assessment of fall-related self-efficacy and activity avoidance in people with parkinsons disease评估相关自我效能及活动避免患有帕金森症.pdfVIP

Nilsson et al. BMC Geriatrics 2010, 10:78 /1471-2318/10/78 RESEARCH ARTICLE Open Access Assessment of fall-related self-efficacy and activity avoidance in people with Parkinson’s disease 1,2* 3 1,4 Maria H Nilsson , Anna-Maria Drake , Peter Hagell Abstract Background: Fear of falling (FOF) is common in Parkinson’s disease (PD), and it is considered a vital aspect of comprehensive balance assessment in PD. FOF can be conceptualized differently. The Falls-Efficacy Scale (FES) assesses fall-related self-efficacy, whereas the Survey of Activities and Fear of Falling in the Elderly (SAFFE) assesses activity avoidance due to the risk of falling. This study aimed at investigating the validity and reliability of FES and SAFFE in people with PD. Methods: Seventy-nine people with PD (mean age; 64 years, SD 7.2) completed the Swedish version of FES(S), SAFFE and the physical functioning (PF) scale of the 36-Item Short-Form Health Survey (SF-36). FES(S) and SAFFE were administered twice, with an 8.8 (SD 2.3) days interval. Assumptions for summing item scores into total scores were examined and score reliability (Cronbach’s alpha and test-retest reliability) were calculated. Construct validity was assessed by examining the pattern of Spearman correlations (rs) between the FES(S)/SAFFE and other variables, and by examining differences in FES(S)/SAFFE scores between fallers and non-fallers, genders, and between those reporting FOF and unsteadiness while turning. Results: For both scales, item mean scores (and standard deviations) were roughly similar and corrected item-total correlations exceeded 0.4. Reliabilities were ≥0.87. FES(S)-scores correlated strongest (rs, -0.74, p 0.001) with SAFFE-scores, whereas SAFFE-scores correlated strongest with PF-scores (r