Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ordu University, Ordu, Turkey.
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.
Disabil Rehabil. 2021 Nov;43(23):3387-3394. doi: 10.1080/09638288.2020.1734674. Epub 2020 Mar 5.
This study aimed to translate and adapt the Fear of Falling Avoidance Behavior Questionnaire (FFABQ) for Turkish culture and to evaluate the psychometric properties of FFABQ-Turkish in community-dwelling older adults.
Eighty community-dwelling older adults (41 females) were assessed using the FFABQ-Turkish, Activities-specific Balance Confidence Scale (ABC). Fall history and severity of fear of falling (FoF) were recorded. Forty-two participants were reassessed one week apart for test-retest reliability. Internal consistency, test-retest reliability, sensitivity to change, convergent validity, construct validity, floor and ceiling effect, and scale discrimination of FFABQ-Turkish were investigated.
FFABQ-Turkish has high internal consistency and good test-retest reliability. Overall scores for FFABQ-Turkish were high in females, older individuals ≥ 75 years, and fallers. Minimal detectable change with 95% confidence was 4.51 points. There were strong and moderate correlations between FFABQ-Turkish and ABC, FoF, and the number of falls. Factor analysis demonstrated a two-factor structure. No floor and ceiling effect was found. FFABQ-Turkish could discriminate individuals without avoidance behavior from those with severe avoidance behavior.
FFABQ-Turkish is a valid and reliable measure to assess the activity and participation restriction due to FoF, and could be used to quantify avoidance behavior in Turkish community-dwelling older adults. Implication for rehabilitationThe Turkish version of the Fear of Falling Avoidance Behavior Questionnaire (FFABQ) is a valid and reliable outcome measure for community-dwelling older adults.Fear of Falling Avoidance Behavior Questionnaire in Turkish is recommended for assessment of activity limitation and participation restrictions due to fear of falling in clinical and research settings.
本研究旨在将害怕跌倒回避行为问卷（FFABQ）翻译和改编为土耳其文化，并评估其在社区居住的老年人中的心理测量特性。
使用 FFABQ-土耳其语、活动特异性平衡信心量表（ABC）对 80 名社区居住的老年人（41 名女性）进行评估。记录跌倒史和跌倒恐惧严重程度（FoF）。42 名参与者在一周后进行重测以评估测试-重测信度。研究了 FFABQ-土耳其语的内部一致性、测试-重测信度、对变化的敏感性、收敛效度、结构效度、地板和天花板效应以及量表区分度。
FFABQ-土耳其语具有较高的内部一致性和良好的测试-重测信度。FFABQ-土耳其语的总体得分在女性、≥75 岁的老年人和跌倒者中较高。95%置信区间的最小可检测变化为 4.51 分。FFABQ-土耳其语与 ABC、FoF 和跌倒次数之间存在强相关和中度相关。因子分析显示存在两因素结构。未发现地板和天花板效应。FFABQ-土耳其语可以区分无回避行为的个体和有严重回避行为的个体。
FFABQ-土耳其语是一种评估因 FoF 而导致的活动和参与受限的有效且可靠的测量工具，可用于量化土耳其社区居住的老年人中的回避行为。对康复的启示：害怕跌倒回避行为问卷（FFABQ）的土耳其语版本是一种有效的、可靠的社区居住老年人的评估工具。FFABQ-土耳其语推荐用于评估因害怕跌倒而导致的活动受限和参与受限。
