Predictive Validity Study Research Articles

The relationship between the dietary index based Meiji nutritional profiling system for adults and lifestyle-related diseases: a predictive validity study from the National Institute for Longevity Sciences-Longitudinal Study of Aging.

Nutritional profiling system (NPS) holds promise as a public health tool for companies to measure product healthiness and for individuals in making healthier food choices. The Meiji NPS for adults specifically targets lifestyle-related diseases prevalent among Japan's adult population, including overweight/obesity, hypertension, diabetes, and dyslipidemia. This study examined the cross-sectional association between the Meiji NPS for adults Dietary Index (MNfA-DI) and indicators of lifestyle-related diseases in a population. The study comprised 1,272 middle-aged individuals (40-64 years, 50.1% male) who participated in the seventh wave (2010-2012) of the National Institute for Longevity Sciences-Longitudinal Study of Aging project, with no missing data on three-day dietary records. The MNfA-DI was computed at the individual diet level (accounting for the whole diet) using arithmetic energy-weighted means. A higher MNfA-DI indicated a greater nutritional quality of an individual's overall diet. Lifestyle-related disease indicators included body mass index (BMI, kg/m2), body fat (%), systolic and diastolic blood pressure (mmHg), fasting plasma glucose (mg/dL), HbA1c (%), triglyceride levels (mg/dL), LDL, and HDL cholesterol levels (mg/dL). A multiple regression model was used to assess the association between the MNfA-DI and lifestyle-related disease indicators, adjusting for demographics, socioeconomic status, lifestyle factors, disease history, and energy intake as covariates, depending on the outcome. The median (interquartile range) age and MNfA-DI were 53.0 (46.0, 59.0) years and 10.1 (6.0, 14.0) points, respectively. MNfA-DI was negatively associated with body fat [partial regression coefficient (95% confidence interval) -0.04 (-0.07, -0.01)], diastolic blood pressure [-0.08 (-0.17, -0.002)], fasting plasma glucose [-0.18 (-0.33, -0.01)], and triglyceride [-1.36 (-2.16, -0.55)]. Additionally, MNfA-DI was also associated with almost indicators (except for LDL and HDL cholesterol) among participants with a BMI between 18.5 and 24.9 kg/m2. These findings suggest that the Meiji NPS for adults could be associated with a lower risk of lifestyle-related diseases. In addition, from a public health nutrition perspective, the Meiji NPS for adults may be useful to assess the food healthiness of the adult population.

Postpartum-Specific Anxiety and Maternal-Infant Bonding: A Predictive Validity Study amongst Italian Women.

The role of anxiety is unknown in relation to postpartum bonding, unlike the well-known detrimental effect that postpartum depression has on the relationship between a mother and child. This study investigates how anxiety affects mother-infant bonding after childbirth, comparing the Italian version of the Postpartum Specific Anxiety Scale (PSAS-IT) with generalized measures of anxiety. Examining 324 non-randomly-selected participants responding to various scales, including the Edinburgh postnatal depression scale (EPDS), generalized anxiety disorder (GAD), postpartum-specific anxiety scale (PSAS-IT), postpartum bonding questionnaire (PBQ), and baby care questionnaire (BCQ-2), initial results suggest a link between certain postpartum anxiety symptoms and attachment problems. Surprisingly, anxiety measured with the PSAS has no direct influence on attachment; however, it is a strong predictor of bonding, even when maternal age, general anxiety, and depression are taken into account, explaining 3% of the variance in scores (β = 0.26, p < 0.001). This emphasizes the importance of early identification and intervention of postpartum anxiety in promoting bonding between mother and child.

Two-year retest reliability and predictive validity of the Self- and Informant-Personality Inventory for ICD-11 in older adults.

