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Related Experiment Video

Updated: May 28, 2026

Development of a Virtual Reality Assessment of Everyday Living Skills

Development of a Virtual Reality Assessment of Everyday Living Skills

Published on: April 23, 2014

The Nursing Home Falls Self-Efficacy Scale: development and testing.

Helen W Lach¹, Linda J Ball, Stanley J Birge

¹Saint Louis University School of Nursing, St. Louis, MO 63104, USA. lachh@slu.edu

Clinical Nursing Research

|November 2, 2011

Summary

This summary is machine-generated.

This study found that nursing home residents with mobility issues, lower executive function, or fear of falling reported lower confidence in preventing falls. The brief falls self-efficacy scale showed good reliability and validity for future research.

Related Experiment Videos

Last Updated: May 28, 2026

Development of a Virtual Reality Assessment of Everyday Living Skills

Development of a Virtual Reality Assessment of Everyday Living Skills

Published on: April 23, 2014

Area of Science:

Gerontology
Rehabilitation Science
Clinical Psychology

Background:

Falls are a significant concern in nursing home residents, leading to fractures and reduced quality of life.
Assessing falls self-efficacy is crucial for understanding and addressing fall prevention strategies.
Existing measures may be lengthy, posing challenges for frequent use in clinical settings.

Purpose of the Study:

To evaluate the reliability and validity of a brief measure of falls self-efficacy.
To identify factors associated with lower falls self-efficacy in nursing home residents.
To explore the utility of this scale within a pilot randomized controlled trial on hip protectors.

Main Methods:

A brief falls self-efficacy scale was administered to 116 nursing home residents (mean age 82 ± 8, 72% female).
Internal consistency reliability (Cronbach's alpha) and factor analysis were performed.
Construct validity was assessed through contrasted groups comparisons, examining associations with mobility assistance, executive function, fear of falling, prospective falls, and hip protector adherence.

Main Results:

The scale demonstrated acceptable internal consistency reliability (Cronbach's alpha = .79).
Factor analysis supported two factors: self-efficacy expectations and outcome expectancy.
Lower falls self-efficacy was significantly associated with needing help with mobility, lower executive function, and fear of falling.

Conclusions:

The brief falls self-efficacy scale is a reliable and valid instrument for use in nursing home populations.
Identifying individuals with lower falls self-efficacy can inform targeted interventions.
Further research is warranted to explore the predictive value of this scale on fall outcomes and intervention adherence.