Background: Fear of falling (FOF) is a very pervasive problem among older adults. Consequently, many scales have been developed for its assessment. The Modified Fall Efficacy Scale (MFES) is one of the most popular FOF scales. The MFES was originally developed for use in developed countries, and thus may not be entirely suitable for use in developing countries due to cultural and environmental differences between the two country categories. This study was therefore designed to cross-culturally adapt and validate the MFES to Igbo culture and environment among community-dwelling older adults in Nnewi community using established guidelines.Methods : The original English version of the MFES (E-MFES) was translated, synthesized, back-translated, subjected to expert panel review, and pretested before producing the final Igbo version of the MFES (I-MFES). The E-MFES, the I-MFES and the Short Falls Efficacy International were randomly administered to consecutively recruited 109 consenting older adult residents of Nnewi (43.1% males; mean age=74.45±8.78 years). Obtained data was analysed using frequency counts, percentages, mean, standard deviation, Mann-Whitney U test, Spearman rank-order test, Cronbach’s alpha and principal component analysis at 0.05 level of significance.Results : All the 14 items on the E-MFES were retained on the I-MFES. There was no significant difference between the corresponding scores on the E-MFES and the I-MFES (p<0.05). The correlations between the corresponding scores on the I-MFES and the M-FES were all excellent (rho=0.97-1.00) indicating evidence of concurrent validity of the I-MFES. The correlation between the total scores on the I-MFES and the Short Falls Efficacy International was excellent (rho=9.3) indicating evidence of convergent validity. The Cronbach’s alpha value of the I-MFES is 0.97 showing evidence of excellent internal consistency.Conclusion : The I-MFES is a valid and reliable tool, and thus can be used as an outcome measure on Igbo older adults.