The Short FES-I: a shortened version of the falls efficacy scale-international to assess fear of falling
The Short FES-I: a shortened version of the falls efficacy scale-international to assess fear of falling
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DOI：
10.1093/ageing/afm157
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发表时间：
2008-01-01
期刊：
影响因子：
6.7
通讯作者：
Todd, Chris
中科院分区：
文献类型：
--
作者：
Kempen, Gertrudis I. J. M.;Yardley, Lucy;Todd, Chris
背景：国际瀑布效度量表（FES-I）具有良好的信度和结构效度。然而，出于实际和临床目的，缩短版的FES-I将是有用的。目的：开发和验证FES-I的精简版本，同时保持良好的心理测量特性。设计：使用英国调查数据（短FES-I； n = 704）初步开发缩短版本，使用荷兰调查数据（n = 300）测试短FES-I的信度和效度。设置：社区样本。方法：随机抽取年龄在70 ~ 92岁之间的193人，比较短FES-I和FES-I的信度和效度。结果：短版FES-I的内部和4周测试信度极好（cronbach alpha 0.92， class内系数0.83），与FES-I相当。短期FES-I与FES-I的相关系数为0.97。根据年龄、性别、跌倒史和对跌倒的总体恐惧程度，短FES-I和FES-I的平均得分差异模式相似。FES-I在年龄、性别、跌倒史和害怕程度不同的人群中有更好的区分能力，但差异很小。结论：短FES-I量表是评估老年人跌倒恐惧的一种较好的、可行的方法。然而，如果研究人员或临床医生对短FES-I量表中未包括的对跌倒相关活动的特定恐惧的分布特别感兴趣，建议使用完整的FES-I量表。
Background: the 16-item Falls Efficacy Scale-International (FES-I) has been shown to have excellent reliability and construct validity. However, for practical and clinical purposes, a shortened version of the FES-I would be useful.Objective: to develop and validate a shortened version of FES-I while preserving good psychometric properties.Design: initial development of a shortened version using data from a UK survey (Short FES-I; n = 704), test of reliability and validity of the Short FES-I using data from a Dutch survey (n = 300).Setting: community samples.Methods: comparison of reliability and validity of the Short FES-I and the FES-I in a random sample of 193 people aged between 70 and 92.Results: the internal and 4-week testretest reliability of the Short FES-I is excellent (Cronbachs alpha 0.92, intra-class coefficient 0.83) and comparable to the FES-I. The correlation between the Short FES-I and the FES-I is 0.97. Patterns in differences with respect to mean scores according to age, sex, falls history, and overall fear of falling are similar for the Short FES-I and the FES-I. The FES-I had slightly better power to discriminate between groups differentiated by age, sex, falls history, and fear falling, but differences are small.Conclusions: the Short FES-I is a good and feasible measure to assess fear of falling in older persons. However, if researchers or clinicians are particularly interested in the distributions of specific fear of falling-related activities not included in the Short FES-I, the use of the full FES-I is recommended.