Development of Falling Self-Efficacy Scale for Elderly People : the Reliability and Validity

老年人自我效能感下降量表的编制：信度和效度

• 批准号: 12680056
• 负责人: TAKENAKA Koji
• 金额: $ 2.05万
• 依托单位: Waseda University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2000
• 资助国家: 日本
• 起止时间: 2000 至 2001
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-12680056/
• 关键词: Falling Self-Efficacy; Elderly people; Reliability; Validity; 転倒; セルフエフィカシー; 身体不安定感

This paper outlines the development of the falling self-efficacy (FSE) scale for elderly people. From interviews with 24 elderly people who lived in a home for the aged, 27 items were selected as indicators of fall events or fall related situations during daily life activities in Study 1. These items were applied to 151 elderly people who lived in community area and nursing homes to develop the scale in Study 2. Finally, the 15-items FSE scale was developed after checking the distribution for each item. The scale showed high reliability by the internal consistency (α =.96) and the test-retest procedure (γ=.74) in Study 3. In Study 4, the validity was examined by finding the relationships between the FSE score and some movement variables for 10 m walking and stepping-over the 30 cm obstacle. The FSE score was significantly correlated to the stridelength and velocity during walking, as well as the stride distance and velocity in stepping-over. Fallers during last year also had a significantly smaller FSE score compared to non-fallers. In addition, persons who had high fear of falling showed a significantly smaller FSE score. For future research, the scale should be used to screen the elderly persons who have a severe fear of falling and lead to restricting physical activity and to clarify the effects of the fall prevention program. Finally, it was discussed that cognitive-behavioral approach plays an important role for effective fall-prevention programs for elderly people.

本文概述了老年人跌倒自我效能（FSE）量表的发展。研究1通过对24名居住在敬老院的老年人进行访谈，选择27个项目作为日常生活活动中跌倒事件或跌倒相关情况的指标。这些项目应用于研究2中居住在社区和疗养院的151名老年人，以制定量表。最后，在检查每个项目的分布后，制定了15个项目的FSE量表。在研究 3 中，该量表通过内部一致性 (α =.96) 和重测程序 (γ=.74) 显示出高可靠性。在研究 4 中，通过查找 FSE 分数与 10 m 步行和跨过 30 cm 障碍的一些运动变量之间的关系来检验其有效性。 FSE 得分与步行时的步幅和速度以及跨步时的步幅和速度显着相关。去年跌倒者的 FSE 分数也明显低于非跌倒者。此外，高度害怕跌倒的人的 FSE 得分明显较低。未来的研究应该利用该量表来筛查那些对跌倒有严重恐惧并导致身体活动受限的老年人，并明确预防跌倒计划的效果。最后，讨论了认知行为方法对于老年人有效的跌倒预防计划发挥着重要作用。

项目成果

竹中晃二他: "健常タイプA者の心臓血管系ストレス反応に及ぼす運動習慣の効果"日本体育学会体育学研究. 46. 553-568 (2001)

Koji Takenaka 等：“运动习惯对健康 A 型受试者心血管应激反应的影响”日本体育学会体育研究 46. 553-568 (2001)。

竹中晃二(分担): "身体活動と生活習慣病"日本臨床. 544 (2000)

Koji Takenaka（撰稿人）：“身体活动和生活方式相关疾病”日本临床研究 544 (2000)。

竹中晃二, 岡浩一朗, 上地広昭: "健常タイプA者の心臓血管系ストレス反応に及ぼす運動習慣の効果"日本体育学会体育学研究. 46-6. 553-568 (2001)

Koji Takenaka、Koichiro Oka、Hiroaki Uechi：“运动习惯对健康 A 型受试者心血管应激反应的影响”日本体育学会体育研究 46-6（2001）。

伊藤拓, 竹中晃二, 上里一郎: "うつ状態に関与する心理的要因の検討"日本健康心理学会健康心理学研究. 14-2. 11-23 (2001)

Taku Ito、Koji Takenaka、Ichiro Kamisato：“抑郁症相关心理因素的检查”日本健康心理学会健康心理学研究 14-2（2001）。

Takenaka, K., Oka, K., Uechi, A. and Arai, H.: "Effects of exercise habits on cardiovascular reactivity to a psychological stressor in healthy Type A individuals"Japan Journal of Physical Education, Health and Sport Sciences. 46-6. 553-567 (2001)

Takenaka, K.、Oka, K.、Uechi, A. 和 Arai, H.：“运动习惯对健康 A 型个体的心血管对心理压力源反应的影响”《日本体育、健康和运动科学杂志》。