Cross-cultural validation of the Falls Efficacy Scale-International to assess concerns about falls among Hungarian community-living older people

Kovács, Éva; Rozs, Franciska; Petridisz, Anna Niké; Erdős, Réka; Majercsik, Eszter

doi:10.1080/09638288.2017.1366555

Cited by 16 publications

(13 citation statements)

References 37 publications

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“…(35,36) FES-I, in turn, is based on the Social Cognitive Theory, which presents excellent psychometric properties, with a 96% internal consistency. 37) This scale is widely used and has already been validated in several countries, such as Brazil, (38) Portugal, (39) Saudi Arabia, (40) Turkey (41) and Spain. (42) These authors point out that tools that measure fall self-efficacy are used to measure fear of falling and vice versa, besides that, there are tools that measure two distinct constructs (fall self-efficacy and fear of falling), as a single construct (fear of falling) in this way, it is still unclear what is the best scale to measure fear of falling.…”

Section: Discussionmentioning

confidence: 99%

Medo de cair e o risco de queda: revisão sistemática e metanálise

et al. 2019

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Resumo Objetivo Verificar se o medo de cair é fator de risco em pessoas idosas que vivem na comunidade. Métodos Foi realizada uma revisão sistemática com metanálise baseada na Preferred Reporting Items for Systematic Reviews and MetaAnalyses. Utilizou-se a estratégia de busca PECOS: Paciente - pessoa idosa com 60 anos, ou mais, que vive em comunidade com história pregressa de quedas; Exposição- medo de cair, Comparação -grupo sem medo de cair, o “Outcome” - o desfecho queda e o “Studies”- foram incluídos os estudos observacionais comparativos. As buscas foram realizadas em maio de 2018 nos seguintes bancos de dados eletrônicos CINAHL, Medline, Cochrane, Embase, Lilacs, PsycINFO e PEDro, por meio dos seguinte descritores: “aged”, “elderly”, older adults, fear, fear of falling, accidental falls, fall, fallls. Foram também realizadas buscas de referências cruzadas e literatura cinzenta. Dois revisores realizaram a identificação, seleção, elegibilidade e inclusão dos estudos de maneira independente. A qualidade metodológica dos estudos foram efetuada pela aplicação do instrumento STROBE. Para a metanálise, utilizou-se o Programa ReviewMananger 5.3®. Resultados De 4.891 publicações, cinco estudos possibilitaram a metanálise com 3.112 idosos. Evidenciou-se uma chance de queda de 12,15 vezes maior para o grupo de idosos com medo de cair. Conclusão O medo de cair foi identificado como fator de risco de queda na população idosa que vive na comunidade e que possui história pregressa de queda, torna-se necessário a investigação pelos profissionais da ara da saúde afim de estabelecer medidas preventivas.

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Section: Discussionmentioning

confidence: 99%

Medo de cair e o risco de queda: revisão sistemática e metanálise

et al. 2019

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“…Three items listed under factor 2 were the same across cultures (i.e., 11: walking on a slippery surface; 14: walking on an uneven surface; and 15: walking up or down a slope). The common characteristic was ambulation on a difficult/dangerous terrain [5, 8, 10, 11, 15, 30]. For items in factor 2, which were listed solely in our study, the common denominator was social inclusion (i.e., 10: a brisk walk to a ringing phone; 12: visiting friends; and 16: going to a social event).…”

Section: Discussionmentioning

confidence: 99%

“…It was developed and validated by the Prevention of Falls Network Europe [5, 6]. Previous studies have shown that the FES-I is a valid and reliable test for assessing an FoF in older adults across cultural environments [7, 8, 9, 10, 11, 12, 13, 14, 15, 16]. Validation studies for the FES-I have been carried out in different older patient groups, such as community-dwelling older people [15], users of older people's day centers [17], and hospitalized older adults [18]; however, only a few studies have analyzed the characteristics of persons with cognitive impairment [19].…”

