Translation and validation study of the Chinese version Iconographical Falls Efficacy Scale-Short Version (Icon-FES). (July 2018)

• Record Type: Journal Article
• Authors: Chan, Polly P.W.; Chan, Alice P.S.; Lau, Esther; Delbaere, Kim; Chan, Yu-Hin; Jin, Xiao-Kun; Poon, Cheuk-Kit; Lai, Cheuk-Fai; Ng, Man-Fai; Wong, Wai-Ming; Lam, Angus Y.K.
• Is Part Of: Archives of gerontology and geriatrics. Volume 77(2018)
• Page Start: 1
• Page End: 7
• Publication Date: 2018-07
• Subjects: Falls -- Older people -- Fear of falling -- Geriatric assessment -- Rehabilitation; Aging -- Periodicals; Geriatrics -- Periodicals; Gerontology -- Periodicals; Electronic journals; 305.26
• DOI: 10.1016/j.archger.2018.03.008
• Languages: English
• ISSNs: 0167-4943

Abstract

Highlights: The adapted Icon-FES showed good validity and reliability for assessing concern about falling in Chinese older people in HK. The combined use of pictures and short captions enable effective and efficient identification of concern about falling. It is applicable for both community living local Chinese older people as well as daily clinical use. Abstract: Background: The 30-item Iconographical Falls Efficacy Scale (Icon-FES) is the first instrument developed to assess older people's concern about falling using pictures. The short version of Icon-FES (10-item Icon-FES) was translated and adapted to a local Chinese version, and its psychometric properties was evaluated in Chinese older people. Methods: A forward-backward translation procedure was used, followed by an expert panel review to finalize the 10-item Chinese Icon-FES. One hundred and sixteen Hong Kong Chinese older people (65–95 years) were assessed using the 10-item Chinese Icon-FES in conjunction with the Chinese version 7-item Falls Efficacy Scale-International (FES-I (Ch)). Results: Five of the 10 items in the Icon-FES were modified to achieve the conceptual and cultural relevance in local context. The final Chinese Icon-FES had excellent internal consistency (Cronbach's alpha = 0.91) and test-retest reliability (intra-class correlation coefficient ICC = 0.93). High correlation was found between the Chinese Icon-FES and FES-I (Ch) ( r = .75, p < .001). Construct validity was supported by its ability to discriminate between groups related to demographic and fall risk factors. Conclusions: The Chinese Icon-FES is a valid, efficient and easy-to-use instrument for understanding of local Chinese older people's concerns about falling in Hong Kong.