The International Classification of Diseases, 11th edition (ICD-11) adopted a fully dimensional model of personality disorder. The Personality Inventory for ICD-11 (PiCD) and Informant-Personality Inventory for ICD-11 (IPiC) were developed to assess the ICD-11 trait model, and the PiCD has since received significant validation support. However, there has only been one prior study of longitudinal predictive validity of the PiCD, two relatively short test-retest reliability studies of the PiCD, and no prior longitudinal tests of the IPiC. Longitudinal psychometric support for psychological assessment measures is essential. The present study provides a longer, larger, 2-year psychometric validation test of the PiCD and IPiC. Participants (N = 711) and their informants (N = 569) were recruited in the St. Louis Personality and Aging Network. The results demonstrated strong 2-year retest reliability for the PiCD and IPiC, as well as mean-level stability. Additionally, we explored the relationships between the PiCD and IPiC and important life outcome measures (depressive symptoms, satisfaction with life, and health status). The analysis revealed several significant associations between PiCD and IPiC scales and the outcome variables across time. Further, the PiCD Negative Affectivity and IPiC Detachment scales demonstrated incremental validity over each other and the outcome variables at Wave 1 in the prediction of depressive symptoms and satisfaction with life, respectively. The findings provide essential longitudinal test-retest reliability and predictive validity support for the PiCD and IPiC. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The Di-Eu-Stress State Scale (DESS Scale)

Abstract: This paper describes the development and empirical validation of an instrument for measuring state distress and eustress, the Di-Eu-Stress State (DESS) Scale. In three studies, factorial validity (Study 1), construct validity (Study 2), predictability, and predictive validity (Study 3) were tested. We used data from 1,250 participants including 819 undergraduates and 431 employees from seven distinct cross-sectional and one ecological momentary assessment (EMA) sample. Study 1: Following exploratory factor analysis, two cross-sectional and one multilevel confirmatory factor analyses supported the resultant two-factor structure of distress and eustress across different contexts and measurement methods as well as against established holistic stress measures. Study 2: Construct validity of the DESS Scale was evaluated with convergent and discriminant measures as well as against established holistic stress measures. Study 3: Multilevel regression models showed the assumed results of demands and resources as antecedents of distress and eustress, respectively, as well as of the prediction of job and study satisfaction by distress and eustress. We discuss the key findings and limitations of each study as well as the practical implications of the DESS Scale in both the field of stress research and the vocational world. Suggestions for further validation of the DESS Scale are proposed.

The ethical student scale: development of a new measure

Purpose The purpose of this study is to develop the “ethical student scale” to understand the underlying factors that lead to the decisions of cheating and plagiarism and where business students are developmentally from a moral perspective and to help academic institutions assess how best to develop ethical education throughout the curriculum. This three-dimensional nine-item scale based on Kohlberg’s moral development model is proposed to serve as a valuable tool for educators who are struggling with identifying the best approach to help their students make ethical choices both within and outside of the walls of their educational institutions and once they join the workforce. Design/methodology/approach Four survey design studies were conducted to determine what factors had previously been identified to both negatively and positively impact the propensity of a university student to engage in cheating and/or plagiarizing (Study 1, N = 179), to preliminarily validate the three dimension nine item scale that emerged from Study 1 (Study 2, N = 87); to test the construct validity of the three-dimensional nine-item scale (Study 3, N = 235); and to test the nine-item scale for convergent, divergent and predictive validity (Study 4, N = 201). The four surveys were administered to undergraduate students at two universities in the Northeast in the USA. Findings To shed light on the underlying factors that lead to the decisions of cheating and plagiarism, the authors propose three factors that are engaged when students make these types of ethical decisions: rules and enforcement as an external control, personal morality as an internal control and social influences as a social control (Kohlberg, 1976). Through four studies, this paper presents a three-dimensional nine-item scale based on Kohlberg’s moral development model to determine the factors that influence the propensity of a university student to engage in cheating and/or plagiarizing. The proposed scale showed strong reliability across the three dimensions. Research limitations/implications The limitations of the scale are that this research was restricted to an academic setting. The relationship between the academic environment, the resulting behaviors of students and the subsequent behavior of these students as managers also needs investigation to determine if business ethics education does have an impact on increasing ethical decision-making. Practical implications The ethical student scale attempts to measure the development stage of students in a university setting and has the potential utility to help higher education institutions better understand the moral development of their students and what drives their decisions to engage in an ethical manner. Being a short yet reliable tool, ethical student scale may help business schools develop programs beyond a single business ethics course to instill ethical decision-making in students. Social implications One of the goals as business educators is to produce ethical managers. The ethical student scale can help us develop a more integrated approach to business ethics education. As the students become managers and leaders in organizations, the social implications for more ethical decision-makers and organizations are widespread and vital to the community and the economy. Originality/value Ethical student scale is an attempt to quantify what types of controls (external, social, or personal) help develop ethical students and ethical managers. Based on Kohlberg’s moral development model, this three-dimensional nine-item scale which shows strong reliability will serve as a valuable tool for educators who are struggling with identifying the best approach to the issue of unethical decisions and behaviors as they try to create strategies to help their students make ethical choices both within and outside of the walls of their educational institutions and once they join the workforce.

