‐cultural adaptation and factor analysis of the Turkish version of Iconographical Falls Efficacy Scale Long Version

Adaptation and Validation of the Falls Efficacy Scale-International (FES-I) in Community-Dwelling Older Mexican Adults

A systematic review and meta-analysis of the measurement properties of concerns-about-falling instruments in older people and people at increased risk of falls

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