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Updated: Feb 10, 2026

Design and Analysis for Fall Detection System Simplification
Published on: April 6, 2020
Validation of the Falls Efficacy Scale - International in a sample of Portuguese elderly
Cristina Maria Alves Marques-Vieira1, Luís Manuel Mota de Sousa2, Lisete Maria Ribeiro de Sousa3
1Centre for Interdisciplinary Health Research, Universidade Católica Portuguesa, Lisbon, Portugal.
Objective:
to translate and adapt Falls Efficacy Scale - International (FES-I). To analyze the psychometric properties of the FES-I Portugal version.
Method:
psychometric study. Sample consisting of 170 elderly people residing in the Autonomous Region of Madeira. A two- part form was used (sociodemographic characterization and FES-I Portugal). The cross-cultural adaptation was performed and the following psychometric properties were evaluated: validity (construct, predictive, and discriminant), reliability (Cronbach's alpha), and inter-rater reliability.
Results:
the results allow us to verify a dimension of less demanding physical activities and another of more demanding physical activities. The inter-rater reliability study was 0.62, with an interclass correlation coefficient of 0.859, for a 95% confidence interval. The internal consistency of the Portuguese version was 0.962.
Conclusion:
the validity and reliability of the FES-I Portugal are consistent with the original version and proved to be appropriate instruments for evaluating the "impaired walking" and "risk of falls" nursing diagnoses in the older people.
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