Wed, Sep 22, 2021
OPEN ACCESS
Volume 20, Issue 3 (May - June 2021)                   Payesh 2021, 20(3): 347-356 | Back to browse issues page

Ethics code: IR.SHAHED.REC.1399.031


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Sadeghi N, Heravi- Karimooi M, Rejeh N, Montazeri A. Translation and initial validation n of the Persian version of Geriatric Fear of Falling Measure (GFFM). Payesh. 2021; 20 (3) :347-356
URL: http://payeshjournal.ir/article-1-1645-en.html
1- Shahed University, Faculty of Nursing &Midwifery, Tehran, Iran
2- Elderly Care Research Center, Faculty of Nursing& Midwifery, Shahed University, Tehran, Iran
3- Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran
Abstract:   (522 Views)
Objective (s): Fear of falling is the main fear among older adults and is an independent risk factor for decreased mobility and quality of life. Therefore, a standard tool is needed to assess the fear of falling. The Geriatric Fear of Falling Measure is one of the common tools that used for this purpose. The present study aimed to translate and initially validate the Persian version of the questionnaire in Iran.
Methods: This was a methodological study and was conducted on 200 elderly people. After translating and obtaining opinions of experts, the content and face validity of the questionnaire were determined qualitatively. Then, the validity of the GFFM was assessed through convergent validity (correlation test between the Persian version of the GFFM and the Activities Specific Balance Confidence Scale-ABC questionnaire) and known group comparison. Reliability was evaluated using internal consistency (Cronbach's alpha).
Results: The results obtained from known groups comparison indicated that the questionnaire well differentiated among participants who were differed in self-reported health condition. The convergent validity showed a significant correlation between the Persian version of the GFFM and the ABC questionnaires. The Cronbach's alpha coefficient for the dimensions and the total questionnaire was between 0.75 and 0.89.
Conclusion: The findings indicated that the Persian version of the GFFM is a valid instrument and can be used in a variety of situations, including clinical and research environments. It is suggested that the future studies assess the structural validity of the GFFM using factor analysis with a bigger sample size.
 
Full-Text [PDF 1113 kb]   (213 Downloads)    
type of study: Research | Subject: Paramedical
Received: 2021/05/8 | Accepted: 2021/05/15 | ePublished ahead of print: 2021/05/17 | Published: 2021/07/3

