Cross-cultural adaptation and measurement properties testing of the Iconographical Falls Efficacy Scale (Icon-FES)

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dc.creatorMárcia Rodrigues Franco
dc.creatorRafael Zambelli de Almeida Pinto
dc.creatorKim Delbaere
dc.creatorBianca Yumie Eto
dc.creatorMaíra Sgobbi de Faria
dc.creatorGiovana Ayumi Aoyagi
dc.creatorDaniel Steffens
dc.creatorCarlos Marcelo Pastre
dc.date.accessioned2022-11-01T16:46:11Z
dc.date.accessioned2025-09-08T23:20:54Z
dc.date.available2022-11-01T16:46:11Z
dc.date.issued2018-07
dc.description.sponsorshipFAPESP - Fundação de Amparo à Pesquisa do Estado de São Paulo
dc.identifier.doihttps://doi.org/10.1016/j.bjpt.2018.01.003
dc.identifier.issn1809-9246
dc.identifier.urihttps://hdl.handle.net/1843/46818
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofBrazilian Journal of Physical Therapy
dc.rightsAcesso Restrito
dc.subjectIdosos
dc.subjectEquilíbrio musculosquelético
dc.subjectAcidentes por quedas
dc.subjectEnvelhecimento
dc.subjectMedição
dc.subject.otherOlder people
dc.subject.otherFear of falling
dc.subject.otherAccidental falls
dc.subject.otherAging
dc.subject.otherMeasurement properties
dc.titleCross-cultural adaptation and measurement properties testing of the Iconographical Falls Efficacy Scale (Icon-FES)
dc.typeArtigo de periódico
local.citation.epage303
local.citation.issue4
local.citation.spage291
local.citation.volume22
local.description.resumoBackground: The Iconographical Falls Efficacy Scale (Icon-FES) is an innovative tool to assess concern of falling that uses pictures as visual cues to provide more complete environmental contexts. Advantages of Icon-FES over previous scales include the addition of more demanding balance-related activities, ability to assess concern about falling in highly functioning older people, and its normal distribution. Objective: To perform a cross-cultural adaptation and to assess the measurement properties of the 30-item and 10-item Icon-FES in a community-dwelling Brazilian older population. Methods: The cross-cultural adaptation followed the recommendations of international guidelines. We evaluated the measurement properties (i.e. internal consistency, test–retest reproducibility, standard error of the measurement, minimal detectable change, construct validity, ceiling/floor effect, data distribution and discriminative validity), in 100 community-dwelling people aged ≥60 years. Results: The 30-item and 10-item Icon-FES-Brazil showed good internal consistency (alpha and omega >0.70) and excellent intra-rater reproducibility (ICC2,1 = 0.96 and 0.93, respectively). According to the standard error of the measurement and minimal detectable change, the magnitude of change needed to exceed the measurement error and variability were 7.2 and 3.4 points for the 30-item and 10-item Icon-FES, respectively. We observed an excellent correlation between both versions of the Icon-FES and Falls Efficacy Scale – International (rho = 0.83, p < 0.001 [30-item version]; 0.76, p < 0.001 [10-item version]). Icon-FES versions showed normal distribution, no floor/ceiling effects and were able to discriminate between groups relating to fall risk factors. Conclusion: Icon-FES-Brazil is a semantically and linguistically appropriate tool with acceptable measurement properties to evaluate concern about falling among the community-dwelling older population.
local.identifier.orcidhttp://orcid.org/0000-0001-6174-2524
local.identifier.orcidhttps://orcid.org/0000-0001-9007-9274
local.identifier.orcidhttps://orcid.org/0000-0002-5655-0234
local.identifier.orcidhttps://orcid.org/0000-0002-9715-860X
local.identifier.orcidhttps://orcid.org/0000-0002-0213-6679
local.publisher.countryBrasil
local.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIA
local.publisher.initialsUFMG
local.url.externahttps://www.sciencedirect.com/science/article/pii/S1413355517304926?via%3Dihub#!

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