Validation of the Perform-FES: a new fear of falling scale for hospitalized geriatric patients

Soler, Cecilia Ferrer; Cuvelier, Clémence; Hars, Mélany; Herrmann, Françoís; Charpiot, Adrienne; Wieczorkiewicz, Catherine Ducharne; Bruyère, Olivier; Beaudart, Charlotte; Zekry, Dina; Gold, Gabriel; Trombetti, Andrea

doi:10.1007/s40520-020-01726-6

Cited by 3 publications

(3 citation statements)

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“…The total score varied between 7 and 28 points (1: not worried; 4: very worried). It had been shown previously that the Perform-FES had a good internal consistency (Cronbach's alpha coefficient = 0.78) and an excellent reliability (intraclass correlation coefficient = 0.94) in a hospitalized geriatric population (25). This scale also revealed higher performance than other fear of falling scales in discriminating patients with severe functional limitations.…”

Section: Fear Of Falling Assessmentmentioning

confidence: 71%

“…The Perform-FES, a new scale derived from FES-I short version (7 items), but based on performance in real situations, was also used (25). This scale was elaborated and validated for the purpose of the study, to better assess the fear of falling in older hospitalized patients who may have difficulties to report their concern about falling in specific daily-life tasks.…”

Section: Fear Of Falling Assessmentmentioning

confidence: 99%

“…In that context and for the purpose of the current study, we developed the Perform-FES scale specifically designed to measure the degree of concern about falling in a hospital setting (25). This scale demonstrated excellent psychometric properties.…”

Section: Introductionmentioning

confidence: 99%

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Hypnosis to reduce fear of falling in hospitalized older adults: a pilot randomized controlled trial.

Cuvelier¹,

Hars²,

Zamorani-Bianchi³

et al. 2023

Preprint

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Background: Fear of falling is associated with numerous negative health outcomes in older adults and can limit the rehabilitation process. Hypnosis is now recognized as an effective treatment for a variety of conditions, especially anxiety and pain, which can be integrated safely with conventional medicine. The objective of this study was to assess the feasibility and acceptability of a hypnosis intervention in hospitalized older adults to reduce fear of falling. Methods: In this pilot feasibility randomized controlled trial, thirty-two older patients, hospitalized in geriatric rehabilitation wards, were randomly allocated (1:1 ratio) to either an intervention group (hypnosis, 2 sessions, one per week, plus usual rehabilitation program) or a control group (usual rehabilitation program only). Clinical assessors and statistician were blinded to group allocation. Primary outcomes were recruitment rate, retention rate and adherence to the intervention. Exploratory outcomes, analyzed according to the intention-to-treat principle, included impact of hypnosis on fear of falling (assessed by a new scale perform-FES), functional status, in-hospital falls, and length of hospital stay. Results: Of the 57 patients screened, 32 were randomized: 15 in the intervention group and 17 in the control group. Recruitment rate was 1.3 patients per week. The recruitment of the population sample was achieved in 5.5 months. The retention rate did not differ significantly between groups and a good adherence to the hypnosis intervention was achieved (77% of patients received the full intervention). No adverse event related to the hypnosis intervention was observed. Regarding exploratory clinical outcomes, no differences were found between groups on any outcome. Conclusion: Hypnosis is feasible and well accepted in a geriatric hospitalized population undergoing rehabilitation. Further pilot work should be conducted, with an increased number of hypnosis sessions, before conducting a full-scale trial to conclude whether or not hypnosis is effective to reduce fear of falling. Trial registration: ClinicalTrials.gov, NCT04726774. Registered 27 january 2021, retrospectively registered, https://clinicaltrials.gov/ct2/show/record/NCT04726774 Funding: Geneva University Hospitals, Research and Development Project (9-2018-I)

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Section: Fear Of Falling Assessmentmentioning

confidence: 71%

Section: Fear Of Falling Assessmentmentioning

confidence: 99%

See 1 more Smart Citation

Hypnosis to reduce fear of falling in hospitalized older adults: a pilot randomized controlled trial.

