Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1392
10
1
gregorian
2014
1
1
28
1
online
1
fulltext
en
Clinical assessment of fear of falling after stroke: validity, reliability and responsiveness of the Persian version of the Fall Efficacy Scale-International
Occupational Therapy
Occupational Therapy
Original Research
Original Research
<p> <strong> Background </strong>:Fear of falling may be related to falling during stroke onset. The Fall Efficacy Scale-International (FES-I) with excellent psychometric properties, is an instrument developed to assess patients’ concerns about fallings. The aim of this study was to determine validation of this scale in Iranian patients with stroke. </p><p> <strong> Methods </strong>: The “forward-backward” procedure was applied to translate the FES-I from English to Persian. One hundred-twenty patients who had suffered stroke, aged 40 to 80 years (55% male) completed the Persian FES-I, Geriatric Depression Scale-15 (GDS-15), General Health Questionnaire-28 (GHQ-28), Berg Balance Scale (BBS) and Timed up and Go (TUG) questionnaires. The interval time for the test-retest of the Persian scale was 7-14 days. </p><p> <strong> Results </strong>: The test-retest and inter-rater reliabilities of the Persian FES-I were excellent (ICC2,1=0.98, p<0.001) and the internal consistency was high (Cronbach’s alpha=0.78). Factor analysis of the 16 items in the Persian scale showed only one significant factor. The total Persian FES-I score had a significantly negative correlation (p<0.001) with the BBS, but it had significantly positive correlation with the TUG, GHQ-28, and GDS-15. The difference in responsiveness scores across fallers and non-fallers yielded a large effect size (0.46), which indicated a good discriminating validity. </p><p> <strong> Conclusion </strong>: The Persian FES-I proved to be an effective and valuable measurement tool to assess stroke patients’ fear of falling in practice and research setting. </p>
Fall Efficacy Scale-International (FES-I), Stroke, Reliability, Validity, Psychometric properties.
884
891
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1569-12&slc_lang=en&sid=1
Akram
Azad
azad.a@iums.ac.ir
200319475328460013956
200319475328460013956
No
Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences (IUMS), Tehran, Iran.
Afsoon Hassani
Mehraban
mehraban.a@iums.ac.ir
200319475328460013957
200319475328460013957
Yes
Department of Occupational Therapy, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences (IUMS), Tehran, Iran.
Masoud
Mehrpour
mehrpr@yahoo.com
200319475328460013958
200319475328460013958
No
Iran University of Medical Science (IUMS), Firoozgar Hospital, Tehran, Iran.
Babak
Mohammadi
bkmmd@yahoo.com
200319475328460013959
200319475328460013959
No
Institute for Cognitive Science Studies (ICSS), Tehran, Iran.