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Psychometric properties of the German version of the Fear of Falling Questionnaire-revised (FFQ-R) in a sample of older adults after hip or pelvic fracture.
Dautel, Anja; Gross, Michaela; Abel, Bastian; Pomiersky, Rebekka; Eckert, Tobias; Hauer, Klaus; Schäufele, Martina; Büchele, Gisela; Becker, Clemens; Pfeiffer, Klaus.
Afiliación
  • Dautel A; Department of Clinical Gerontology and Geriatric Rehabilitation, Robert-Bosch-Hospital, Stuttgart, Germany. anja.dautel@rbk.de.
  • Gross M; Department of Clinical Gerontology and Geriatric Rehabilitation, Robert-Bosch-Hospital, Stuttgart, Germany.
  • Abel B; Agaplesion Bethanien Hospital, Heidelberg, Germany.
  • Pomiersky R; Agaplesion Bethanien Hospital, Heidelberg, Germany.
  • Eckert T; Hochschule Mannheim, University of Applied Science, Mannheim, Germany.
  • Hauer K; Agaplesion Bethanien Hospital, Heidelberg, Germany.
  • Schäufele M; Agaplesion Bethanien Hospital, Heidelberg, Germany.
  • Büchele G; Hochschule Mannheim, University of Applied Science, Mannheim, Germany.
  • Becker C; Institute of Epidemiology and Medical Biometry, Ulm University, Ulm, Germany.
  • Pfeiffer K; Department of Clinical Gerontology and Geriatric Rehabilitation, Robert-Bosch-Hospital, Stuttgart, Germany.
Aging Clin Exp Res ; 33(2): 329-337, 2021 Feb.
Article en En | MEDLINE | ID: mdl-32705586
BACKGROUND: Identifying patients with maladaptive fear of falling (FOF) is important in the rehabilitation phase after serious fall. The 6-item Fear of Falling Questionnaire-revised (FFQ-R) was seen as promising measurement instrument as it evaluates FOF in a broader way than the one-item-question and independent of physical activities. AIM: The purpose of the analysis was to evaluate the psychometric properties of the translated German FFQ-R. METHODS: Back-translation method was applied. Confirmatory factor analysis (CFA) with diagonally weighted least square estimation was used to verify the two-factor structure. Data were collected during inpatient rehabilitation from hip and pelvic fracture patients [age 84.3 ± 6.2, Mini-Mental State Examination (MMSE) scores > 23] participating in an RCT (N = 112) and a cross-sectional survey (N = 40). RESULTS: Internal consistency was 0.78 (Cronbach´s alpha). No floor or ceiling effects were found. Discriminatory power on item level was moderate to good (r = 0.43-0.65). CFA revealed a good model fit and confirmed the two-factor structure. The German FFQ-R was moderately correlated (r = 0.51) with the Short Falls Efficacy Scale-International (Short FES-I) used as a proxy measure for FOF. Missing rates up to 9% for specific items were because some individuals, independent of cognitive level or age, had problems to rate items with conditional statements on possible negative consequences of a fall. CONCLUSIONS: Results demonstrated moderate to good psychometric properties similar to the original English version in a comparable sample of fracture patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Accidentes por Caídas / Miedo Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Aged80 / Humans Idioma: En Revista: Aging Clin Exp Res Asunto de la revista: GERIATRIA Año: 2021 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Alemania
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Accidentes por Caídas / Miedo Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Aged80 / Humans Idioma: En Revista: Aging Clin Exp Res Asunto de la revista: GERIATRIA Año: 2021 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Alemania