Cuvelier¹,

Hars²,

Zamorani-Bianchi³

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

Hypnosis to reduce fear of falling in hospitalized older adults: a feasibility randomized controlled trial

Cuvelier¹,

Hars²,

Zamorani-Bianchi³

et al. 2023

Pilot Feasibility Stud

Self Cite

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Background Fear of falling is associated with numerous negative health outcomes in older adults and can limit the rehabilitation process. Hypnosis is now recognized as an effective treatment for a variety of conditions, especially anxiety and pain, which can be integrated safely with conventional medicine. The objective of this study was to assess the feasibility and acceptability of a hypnosis intervention in hospitalized older adults to reduce fear of falling. Methods In this feasibility randomized controlled trial, 32 older patients, hospitalized in geriatric rehabilitation wards, were randomly allocated (1:1 ratio) to either an intervention group (hypnosis, 2 sessions, one per week, plus usual rehabilitation program) or a control group (usual rehabilitation program only). Clinical assessors and statistician were blinded to group allocation. Primary outcomes were recruitment rate, retention rate, and adherence to the intervention. Exploratory outcomes, analyzed according to the intention-to-treat principle, included impact of hypnosis on fear of falling (assessed by a new scale perform-FES), functional status, in-hospital falls, and length of hospital stay. Results Recruitment rate was 1.3 patients per week. The recruitment of the population sample was achieved in 5.5 months. The retention rate did not differ significantly between groups and a good adherence to the hypnosis intervention was achieved (77% of patients received the full intervention). No adverse event related to the hypnosis intervention was observed. Regarding exploratory clinical outcomes, no differences were found between groups on any outcome. Conclusion Hypnosis is feasible and well accepted in a geriatric hospitalized population undergoing rehabilitation. Further pilot work should be conducted, with an increased number of hypnosis sessions, before conducting a full-scale trial to conclude whether, or not, hypnosis is effective to reduce fear of falling. Trial registration NCT04726774.

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Falls risk perception measures in hospital: a COSMIN systematic review

Dabkowski

Missen

Duncan

et al. 2023

J Patient Rep Outcomes

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Falls prevention in hospital continues to be a research priority because of the poor health outcomes and financial burdens that can arise. Recently updated World Guidelines for Falls Prevention and Management strongly recommend evaluating patients’ concerns about falling as part of a multifactorial assessment. The aim of this systematic review was to evaluate the quality of falls risk perception measures for adults in a hospital setting. This review was conducted using the Consensus-based Standards for the selection of health Measurement Instruments guidelines and provides a comprehensive summary of these instruments, including psychometric properties, feasibility and clinical recommendations for their use. The review followed a prospectively registered protocol, in which a total of ten databases were searched between the years 2002 and 2022. Studies were included if the instruments measured falls risk perception and/or other psychological falls constructs, if they were conducted in a hospital setting and if the target population contained hospital inpatients. A total of 18 studies met the inclusion criteria, encompassing 20 falls risk perception measures. These falls risk perception instruments were grouped into five falls-related constructs: Balance Confidence, Falls Efficacy/Concern, Fear of Falling, Self-Awareness and Behaviour/Intention. Two of the patient reported outcome measures (PROMs) received Class A recommendations (Falls Risk Perception Questionnaire and the Spinal Cord Injury-Falls Concern Scale); however, this rating is only applicable for the populations/context described in the studies. Thirteen PROMs received Class B recommendations, solidifying the need for further validation studies of these PROMs.

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Validation of the Perform-FES: a new fear of falling scale for hospitalized geriatric patients

Cited by 3 publications

References 50 publications

Hypnosis to reduce fear of falling in hospitalized older adults: a pilot randomized controlled trial.

Hypnosis to reduce fear of falling in hospitalized older adults: a pilot randomized controlled trial.

Hypnosis to reduce fear of falling in hospitalized older adults: a feasibility randomized controlled trial

Falls risk perception measures in hospital: a COSMIN systematic review

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