Development of a multidimensional scale to measure organizational creative capabilities

AbstractAlthough the literature's case and longitudinal studies provide ample evidence of organizational routines that foster creative behaviors, it still lacks an integrative model of organizational creative capabilities (OCCs) and the quantitative evidence to validate such a model. This research is aimed at conceptualizing and developing a reliable and valid scale for OCCs. First, we define the OCC construct's domain by conducting an extensive literature review. We then generate a list of items for the five dimensions of OCCs through a qualitative study involving a group of 24 practitioners (Study 1a) and by surveying nine senior researchers (Study 1b). We refine the OCC scale using a sample of 269 responses collected in France and Canada (Study 2), and we conduct a first‐order confirmatory factor analysis (Study 3). Finally, we perform a second‐order confirmatory analysis (Study 4a) on samples of 220 responses collected mainly in the United States and Europe, generalize our results to a sample of 205 responses, and strengthen the predictive validity (Study 4b). Our results provide significant evidence that OCCs can be conceptualized around five dimensions: internal socialization routines, idea management routines, external openness routines, creative equipment routines, and internal agility routines. Furthermore, the research confirms the scale's good psychometric qualities, thus ensuring that researchers can be confident in the reliability of any future academic research design using the scale. We also validate the OCC scale's predictive validity by verifying that a five‐dimensional reflective scale with 16 indicators has a significant positive effect on the creative outcome. This OCC scale can be used by practitioners to better understand the organizational routines they have to develop in order to strengthen their organization's creativity. It also provides a way for longitudinal studies to observe how OCCs evolve over time.

Activation and valence in responses to organizational change: Development and validation of the change response circumplex scale.

Organizational members' responses to organizational change have a key role in determining the success of the change. The predominant conceptualization of responses to change has focused on the valence of responses-the degree to which they are positive (e.g., openness to change) versus negative (e.g., resistance to change). Yet, recent theory suggests that rather than a single continuum, ranging from negative to positive, responses to change are better represented with a bidimensional framework including both a valence-based continuum and an activation-based continuum (active vs. passive; Oreg et al., 2018), comprising a change response circumplex. Based on this theoretical framework, we develop and validate a scale for measuring the four dimensions of the change response circumplex (i.e., change acceptance, change proactivity, change disengagement, change resistance). We conducted five studies in which we develop the scale and demonstrate its content validity (Study 1, N = 208), circumplex structure and construct validity (Study 2, N = 221; Study 3, N = 315), concurrent validity (Study 4, N = 588), and predictive validity (Study 5, N = 146). We also demonstrate the usefulness of distinguishing among the four responses for predicting the amount and types of feedback that change recipients provide, and show the particular value of active responses, above and beyond valence. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Measuring social value orientation by model-based scoring

