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Psychometric properties of the Arabic language version of Modified Falls Efficacy Scale: Rasch analysis
Ahmed Amer1, Baian A Baattaiah2, Fayaz Khan2
1Department of Occupational Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, Saudi Arabia.
Disability and Rehabilitation
|August 5, 2026
Summary
The Arabic Modified Falls Efficacy Scale (A-MFES) demonstrates strong validity for assessing fall risk in older adults in rehabilitation. Revisions to the rating scale are recommended for improved functioning.
Area of Science:
- Gerontology
- Rehabilitation Medicine
- Psychometrics
Background:
- Falls are a significant concern for older adults in rehabilitation settings.
- Accurate assessment of fall-related self-efficacy is crucial for intervention planning.
- Validated instruments are needed to evaluate fall risk in diverse populations.
Purpose of the Study:
- To evaluate the psychometric properties of the Arabic version of the Modified Falls Efficacy Scale (A-MFES).
- To support the validity of the A-MFES for older adults in Saudi Arabian rehabilitation settings.
- To assess the reliability, unidimensionality, targeting, and differential item functioning of the A-MFES.
Main Methods:
- Cross-sectional study of 207 older adults in Saudi Arabia.
- Rasch analysis applied to A-MFES responses.
- Evaluation of psychometric properties including reliability, targeting, and DIF.
Main Results:
- A-MFES demonstrated unidimensionality (78.8% variance) and high reliability (0.95).
- Item difficulty effectively targeted 96% of participant ability.
- No significant DIF found between demographic groups; rating scale revision suggested.
Conclusions:
- The A-MFES shows strong validity evidence for use in rehabilitation settings.
- The A-MFES is a promising tool for identifying fall risk and guiding interventions.
- A revised rating scale structure for the A-MFES is recommended for enhanced utility.
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