Development and validation of a Chinese version of the Falls Efficacy Scale International
Development and validation of a Chinese version of the Falls Efficacy Scale International
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DOI：
10.1016/j.archger.2012.10.007
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发表时间：
2013-01-01
影响因子：
4
通讯作者：
Lord, Stephen R.
中科院分区：
文献类型：
--
作者：
Kwan, Marcella M. S.;Tsang, William W. N.;Lord, Stephen R.
FES-I是一种评估跌倒风险的工具。本研究的目的是编制16项国际跌倒效能量表（FES-I(Ch)）的中文版，并评估其结构、测量性质、收敛效度和预测效度。FES-I（Ch）是按照推荐的10步方案开发的。然后对399名居住在社区的中国老年人（61-93岁）进行了FES-I(Ch)，并进行了一系列其他社会人口、身体、医疗和功能测量。在12个月内对跌倒进行前瞻性监测。重新评估子样本以确定FES-I（Ch）的测试-重测和评分间信度。经因子分析和项目-总量相关评价，FES-I（Ch）的整体结构和测量性能良好。内部一致性非常好（Cronbach’s alpha = 0.94），重测信度和评估间信度也非常好（ICC3,1 = 0.89, ICC2,1 = 0.95）。在身体表现不佳、抑郁、与跌倒相关的医疗状况和残疾的参与者中，FES-I（Ch）得分显著较高，表明可接受的一致效度。在12个月的随访期间，FES-I（Ch）得分在那些有和没有下降的人之间没有差异。我们发现FES-I（Ch）是一个有效和可靠的衡量中国老年人对跌倒的担忧。相对较高的关注水平（高FES-I（Ch）分数）以及相对较少的预期跌倒可能解释了FES-I（Ch）分数与该人群跌倒之间缺乏关联。未来的研究应探讨FES-I（Ch）随时间和干预研究中对变化的反应性。2012爱思唯尔爱尔兰有限公司版权所有。
The FES-I is an instrument developed to assess concern about falls. The aim of this study was to develop a Chinese version of the 16-item Falls Efficacy Scale International (FES-I(Ch)) and evaluate its structure, measurement properties and convergent and predictive validity. The FES-I(Ch) was developed following the recommended 10-step protocol. The FES-I(Ch) was then administered to 399 community-dwelling Chinese older people (61-93 years) in conjunction with a range of other socio-demographic, physical, medical and functional measures. Falls were prospectively monitored over 12 months. Sub-samples were reassessed for determination of the FES-I(Ch)'s test-retest and inter-rater reliability. The overall structure and measurement properties of the FES-I(Ch), as evaluated with factor analysis and item-total correlations, was good. Internal consistency was excellent (Cronbach's alpha = 0.94), as was test-retest and inter-rater reliability (ICC3,1 = 0.89 and ICC2,1 = 0.95 respectively). FES-I(Ch) scores were significantly higher in participants with poor physical performance, depression, medical conditions associated with falls and disability indicating acceptable congruent validity. FES-I(Ch) scores did not differ between those who did and did not fall in the 12-month follow-up period. We found that the FES-I(Ch) is a valid and reliable measure of concern about falls in Chinese older people. The relatively high level on concern (high FES-I(Ch) scores) as well as relatively few prospective falls may explain the lack of association between FES-I(Ch) scores and falls in this population. Future studies should explore the FES-I(Ch)'s responsiveness to change over time and during intervention studies. (c) 2012 Elsevier Ireland Ltd. All rights reserved.