Cross-cultural adaptation and psychometric properties of the Fear of Falling Avoidance Behavior Questionnaire in Turkish community-dwelling older adults

Candan, Sevim Acaröz; Demircioğlu, Arzu; Şahin, Ülkü Kezban

doi:10.1080/09638288.2020.1734674

Cited by 7 publications

(2 citation statements)

References 38 publications

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“…This is logical because balance self-confidence is a closer construct to FOF and, subsequently, FFAB. The directionality and strength of these correlations are consistent with the results from the Brazilian Portuguese FFABQ translation, reliability, and validity study (41) but were lower than the Turkish FFABQ translation, reliability, and validity, which reported stronger correlations (42). Despite being in the same domain, fall history was not consistently or strongly correlated with the mFFABQ, reinforcing the idea that falls are nonlinear over time or as a disease progresses (inverted U curve) (4).…”

Section: Discussionsupporting

confidence: 74%

“…Although these reliability coefficients are solidly in the "good reliability" range (40), they represent modest improvements over the original FFABQ (overall ICC = 0.812) and for people with neurological conditions (ICC = 0.751) (7). The reliability coefficients for the mFFABQ were consistent with the Brazilian Portuguese FFABQ in older adults (ICC = 0.810) (41) but were lower than the Turkish FFABQ in older adults (ICC = 0.999) (42). Based on these data, we recommend that both the FFABQ and mFFABQ are suitable for clinical or research use.…”

Section: Discussionmentioning

confidence: 88%

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The psychometric properties of the modified fear of falling avoidance behavior questionnaire in Parkinson’s disease and older adults

Landers,

Haller,

Aldaco

et al. 2024

Arch. Physioter

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Introduction: The Fear of Falling Avoidance Behavior Questionnaire (FFABQ) has good psychometric properties. However, a recently modified version (mFFABQ) was theorized to be easier to understand because the updated Likert responses are more consistent with the item stem. This study aimed to examine the reliability and validity of the mFFABQ in older adults and in people with Parkinson’s disease (PD). Methods: A total of 88 participants, 39 with PD (age = 72.2 ± 9.5; 29 males, 10 females) and 49 older adults (age = 72.8 ± 5.0; 13 males, 36 females) answered the mFFABQ twice, separated by one week, for test-retest reliability. Construct validity was evaluated through correlational analyses with fall history, Activities-Specific Balance Confidence Scale (ABC), Berg Balance Scale (BBS), Timed Up and Go, 30 Second Sit to Stand, Sensory Organization Test, Zung Anxiety Scale, Beck Depression Inventory; Consequences of Falling Questionnaire (CoFQ), and average daily activity levels using an activity monitor. Results: The mFFABQ had good overall test-retest reliability (ICC = 0.822 (older adult ICC = 0.781, PD ICC = .806). The mFFABQ correlated with fall history (r=-0.430) and exhibited high correlation with the ABC (rho=-.804) and moderate correlations with CoFQ (rho=.582) and BBS (rho=-.595). The mFFABQ also correlated with time stepping (rho=-.298), and number of steps (rho=-.358). Discussion: These results provide supportive evidence for the reliability and validity of the mFFABQ in older adults and people with PD, which supports its suitability as a clinical and research tool for the assessment of fear of falling avoidance behavior.

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 88%