This study proposes a method of measuring social value orientation using model-based scoring and a task suitable for such scoring. We evaluated this method by means of parameter recovery simulation (Study 1), and we examined its retest reliability (Study 2) and its predictive validity (Study 3). The results indicate that the proposed method has low bias and sufficient predictive validity. While the improvement in predictive validity of altruism was negligible and comparable to previous scoring methods in terms of confidence intervals, the measurement of equality using the proposed model and task combination produced a moderate correlation that was not observed with other methods. Although SVO is a concept used primarily in psychology, the model assumed in this study is mathematically equivalent to a well-known economics model. We, therefore, suggest that this method may lead to cross-disciplinary research.

Academic performance of engineering students: A predictive validity study of first‐year GPA and final‐year CGPA

AbstractStudents' academic achievement is regarded as the scholastic standing of students at the end of a given study period that is expressed in terms of grades. This study focused on students' first‐year GPA as a predictor of final‐year CGPA and the relationship between demographic attributes of the students to academic achievement. An ex‐post factor research approach was adopted, and Pearson's correlation and Regression Analysis were fitted with the data using Minitab software. The results of the study highlighted that first‐year GPA had a strong positive relationship with final‐year CGPA which is an indication that first‐year GPA greatly influences final‐year CGPA meanwhile, demographic characteristics have no significant correlation with students' final‐year CGPA. Finally, the correlations drawn from this study indicated that first‐year GPA had a strong positive relationship with final‐year CGPA. Therefore, the students should be properly guided, University administrators, Faculty members, policy‐makers and other stakeholders should effectively develop a monitoring blueprint for students' academic progress as poor performance has severe consequences on students, teachers should inculcate effective learning culture among students, while government and its supervisory agencies should provide adequate teaching and learning resources, create enabling learning environment for effective service delivery that focuses on improving students' performance in Engineering.

Методики оценки риска суицидального поведения в подростковом возрасте: систематический обзор систематических обзоров

&lt;p style="text-align: justify;"&gt;&lt;strong&gt;Study relevance.&lt;/strong&gt; Revealing groups of people at high risk of suicide is important for suicide prevention, especially among adolescents, and the practical way of achieving it is screening adolescents for suicide risk. A major obstacle to the development of screening protocols and other preventive procedures is lack of data or conflicting data on measures that can be used in adolescent samples. &lt;strong&gt;Objective&lt;/strong&gt;. The current systematic review of systematic reviews was carried out to discover measures of suicide risk with a good predictive validity on adolescent samples. Recommendations for screening implementation were also narratively reviewed. &lt;strong&gt;Method&lt;/strong&gt;. Literature search was carried out in PubMed, Cochrane Database of Systematic Reviews, EBSCO Academic Search Premier, EBSCO Health Source: Nursing and Academic Edition, and Elibrary. 10 papers that satisfied all inclusion criteria (systematic reviews of measures assessing the risk of suicide in children and adolescents) were included in the study. &lt;strong&gt;Results&lt;/strong&gt;. The reviews included in the study were of satisfactory quality. Predictive validity was reported for 18 measures, 16 of them were self-report, and 2 were versions of the Implicit Associative Test. Computerized tests showed relatively low predictive validity coefficients, while self-report measures (including screening questions) had higher predictive validity. &lt;strong&gt;Conclusion&lt;/strong&gt;. More studies of predictive validity of the suicide screening measures on adolescent samples are needed. The decision to use a measure in the screening protocol should be also based on practical considerations and resources available to medical workers on cite.&lt;/p&gt;

On the Predictive Power of the In-Training Examination for the Certification of Anesthesiologist Assistants.