Section: Introductionmentioning

confidence: 99%

Psychometric Properties of the Czech Version of the Falls Efficacy Scale-International in Patients with Early-Stage Dementia

Kisvetrová¹,

Školoudík²,

Herzig³

et al. 2019

Dement Geriatr Cogn Disord Extra

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IntroductionA fear of falling marks an important psychological factor connected with a reduction in the life space of people with dementia. The Czech version of the Falls Efficacy Scale-International (FES-I) has not been validated in patients with early-stage dementia.MethodsThe tests were administered to 282 patients with early-stage dementia. The test battery included the following: the FES-I, the Short Physical Performance Battery, the Geriatric Depression Scale, the Bristol Activity Daily Living Scale, and the Quality of Life-Alzheimer's Disease Scale. Internal reliability (Cronbach's α and intraclass correlation [ICC]), Pearson's and Spearman's correlations, exploratory factor analysis, and a t test for independent samples were used for statistical analyses.ResultsThe Czech version of the FES-I had excellent internal and test-retest reliability (Cronbach's α = 0.98, ICC = 0.90; 95′ CI 0.82–0.94). Factor analysis suggested 2 relevant factors. A significantly higher FES-I score was associated with patients with early-stage dementia who were older (p = 0.003) or female (p = 0.001), lived alone (p = 0.0001), spent >8 h a day alone (p = 0.032), used mobility aids (p < 0.0001), or had severe hearing (p = 0.004) or vision impairment (p < 0.0001) or a lower education (r = −0.16, p = 0.007).ConclusionThe Czech version of the FES-I had very good reliability and validity and may be useful in future cross-cultural comparisons in research among patients with early-stage dementia.

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“…A total score of 7-8 was classified as little or no fear of falling, 9-13 as moderate fear of falling, and 14 or more as severe fear of falling (Delbaere et al, 2010). The Cronbach alpha coefficient of test-retest reliability for the Short FES-I has been reported as 0.93 (Kovács et al, 2018). Preintervention and postintervention evaluations were performed by the same investigator and were conducted through one-on-one interviews with the subjects.…”

Section: Outcome Measuresmentioning

confidence: 99%

Effects of Otago exercise combined with action observation training on balance and gait in the old people

Leem¹,

Kim²,

Lee

2019

J Exerc Rehabil

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This study aimed to investigate the effects of Otago exercise combined with action observation (AO) training on the balance, and gait in the old people to prevent falls in the community. A total of 30 old women participated and randomly assigned into three groups: AO plus Otago (n= 10), Otago (n= 10), or control (n= 10). The AO plus Otago and Otago groups performed 50 min of strength training and balance exercises from the Otago Exercise Program 3 times a week for 12 weeks. The AO plus Otago group received an additional 20 min of training 3 times a week. We used the electronic muscle dynamometer to changes in strength, Timed Up and Go (TUG) test to evaluate dynamic balance, and the short version of the Falls Efficacy Scale-International was used to evaluate the fear of falls, and GAITRite was used to evaluate changes in the spatiotemporal parameters of walking. The muscle strength significantly increased in the AO plus Otago and Otago groups compared to the strength before training. The TUG test showed a significant improvement in the dynamic balance in both intervention groups. A significant increase was observed in the walking speed, cadence, step length, and stride length in both intervention groups. We also noted a significant change in the efficacy measures for falls. It is expected that Otago exercise combined with AO training will be used as an intervention method in hospital treatment programs and the old people facilities for preventing falls in the old people.

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Cross-cultural validation of the Falls Efficacy Scale-International to assess concerns about falls among Hungarian community-living older people

Cited by 16 publications

References 37 publications

Medo de cair e o risco de queda: revisão sistemática e metanálise

Medo de cair e o risco de queda: revisão sistemática e metanálise

Psychometric Properties of the Czech Version of the Falls Efficacy Scale-International in Patients with Early-Stage Dementia

Effects of Otago exercise combined with action observation training on balance and gait in the old people

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