Kempen G I J M, Zijlstra G A R, van Haastregt J C M
Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Universiteit Maastricht.
Tijdschr Gerontol Geriatr. 2007 Aug;38(4):204-12.
Fear of falling is common in older persons. Different methods have been developed to assess fear of falling. The most well-know measure is the 10-item Falls Efficacy Scale (FES). However, the FES items (a) focus on low functioning older persons and particularly on in-home activities, (b) do not comprise social activities, and (c) were developed from a US perspective so that translation in European languages is hampered. To solve these issues, the 16-item Falls Efficacy Scale-International (FES-I) was recently developed within the Prevention of Falls Network Europe (ProFaNE). In this article, the Dutch version of the FES-I is presented and the psychometric properties in 213 Dutch persons aged 70 years of age and over are described. The FES-I showed to be unidimensional and internally consistent; the Cronbach alpha coefficient was 0.96. The 4 week test-retest intra-class correlation coefficient was 0.82. The associations of the FES-I sumscores with age, gender, falls history and overall fear of falling was as expected, indicating construct validity. In addition, the FES-I discriminated in the same extent as the original 10-item FES scale. We conclude that the FES-I showed acceptable reliability and construct validity and may be useful in cross-national research. Future studies should focus on the sensitivity to change of FES-I.
害怕跌倒在老年人中很常见。已经开发出不同的方法来评估害怕跌倒的情况。最广为人知的测量方法是10项跌倒效能量表（FES）。然而，FES的项目（a）侧重于功能低下的老年人，特别是家庭活动；（b）不包括社交活动；（c）是从美国的角度开发的，因此欧洲语言的翻译受到阻碍。为了解决这些问题，最近在欧洲跌倒预防网络（ProFaNE）内开发了16项国际跌倒效能量表（FES-I）。在本文中，介绍了FES-I的荷兰语版本，并描述了213名70岁及以上荷兰人的心理测量特性。FES-I显示为单维且内部一致；克朗巴赫α系数为0.96。4周重测组内相关系数为0.82。FES-I总分与年龄、性别、跌倒史和总体害怕跌倒的关联符合预期，表明结构效度。此外，FES-I的区分程度与原始的10项FES量表相同。我们得出结论，FES-I显示出可接受的信度和结构效度，可能在跨国研究中有用。未来的研究应关注FES-I对变化的敏感性。