In-training examinations (ITEs) are a popular teaching tool for certification programs. This study examines the relationship between examinees' performance on the National Commission for Certification of Anesthesiologist Assistants (NCCAA) ITE and the high-stakes NCCAA Certification Examination. We utilized a mixed-methods approach in our study. Before estimating the models for the predictive validity study, a series of interviews with program directors were conducted to discuss the role of the ITE in students' education. Multiple linear regression analysis was then used to assess the strength of the relationship between the ITE and Certification Examination scores, while considering the percentage of program examinees completed in their anesthesiologist assistant program between their ITE and Certification Examination attempts. Logistic regression analysis was used to estimate the probability of passing the Certification Examination as a function of ITE score. Interviews with program directors confirmed that the ITE provided a valuable testing experience for students and highlighted the areas where students need to focus. Moreover, both the ITE score and the percentage of the program between exams were deemed statistically significant predictors for Certification Examination scores. The logistic regression model indicated that higher scores on the ITE implied a higher probability of passing the Certification Examination. This research demonstrated the high predictive validity of the ITE examination scores in predicting the Certification Examination outcomes. Together with the proportion of the program covered between exams, the variables explain a significant amount of variability in Certification Examination scores. The ITE feedback helped students assess their preparedness and better focus their studies for the high-stakes certification examination for the profession.

The risk of not knowing – A predictive validity study of the “Don't know” scores on a violence screen in acute psychiatry

Access to information about risk factors of violence for patients admitted to acute psychiatric wards may be sparse. This prospective study from three acute wards explored associations between items scored “Don't know” and violence during hospital stays ( N = 1435) and the first three months after discharge ( N = 461) when using a violence risk screening tool (Violence risk screening - 10; V-RISK-10). When V-RISK-10 was scored at admission and “Don't know” was weighted 0 or 1, the area under the curve of the receiver operating characteristics (AUC) was 0.79 and 0.82 for inpatient violence and 0.79 and 0.80 for post-discharge violence. “Don't know” scored at admission was significantly associated with inpatient violence for eight risk items and with violence after discharge for seven items. Numbers of “Don't know” scores decreased substantially at discharge. A substantial proportion of those scores seemed to change into “Maybe/moderate” or “Yes”. There were some differences in single items in the associations of “Don't know” with violence and the distribution of scores. Findings indicate that items scored “Don't know” at the time of admission may be associated with violence during hospital stay and after discharge. More research is needed to elaborate these findings. • Don't know scores on risk factors were significant for inpatient violence. • Risk screening at admission was significant for post-discharge violence. • Assessment and management of post-discharge violence risk may start at admission.

Fear of Covid-19 Scale:

This study explores some empirical validity of the fear of the Covid-19 scale. The study intends to examine potential validity when the scale is used for young people attending higher education institutions in Indonesia. Researchers invited undergraduate students from five universities in Indonesia. Four hundred fourty five participants fully completed the survey within six weeks of data collection. The study was conducted online through an online survey platform where most participants completed the survey within 20 minutes. Two measures were employed, the fear of Covid-19 and the perceived stress scale. The results supported the theoretical measurement model in which fear of Covid-19 and perceived stress scale each represented a unidimensional construct. The Principal Component Analysis (PCA) also found that the fear of the Covid-19 scale generated positive loading factors for its items with an average variance extracted (AVE) higher than 50%. The Pearson's correlation's predictive validity study observed a positive and significant association between fear of Covid-19 and perceived stress. This study has provided initial empirical support for the use of fear of Covid-19 for young people who attend higher education institutions. The fear of the Covid-19 measure was also in line with several studies and the Conservation of Resource theory. People who perceive crisis will experience threats to their resources, and they will be more likely to experience stress if they do not have enough resources to cope with the threats.