References
1. Domingos C, Correia Santos N, Pêgo JM. Association between Self-Reported and Accelerometer-Based Estimates of Physical Activity in Portuguese Older Adults. Sensors 2021;21:2258 [DOI:10.3390/s21072258]
2. Banman D. Decreasing Fall Risk in Older Adults: Understanding Health Care Providers Balance Assessment Practices in Urban and Rural Settings in Saskatchewan. (Doctoral dissertation, University of Saskatchewan) 2021
3. Ambrose AF, Paul G, Hausdorff JM. Risk factors for falls among older adults: a review of the literature. Maturitas 2013;75:51-61 [DOI:10.1016/j.maturitas.2013.02.009]
4. Morteza Bagi HR, Ahmadi S, Hosseini M. Demographics of Fall-Related trauma among the Elderly Presenting to Emergency Department; a Cross-Sectional Study. Emergency (Tehran) 2017;5:e78
5. Sapmaz M, Mujdeci B. The effect of fear of falling on balance and dual task performance in the elderly. Experimental gerontology 2021;147:111250 [DOI:10.1016/j.exger.2021.111250]
6. Pirrie M, Saini G, Angeles R, Marzanek F, Parascandalo J, Agarwal G. Risk of falls and fear of falling in older adults residing in public housing in Ontario, Canada: findings from a multisite observational study. BMC Geriatrics 2020;20:11 [DOI:10.1186/s12877-019-1399-1]
7. Yoshikawa A, Smith ML, Ory MG. Differential risk of falls associated with pain medication among community-dwelling older adults by cognitive status. Age and ageing 2021 00: 1-8 [DOI:10.1093/ageing/afab051]
8. Choi K, Jeon G-S, Cho S-I. Prospective Study on the Impact of Fear of Falling on Functional Decline among Community Dwelling Elderly Women. International journal of environmental research and public health 2017;14:469 [DOI:10.3390/ijerph14050469]
9. Schoene D, Heller C, Aung YN, Sieber CC, Kemmler W, Freiberger E. A systematic review on the influence of fear of falling on quality of life in older people: is there a role for falls? Clinical interventions in aging 2019;14:701-19 [DOI:10.2147/CIA.S197857]
10. Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. The journals of gerontology. Series A, Biological sciences and medical sciences 1995;50a:M28-34 [DOI:10.1093/gerona/50A.1.M28]
11. Tinetti ME, Powell L Fear of falling and low self-efficacy: a cause of dependence in elderly persons. Journal of gerontology 1993;48:35-38 [DOI:10.1093/geronj/48.Special_Issue.35]
12. Yardley L, Beyer N, Hauer K, Kempen G, Piot-Ziegler C, Todd C. Development and initial validation of the Falls Efficacy Scale-International (FES-I). Age and ageing 2005;34:614-9 [DOI:10.1093/ageing/afi196]
13. Park S-H. Tools for assessing fall risk in the elderly: a systematic review and meta-analysis. Aging clinical and experimental research 2018;30:1-16 [DOI:10.1007/s40520-017-0749-0]
14. Berg K, Wood-Dauphine S, Williams JI, Gayton D. Measuring balance in the elderly: Preliminary development of an instrument. Physiotherapy Canada 1989;41:304-11 [DOI:10.3138/ptc.41.6.304]
15. Bogle Thorbahn LD, Newton RA. Use of the Berg Balance Test to predict falls in elderly persons. Physical therapy 1996;76:576-83 [DOI:10.1093/ptj/76.6.576]
16. Dibble LE, Lange M. Predicting falls in individuals with Parkinson disease: a reconsideration of clinical balance measures. Journal of Neurologic Physical Therapy 2006;30:60-7 [DOI:10.1097/01.NPT.0000282569.70920.dc]
17. McConvey J, Bennett SE. Reliability of the Dynamic Gait Index in individuals with multiple sclerosis. Archives of physical medicine and rehabilitation 2005;86:130-3 [DOI:10.1016/j.apmr.2003.11.033]
18. Chiu Y-P, Fritz SL, Light KE, Velozo CA. Use of item response analysis to investigate measurement properties and clinical validity of data for the dynamic gait index. Physical therapy 2006;86:778-87 [DOI:10.1093/ptj/86.6.778]
19. Morris S, Morris ME, Iansek R. Reliability of measurements obtained with the Timed "Up & Go" test in people with Parkinson disease. Physical therapy 2001;81:810-8 [DOI:10.1093/ptj/81.2.810]
20. Duncan PW, Studenski S, Chandler J, Prescott B. Functional reach: predictive validity in a sample of elderly male veterans. Journal of gerontology 1992;47:93-8 [DOI:10.1093/geronj/47.3.M93]
21. Wallmann HW. Comparison of elderly nonfallers and fallers on performance measures of functional reach, sensory organization, and limits of stability. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences 2001;56:580-3 [DOI:10.1093/gerona/56.9.M580]
22. Clark S, Rose DJ, Fujimoto K. Generalizability of the limits of stability test in the evaluation of dynamic balance among older adults. Archives of physical medicine and rehabilitation 1997;78:1078-84 [DOI:10.1016/S0003-9993(97)90131-3]
