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The Psychometric Properties of FallsEfficacy Scale in the Elderly Iranian Residents of NursingHomes مقاله

نویسنده:

علمی-پژوهشی (وزارت علوم) (10 صفحه - از 197 تا 206)

چکیده:

Objectives: The elderly residents of nursing homes experience falling at least once a year. The fear of falling influences the quality of life and causes limitations in their daily living activities. Therefore, this study aimed to translate the Falls Efficacy Scale (FES) and investigate its validity and reliability in the elderly Iranian residents of nursing homes. Methods: The current methodological study was conducted on 100 healthy 60-87 years older adults in Tehran City, Iran. The subjects were selected by convenience sampling method. The translation was conducted using forward-backward procedure. The face and content validities of the scale were determined by impact score, Content Validity Index (CVI), and Content Validity Ratio (CVR). We established the construct validity by Exploratory Factor Analysis (EFA), applying principal component analysis by varimax rotation. The scale’s convergent validity was examined using the Spearman correlation coefficient with the Falls Efficacy Scale-International (FES-I) and Single Item Question (SIQ). Cronbach's α and Intra-Class Correlation (ICC) were calculated to investigate the scale’s internal consistency and test-retest reliability. There were 4-7 days of interval for assessing the test-retest reliability. Results: The CVR and CVI of all items were greater than 0.57 and 0.79, respectively. The obtained results suggested an impact score higher than 1.5 for each item. The EFA results indicated two factors in the FES. Convergent validity revealed very high to high correlation between the FES and FES-I (rho=0.92, P<0.0001), and SIQ (rho=0.72, P<0.0001). Excellent internal consistency (α=0.95) and test-retest reliability (ICC=0.98) were reported for the scale. Discussion: The obtained results indicated that the original version of FES was a reliable and valid tool for assessing the fear of falling among the elderly residents of nursing homes.

خلاصه ماشینی:

Research Paper: The Psychometric Properties of Falls Efficacy Scale in the Elderly Iranian Residents of Nursing Homes Mahsa Fadavi-Ghaffari1 /, Akram Azad1* /, Mahsa Meimandi1,2 /, Zohre Arani-Kashani3 /, Hamze Ghorbanpoor1 / 1. Therefore, this study aimed to translate the Falls Efficacy Scale (FES) and investigate its validity and reliability in the elderly Iranian residents of nursing homes. The scale’s convergent validity was examined using the Spearman correlation coefficient with the Falls Efficacy Scale-International (FES-I) and Single Item Question (SIQ). ir 197 September 2019, Volume 17, Number 3 / ranian /ehabilitation /ournal Highlights The Falls Efficacy Scale has an appropriate translation and acceptable content validity. The findings suggested that the FES is a valuable scale for assessing the fear of falling in the elderly residents of nursing homes. Addition-ally, the original version of FES was translated and validated in community-dwelling elder adults in Iran; however, its comprehensive validity and reliability must be investigated before considering it as a useful scale in the future clinical and research settings [12]. Therefore, because of an increase of older adults’ population in nursing homes, the current study aimed at translating and determining the reliability and validity of FES in the elderly Iranian residents of nursing homes [1]. Furthermore, the Minimal Detectable Change (MDC) as the change that is beyond the measure-ment error was calculated at a (95%) confidence interval, as follows: The SEM values of )VIew the image of this page) MMSE: Mini-Mental Status Examination; FES-I: Falls Efficacy Scale-International; FES: Falls Efficacy Scale; SIQ: Single Item Question 200 Fadavi-Ghaffar M, et al. Validation and reliability of Persian version of Fall Efficacy Scale-International (FES-I) in community-dwell-ing older adults.

کلیدواژه ها:

Psychometrics ، Nursing Homes ، Translations ، Accidental falls ، Geriatricassessment


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