Simulated satiation: A scale measure of satiation in reality-enhancing technologies

Satiation occurs when consumers no longer enjoy an experience, and it can be experienced physiologically as a bodily response, as well as in cognition and affect (Redden, 2015; Galak &amp; Redden, 2018). Satiation prominently influences consumers’ behaviours, reducing consumption desires and increasing product/service replacement and disposal. This creates a critical challenge for marketers. Research pertaining to how satiation occurs and influences the customer journey and consumer decision making process within the context of virtual reality technology is embryonic and requires investigation. The purpose of this research is to examine the impact of satiation on consumer decision making on primarily virtual reality, but also augmented and mixed reality applications (VR, AR, and MR). Various factors in VR and AR platforms can influence consumers’ decisions and perceptions, such as latency-rendering issues that delay feedback, discrepancy, and simply knowing that the experience is just a simulation. Such factors cannot be experienced in real-life settings; therefore, this study will explore satiation via reality-enhancing technology perspective and aims to create a “simulated satiation” scale. I define simulated satiation as any attenuation in perceived benefits that occurs within or results from vicarious and simulated intermediary sources. To create a “simulated satiation” scale, this research will employ four phases: item generation and content validity, scale purification and confirming the scale structure, testing convergent and divergent validities of the scale, and designing a predictive validity study to show how the scale can aid research. Following this, in this presentation, I will illustrate how to create the “simulated satiation” scale and its potential impact on the marketing world.

The Attention to Detail Test: Measurement Precision and Validity Evidence for a Performance-Based Assessment of Attention to Detail

We report on the dimensionality, measurement precision, and validity of the Attention to Detail Test (ADT) designed to be a performance-based assessment of people’s ability to pay attention to detail. Within the framework of item response theory, we found that a 3PL bifactor model produced the most accurate item parameter estimates. In a predictive validity study, we found that the ADT predicted supervisor ratings of subsequent overall job performance and performance on detail-oriented tasks. In a construct-related study, scores on the ADT correlated most strongly with the personality facet of perfectionism. The test also correlated with intelligence and self-reported ACT scores. The implications of modeling the ADT as unidimensional or multidimensional are discussed. Overall, our findings suggest that the ADT is a valid measure of attention to detail ability and a useful selection tool that organizations can use to select for detail-oriented jobs.

Predictive validity of a selection instrument measuring resilience: The INSPIRE resilience scale

ABSTRACT Military personnel needs to be resilient to be able to remain effective, motivated, and in good mental and physical health. Military organizations select on resilience to determine whether candidates are psychologically fit for their job. The INSPIRE Resilience Scale (IRS) is such a selection instrument that aims to assess the psychological resilience potential of candidates in high-risk professions. A longitudinal predictive validity study was conducted in five European Defense organizations and in the Dutch National Police. The IRS was submitted in selection (N = 11,404), and criterion data about performance and health were collected in the second half of the first training year (N = 726). The results based on correlational and regression analyses showed that the IRS scores significantly predicted the criterion measures. Emotional stability, part of the IRS, turned out to be the best predictor. Results also showed that candidates who dropped out of training had significantly lower means on the IRS in selection than candidates who were still in training in the second half of the first training year. Overall, the IRS proved to be a valid instrument to assess resilience potential in candidates for high-risk professions. Selecting on resilience may therefore contribute to training success and reduction of health problems.

Supporting digitally enhanced learning through measurement in higher education: Development and validation of a university students' digital competence scale

AbstractDigital competence is critical for university students to adapt to and benefit from digitally enhanced learning. Prior studies on its measurement mostly focus on educators and relied on factor analyses. However, there is a lack of valid and convenient tools to measure university students' digital competence. This study aimed to develop a digital competence scale for university students (DC‐US) in digitally enhanced learning with robust psychometric properties. An initial DC‐US with 23 items was proposed to measure the single latent trait of digital competence. It was validated and refined continuously through a pilot study, a main study and a predictive validity study in three datasets involving 825 participants altogether, using factor analyses, Rasch analyses and the partial least squares modelling. The final DC‐US turned out to comprise two subscales: technical literacy and digital skills, with 10 items retained, and manifested high internal consistency, unidimensionality and measurement invariance. The scale also demonstrated strong predictive validity, with technical literacy greatly predicting digital skills, which negatively predicted technostress. The DC‐US enables instructors and school administrators to conveniently obtain preliminary information of university students' digital competence, informing their digital class preparation and development of timely interventions for addressing digital deficiencies.