23. Deshpande N, Metter EJ, Lauretani F, Bandinelli S, Guralnik J, Ferrucci L. Activity restriction induced by fear of falling and objective and subjective measures of physical function: a prospective cohort study. Journal of the American Geriatrics Society 2008;56:615-20 [DOI:10.1111/j.1532-5415.2007.01639.x]
24. Deshpande N, Metter EJ, Bandinelli S, Lauretani F, Windham BG, Ferrucci L. Psychological, physical and sensory correlates of fear of falling and consequent activity restriction in the elderly: The InCHIANTI Study. American journal of physical medicine & rehabilitation/Association of Academic Physiatrists 2008;87:354 [DOI:10.1097/PHM.0b013e31815e6e9b]
25. Hotchkiss A, Fisher A, Robertson R, Ruttencutter A, Schuffert J, Barker DB. Convergent and predictive validity of three scales related to falls in the elderly. American journal of occupational therapy 2004;58:100-3 [DOI:10.5014/ajot.58.1.100]
26. Moore DS, Ellis R. Measurement of fall-related psychological constructs among independent-living older adults: a review of the research literature. Aging and mental health 2008;12:684-99 [DOI:10.1080/13607860802148855]
27. Lachman ME, Howland J, Tennstedt S, Jette A, Assmann S, Peterson EW. Fear of falling and activity restriction: the survey of activities and fear of falling in the elderly (SAFE). The Journals of Gerontology Series B: Psychological Sciences and Social Sciences 1998;53:43-50 [DOI:10.1093/geronb/53B.1.P43]
28. Yardley L, Smith H. A prospective study of the relationship between feared consequences of falling and avoidance of activity in community-living older people. Gerontologist 2002;42:17-23 [DOI:10.1093/geront/42.1.17]
29. Fabre JM, Ellis R, Kosma M, Wood RH. Falls risk factors and a compendium of falls risk screening instruments. Journal of geriatric physical therapy 2010;33:184-97 [DOI:10.1519/JPT.0b013e3181ff2a24]
30. Huang T-T. Geriatric fear of falling measure: Development and psychometric testing. International Journal of Nursing Studies 2006;43:357-65 [DOI:10.1016/j.ijnurstu.2005.04.006]
31. Huang T-T. Managing fear of falling: Taiwanese elders' perspective. International journal of nursing studies 2005;42:743-50 [DOI:10.1016/j.ijnurstu.2004.10.010]
32. Chen T-Y, Edwards JD, Janke M. Examination of the psychometric properties of the geriatric fear of falling measure among community-dwelling older adults in the United States. Journal of applied gerontology 2019;38(6):791-804. [DOI:10.1177/0733464817716969]
33. Foroughan M, Wahlund LO, Jafari Z, Rahgozar M, Farahani IG, Rashedi V. Validity and reliability of Abbreviated Mental Test Score (AMTS) among older Iranian. Psychogeriatrics 2017; 17:460-5 [DOI:10.1111/psyg.12276]
34. Myers AM, Fletcher PC, Myers AH, Sherk W. Discriminative and evaluative properties of the activities-specific balance confidence (ABC) scale. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences 1998;53:M287-M94 [DOI:10.1093/gerona/53A.4.M287]
35. Lajoie Y, Gallagher SP. Predicting falls within the elderly community: comparison of postural sway, reaction time, the Berg balance scale and the Activities-specific Balance Confidence (ABC) scale for comparing fallers and non-fallers. Archives of gerontology and geriatrics 2004;38:11-26 [DOI:10.1016/S0167-4943(03)00082-7]
36. Khajavi D, Farrokhi A, Jaberi-Moghaddam A-A, Kazemnejad A. Effect of strength and balance training program on maintaining balance and quality of life in older male adults with fear of fall. Iranian Journal of Ageing 2016;11:270-9[Persian] [DOI:10.21859/sija-1102270]
37. Houry D, Florence C, Baldwin G, Stevens J, McClure R. The CDC Injury Center's response to the growing public health problem of falls among older adults. American journal of lifestyle medicine 2016;10:74-7 [DOI:10.1177/1559827615600137]
38. Florence CS, Bergen G, Atherly A, Burns E, Stevens J, Drake C. Medical costs of fatal and nonfatal falls in older adults. Journal of the American Geriatrics Society 2018;66:693-8 [DOI:10.1111/jgs.15304]
39. Giné-Garriga M, Guerra M, Unnithan VB. The effect of functional circuit training on self-reported fear of falling and health status in a group of physically frail older individuals: a randomized controlled trial. Aging clinical and experimental research 2013;25:329-36 [DOI:10.1007/s40520-013-0048-3]
40. Brouwer B, Musselman K, Culham E. Physical function and health status among seniors with and without a fear of falling. Gerontology 2004;50:135-41 [DOI:10.1159/000076771]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2021 All Rights Reserved | Payesh (Health Monitor)

Designed & Developed by : Yektaweb