The psychometric properties of the modified fear of falling avoidance behavior questionnaire in Parkinson's disease and older adults.

IF 2.1 Q1 REHABILITATION

Archives of physiotherapy Pub Date : 2024-05-02 eCollection Date: 2024-01-01 DOI:10.33393/aop.2024.2702

Merrill R Landers, Ash M Haller, Arturo Aldaco, Billy La, Adetayo A Babarinde, John V Rider, Jason K Longhurst

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Abstract

Introduction: The Fear of Falling Avoidance Behavior Questionnaire (FFABQ) has good psychometric properties. However, we have recently modified the FFABQ (mFFABQ) to improve the clarity of the questions and Likert responses. This study aimed to examine the reliability and validity of this modified version in older adults and people with Parkinson's disease (PD).

Methods: A total of 88 participants, 39 with PD (age = 72.2 ± 9.5; 29 males, 10 females) and 49 older adults (age = 72.8 ± 5.0; 13 males, 36 females), answered the mFFABQ twice, separated by 1 week, for test-retest reliability. Construct validity was evaluated through correlational analyses with fall history, Activities-Specific Balance Confidence Scale (ABC), Berg Balance Scale (BBS), Timed Up and Go, 30-Second Sit to Stand, Sensory Organization Test, Zung Anxiety Scale, Beck Depression Inventory, Consequences of Falling Questionnaire (CoFQ), and average daily activity levels using an activity monitor.

Results: The mFFABQ had good overall test-retest reliability (intraclass correlational coefficient [ICC] = 0.822; older adult ICC = 0.781, PD ICC = 0.806). The mFFABQ correlated with fall history (r = -0.430) and exhibited high correlation with the ABC (rho = -0.804) and moderate correlations with CoFQ (rho = 0.582) and BBS (rho = -0.595). The mFFABQ also correlated with time stepping (rho = -0.298) and number of steps (rho = -0.358).

Conclusion: These results provide supportive evidence for the reliability and validity of the mFFABQ in older adults and people with PD, which supports its suitability as a clinical and research tool for the assessment of fear of falling avoidance behavior.

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帕金森病患者和老年人避免跌倒恐惧行为问卷的心理计量特性。

简介恐惧跌倒行为问卷（FFABQ）具有良好的心理测量特性。不过，我们最近对 FFABQ（mFFABQ）进行了修改，以提高问题和李克特回答的清晰度。本研究旨在考察这一修改版在老年人和帕金森病（PD）患者中的信度和效度：共有 88 名参与者，其中包括 39 名帕金森病患者（年龄 = 72.2 ± 9.5；29 名男性，10 名女性）和 49 名老年人（年龄 = 72.8 ± 5.0；13 名男性，36 名女性），他们两次回答了 mFFABQ，每次间隔 1 周，以检验重测的可靠性。通过与跌倒史、特定活动平衡信心量表 (ABC)、伯格平衡量表 (BBS)、计时起立、30 秒坐立、感官组织测试、Zung 焦虑量表、贝克抑郁量表、跌倒后果问卷 (CoFQ) 以及使用活动监测器的平均日常活动水平进行相关性分析，对结构效度进行了评估：mFFABQ 的总体测试-重复测试可靠性良好（类内相关系数 [ICC] = 0.822；老年人 ICC = 0.781，肢体残疾 ICC = 0.806）。mFFABQ 与跌倒史相关（r = -0.430），与 ABC（rho = -0.804）高度相关，与 CoFQ（rho = 0.582）和 BBS（rho = -0.595）中度相关。mFFABQ 还与时间步长（rho = -0.298）和步数（rho = -0.358）相关：这些结果为 mFFABQ 在老年人和帕金森病患者中的可靠性和有效性提供了支持性证据，支持其作为临床和研究工具评估避免跌倒恐惧行为的适用性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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