Abstract
ABSTRACT Objective to determine the psychometric properties of the international 7-item Falls Efficacy Scale. Method a psychometric study. Convenience sample consisting of 170 older adults living in the Madeira Autonomous Region, Portugal. A two-part instrument was used (sociodemographic characterization and the Falls Efficacy Scale-International-Portugal). The starting point was the translation and transcultural adaptation already carried out for the Falls Efficacy Scale - International (16 items). Construct validity (factorial analysis and discriminant validity) and the reliability (Cronbach's α) of the 7-item scale were evaluated. Previous authorization was obtained from the Ethics Commission and from the people involved. Results in the exploratory factorial analysis, the International 7-item Falls Efficacy Scale presents an explained variance of 65.8%. The Spearman's correlation between the score obtained based on the 7 items and the score obtained based on the 16 items is significant and very strong (r=0.987, p<0.0001). Internal consistency was 0.958. Conclusion the validity and reliability study of the International 7-item Falls Efficacy Scale revealed that it is an adequate scale for the evaluation of the fear of falling in the community-dwelling older adults.
Highlights
The fear of falling is one of the etiologies of the “risk of falling” and “frailty” Nursing diagnoses,1 being a related determinant factor especially in the older adults.2–3In recent decades there has been a steady increase in people’s longevity, and associated with the older adults comes the condition of vulnerability.4 These changes challenge Nursing, especially in the sense of implementing preventive Nursing interventions
Regarding the study of construct validity, it was performed through exploratory factorial analysis, with the extraction of factors made by the principal components method, having obtained KMO = 0.891, with p
The purpose of this study was to validate the short version of Falls Efficacy Scale-International (FES-I) (7 items) Portugal, in order to verify its validity and internal reliability
Summary
The fear of falling is one of the etiologies of the “risk of falling” and “frailty” Nursing diagnoses, being a related determinant factor especially in the older adults.2–3In recent decades there has been a steady increase in people’s longevity, and associated with the older adults comes the condition of vulnerability. These changes challenge Nursing, especially in the sense of implementing preventive Nursing interventions. In recent decades there has been a steady increase in people’s longevity, and associated with the older adults comes the condition of vulnerability.. In recent decades there has been a steady increase in people’s longevity, and associated with the older adults comes the condition of vulnerability.4 These changes challenge Nursing, especially in the sense of implementing preventive Nursing interventions. The “risk for falls” is identified as a Nursing diagnosis, either in the International Classification for Nursing Practice (ICNP®), or in NANDA-International.. The “risk for falls” is identified as a Nursing diagnosis, either in the International Classification for Nursing Practice (ICNP®), or in NANDA-International.1 This is defined as “vulnerability for greater susceptibility to falls, which can cause physical damage and compromise health”.1. The “risk for falls” is identified as a Nursing diagnosis, either in the International Classification for Nursing Practice (ICNP®), or in NANDA-International. This is defined as “vulnerability for greater susceptibility to falls, which can cause physical damage and compromise health”.1 “Frailty” is in turn defined as “Dynamic state of unstable equilibrium that affects the older adults who undergoes deterioration in one or more health domains (physical, functional, psychological or social) and leads to increased susceptibility to adverse health effects, in particular disability”, or its risk, when it is considered that there is susceptibility to the phenomenon in question
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