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Development and validation of a modified falls-efficacy scale.

Nancy Edwards1, Donna Lockett

  • 1School of Nursing, University of Ottawa, Ottawa, Ontario, Canada. nancy.edwards@uottawa.ca

Disability and Rehabilitation. Assistive Technology
|February 25, 2009
PubMed
Summary

A modified falls efficacy scale (FES) with challenging activities and assistive device references shows improved psychometric properties for assessing fall risk in seniors. This enhanced FES better distinguishes mobility impairments.

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Area of Science:

  • Gerontology
  • Rehabilitation Science
  • Psychometrics

Background:

  • Falls are a significant concern for community-living seniors.
  • Existing falls efficacy scales may not fully capture the complexities of daily living and environmental factors.
  • Assistive devices play a crucial role in maintaining independence and preventing falls.

Purpose of the Study:

  • To evaluate the psychometric properties of a modified falls efficacy scale (FES).
  • To incorporate challenging activities of daily living (ADLs) into the FES.
  • To assess the impact of assistive devices on fall efficacy.

Main Methods:

  • Utilized baseline data from a longitudinal study of 551 community-living seniors.
  • Collected data in participants' homes in Ottawa and Gatineau, Canada.

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  • Administered a modified FES, alongside health and demographic measures.
  • Main Results:

    • Factor analysis identified two subscales: basic ADLs and challenging ADLs, explaining 60.3% of the variance.
    • The modified FES exhibited superior internal consistency compared to the original FES.
    • The modified scale demonstrated better response variability.

    Conclusions:

    • The modified FES, by including challenging ADLs and specifying assistive device use, enhances the ability to differentiate seniors' mobility and health impairments.
    • This improved scale offers valuable insights for fall prevention strategies.
    • Recommendations for future research and practical applications are discussed.