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Falls efficacy instruments for community-dwelling older adults: a COSMIN-based systematic review

BACKGROUND: Falls efficacy is a widely-studied latent construct in community-dwelling older adults. Various self-reported instruments have been used to measure falls efficacy. In order to be informed of the choice of the best measurement instrument for a specific purpose, empirical evidence of the d...

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Autores principales: Soh, Shawn Leng-Hsien, Lane, Judith, Xu, Tianma, Gleeson, Nigel, Tan, Chee Wee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7792090/
https://www.ncbi.nlm.nih.gov/pubmed/33413136
http://dx.doi.org/10.1186/s12877-020-01960-7
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author Soh, Shawn Leng-Hsien
Lane, Judith
Xu, Tianma
Gleeson, Nigel
Tan, Chee Wee
author_facet Soh, Shawn Leng-Hsien
Lane, Judith
Xu, Tianma
Gleeson, Nigel
Tan, Chee Wee
author_sort Soh, Shawn Leng-Hsien
collection PubMed
description BACKGROUND: Falls efficacy is a widely-studied latent construct in community-dwelling older adults. Various self-reported instruments have been used to measure falls efficacy. In order to be informed of the choice of the best measurement instrument for a specific purpose, empirical evidence of the development and measurement properties of falls efficacy related instruments is needed. METHODS: The Consensus-based Standards for the Selection of Health Measurement Intruments (COSMIN) checklist was used to summarise evidence on the development, content validity, and structural validity of instruments measuring falls efficacy in community-dwelling older adults. Databases including MEDLINE, Web of Science, PsychINFO, SCOPUS, CINAHL were searched (May 2019). Records on the development of instruments and studies assessing content validity or structural validity of falls efficacy related scales were included. COSMIN methodology was used to guide the review of eligible studies and in the assessment of their methodological quality. Evidence of content validity: relevance, comprehensiveness and comprehensibility and unidimensionality for structural validity were synthesised. A modified GRADE approach was applied to evidence synthesis. RESULTS: Thirty-five studies, of which 18 instruments had been identified, were included in the review. High-quality evidence showed that the Modified Falls Efficacy Scale (FES)-13 items (MFES-13) has sufficient relevance, yet insufficient comprehensiveness for measuring falls efficacy. Moderate quality evidence supported that the FES-10 has sufficient relevance, and MFES-14 has sufficient comprehensibility. Activities-specific Balance Confidence (ABC) Scale–Simplified (ABC-15) has sufficient relevance in measuring balance confidence supported by moderate-quality evidence. Low to very low-quality evidence underpinned the content validity of other instruments. High-quality evidence supported sufficient unidimensionality for eight instruments (FES-10, MFES-14, ABC-6, ABC-15, ABC-16, Iconographical FES (Icon-FES), FES–International (FES-I) and Perceived Ability to Prevent and Manage Fall Risks (PAPMFR)). CONCLUSION: Content validity of instruments to measure falls efficacy is understudied. Structural validity is sufficient for a number of widely-used instruments. Measuring balance confidence is a subset of falls efficacy. Further work is needed to investigate a broader construct for falls efficacy. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-020-01960-7.
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spelling pubmed-77920902021-01-11 Falls efficacy instruments for community-dwelling older adults: a COSMIN-based systematic review Soh, Shawn Leng-Hsien Lane, Judith Xu, Tianma Gleeson, Nigel Tan, Chee Wee BMC Geriatr Research Article BACKGROUND: Falls efficacy is a widely-studied latent construct in community-dwelling older adults. Various self-reported instruments have been used to measure falls efficacy. In order to be informed of the choice of the best measurement instrument for a specific purpose, empirical evidence of the development and measurement properties of falls efficacy related instruments is needed. METHODS: The Consensus-based Standards for the Selection of Health Measurement Intruments (COSMIN) checklist was used to summarise evidence on the development, content validity, and structural validity of instruments measuring falls efficacy in community-dwelling older adults. Databases including MEDLINE, Web of Science, PsychINFO, SCOPUS, CINAHL were searched (May 2019). Records on the development of instruments and studies assessing content validity or structural validity of falls efficacy related scales were included. COSMIN methodology was used to guide the review of eligible studies and in the assessment of their methodological quality. Evidence of content validity: relevance, comprehensiveness and comprehensibility and unidimensionality for structural validity were synthesised. A modified GRADE approach was applied to evidence synthesis. RESULTS: Thirty-five studies, of which 18 instruments had been identified, were included in the review. High-quality evidence showed that the Modified Falls Efficacy Scale (FES)-13 items (MFES-13) has sufficient relevance, yet insufficient comprehensiveness for measuring falls efficacy. Moderate quality evidence supported that the FES-10 has sufficient relevance, and MFES-14 has sufficient comprehensibility. Activities-specific Balance Confidence (ABC) Scale–Simplified (ABC-15) has sufficient relevance in measuring balance confidence supported by moderate-quality evidence. Low to very low-quality evidence underpinned the content validity of other instruments. High-quality evidence supported sufficient unidimensionality for eight instruments (FES-10, MFES-14, ABC-6, ABC-15, ABC-16, Iconographical FES (Icon-FES), FES–International (FES-I) and Perceived Ability to Prevent and Manage Fall Risks (PAPMFR)). CONCLUSION: Content validity of instruments to measure falls efficacy is understudied. Structural validity is sufficient for a number of widely-used instruments. Measuring balance confidence is a subset of falls efficacy. Further work is needed to investigate a broader construct for falls efficacy. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-020-01960-7. BioMed Central 2021-01-07 /pmc/articles/PMC7792090/ /pubmed/33413136 http://dx.doi.org/10.1186/s12877-020-01960-7 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Soh, Shawn Leng-Hsien
Lane, Judith
Xu, Tianma
Gleeson, Nigel
Tan, Chee Wee
Falls efficacy instruments for community-dwelling older adults: a COSMIN-based systematic review
title Falls efficacy instruments for community-dwelling older adults: a COSMIN-based systematic review
title_full Falls efficacy instruments for community-dwelling older adults: a COSMIN-based systematic review
title_fullStr Falls efficacy instruments for community-dwelling older adults: a COSMIN-based systematic review
title_full_unstemmed Falls efficacy instruments for community-dwelling older adults: a COSMIN-based systematic review
title_short Falls efficacy instruments for community-dwelling older adults: a COSMIN-based systematic review
title_sort falls efficacy instruments for community-dwelling older adults: a cosmin-based systematic review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7792090/
https://www.ncbi.nlm.nih.gov/pubmed/33413136
http://dx.doi.org/10.1186/s12877-020-01960-7
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