Almarwani Maha M, Alharbi Worood M, Alkeridy Walid A
Department of Health Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, 11433, Riyadh, Saudi Arabia.
Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Aging Clin Exp Res. 2025 Feb 13;37(1):37. doi: 10.1007/s40520-025-02949-1.
Concern about falling is a significant issue among older adults, affecting their quality of life and functional independence. Culturally adapted and validated assessment tools are essential for accurately evaluating concern about falling. This study aimed to translate, cross-culturally adapt, and validate the Arabic short version of the Iconographical Falls Efficacy Scale (Icon-FES).
The translation and cultural adaptation process followed established guidelines. Structural validity was assessed using exploratory factor analysis (EFA). Internal consistency reliability, test-retest reliability, convergent validity, and known-groups validity of the scale were evaluated.
A total of 123 community-dwelling older adults (mean age 69.54 ± 3.48 years; 53.7% male) participated. The Arabic short version of Icon-FES demonstrated strong structural validity, with EFA supporting a unidimensional structure accounting for 73.47% of the variance. It exhibited high internal consistency (Cronbach's α = 0.95) and excellent test-retest reliability (ICC = 0.97). Convergent validity was confirmed through significant correlations with the Arabic Falls Efficacy Scale-International (FES-I; r = 0.73, p < 0.001), Single Leg Stance (SLS; r = - 0.34, p < 0.001), and Five Times Sit-to-Stand Test (5TSTS; r = 0.44, p < 0.001). Known-groups validity showed higher scores in females, those with lower education, and a history of falls.
The Arabic short version of Icon-FES is a reliable and valid tool for assessing concern about falling among community-dwelling older adults. It offers an innovative approach through culturally adapted visual elements that could enhance applicability, enabling accurate assessment and supporting targeted interventions among Arabic-speaking older adults.
对跌倒的担忧是老年人中的一个重要问题，影响他们的生活质量和功能独立性。经过文化调适和验证的评估工具对于准确评估对跌倒的担忧至关重要。本研究旨在翻译、跨文化调适并验证图标式跌倒效能感量表（Icon-FES）阿拉伯文简版。
翻译和文化调适过程遵循既定指南。使用探索性因子分析（EFA）评估结构效度。对该量表的内部一致性信度、重测信度、收敛效度和已知群体效度进行评估。
共有123名社区居住的老年人参与（平均年龄69.54±3.48岁；53.7%为男性）。Icon-FES阿拉伯文简版显示出很强的结构效度，EFA支持单维结构，该结构解释了73.47%的方差。它具有高内部一致性（Cronbach'sα=0.95）和出色的重测信度（ICC=0.97）。通过与阿拉伯文国际跌倒效能感量表（FES-I；r=0.73，p<0.001）、单腿站立测试（SLS；r=-0.34，p<0.001）和五次坐立试验（5TSTS；r=0.44，p<0.001）的显著相关性，证实了收敛效度。已知群体效度显示女性、受教育程度较低者和有跌倒史者得分较高。
Icon-FES阿拉伯文简版是评估社区居住老年人对跌倒担忧的可靠且有效的工具。它通过文化调适的视觉元素提供了一种创新方法，可提高适用性，从而能够在讲阿拉伯语的老年人中进行准确评估并支持有针对性的干预措施。