Witnessing domestic violence versus exposure to domestic violence: implications for assessing male adolescents adjudicated for sex offenses

This is an exploratory study on a sample of male adolescents adjudicated for sex offenses (N = 129) previously examined in a predictive validity study (please see Rasmussen 2017, for details of the study and findings). The sample was subsequently part of a 14 years, 3-month longitudinal study of sexual recidivism (Rasmussen, 2021). The current exploratory study examined the association of exposure to domestic violence and abuse variables (i.e., physical abuse, sexual abuse, and child neglect/emotional abuse) with risk levels and termination from the treatment program. Physical abuse was significantly associated with termination from the program (p < .001, 1-sided), as was exposure to domestic violence (p < .026, 1-sided), and experiencing multiple trauma (p < .033, 2-sided). The findings point to the need for a trauma-informed approach. The Trauma Outcome Process Assessment (TOPA) model is presented as a viable option for trauma treatment of sexually abusive youth.

Hooper visual organization test: Psychometric properties and regression-based norms for the Venezuelan population

The Hooper Visual Organization Test (HVOT) is used to assess visual organization and visual synthesis. Psychometric studies reveal cultural biases and associations between demographic variables and test performance capable of compromising the test’s clinical utility. The present study aimed to adapt the HVOT, explore the psychometric properties of this test, and develop regression-based norms for the Venezuelan population. Using a cross-sectional design, the HVOT was administered to a stratified sample of 351 healthy adults (20–85 years of age and 0–23 years of education) from the Metropolitan Area of Caracas. The results revealed good levels of internal consistency and reliability. Confirmatory Factor Analysis suggests that the HVOT is unidimensional. Item difficulty, types and rate of errors and inappropriateness of some items indicated a potential cultural bias in our Venezuelan sample. Spearman’s Correlation and Wilcoxon Rank test analysis (p<.001) showed a significant association between HVOT total score and age, education, and gender, but not with socioeconomic status. We present regression-norms stratified by age, years of education, and gender. Cultural biases were noted, which highlights the need for a revision of items in terms of inclusion, scoring, and order of presentation. Future studies of concurrent and predictive validity are needed.

Development and persistence of fear of falling relate to a different mobility functions in community-dwelling older adults: one-year longitudinal predictive validity study

Fear of falling (FoF) is a common psychological problem in community-dwelling older adults. However, which mobility function relate to newly developed FoF and persistent FoF are unknown. We aimed to clarify which baseline mobility function is an independent predictor of one-year change in FoF. The study design was a one-year longitudinal predictive validity study. Participants were 581 independently community-dwelling older adults without neurological disorders. We measured FoF, history of falls, inactive lifestyle, and sociodemographic data were obtained via a self-administered questionnaire. Mobility functions were measured by community-based Short Physical Performance Battery (SPPB-com). Newly developed FoF group accounted for 20% among the non-FoF older adults at baseline. Persistent FoF group accounted for 57% among the older adults with FoF at baseline. Risk of newly developed FoF was significantly related to the SPPB-com total score, among the mobility functions, the low gait test score (OR [95% CI] = 2.34 [1.12-5.12]) and the low tandem balance test score (OR [95% CI] = 3.62 [1.46-8.90]) were significantly related. Risk of persistent FoF was also related to SPPB-com total score, among the mobility functions, the five chair stand test score (OR [95% CI] = 1.96 [1.19-3.24]) was significantly related. The risk of newly developed FoF related to lower ability of standing-balance and gait, the risk of persistent FoF related to lower sit-to-stand ability. Appropriate exercise interventions according to FoF subtype may effectively prevent the risk of developing FoF or experiencing persistent FoF.