Evidence map›Paper›PMID 41409522›Full record

ArticleClinical interventions in aging2025

Translation and Psychometric Testing of the Fear of Falling Questionnaire-Revised in Community-Dwelling Older Adults.

Marina Arkkukangas, Karin Strömqvist Bååthe, Michail Tonkonogi, Emily S Bower, Ulf Larsson

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Article in Clinical interventions in aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Marina ArkkukangasDepartment of Medicine, School of Health and Welfare, Dalarna University, Falun, 791 88, Sweden.ORCID 0000-0001-7418-6088
Karin Strömqvist BååtheDepartment of Medicine, School of Health and Welfare, Dalarna University, Falun, 791 88, Sweden.
Michail TonkonogiDepartment of Medicine, School of Health and Welfare, Dalarna University, Falun, 791 88, Sweden.
Emily S BowerSchool of Graduate Psychology, Pacific University, Hillsboro, OR, USA.
Ulf LarssonCentre for Clinical Research Sörmland, Uppsala University, Eskilstuna, 63217, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Falls pose a significant health risk to older adults, often resulting in adverse outcomes. Despite the recognition of effective interventions, the psychological aspect of fear of falling (FoF) remains under-addressed. The Fear of Falling Questionnaire-Revised (FFQ-R) (15 and 6-item) was developed to assess FoF. However, no Swedish version is available, necessitating its translation and evaluation of psychometric testing. This study aimed to translate the FFQ-R (15 and 6-item) and examine the psychometric properties of the Swedish versions in healthy community-dwelling adults aged ≥ 60 years. Patients and Methods: This study used a cross-sectional design to translate and assess the psychometric properties of the FFQ-R(S) (15 and 6-item) for healthy community-dwelling older adults. Translators, experts, and community-dwelling older adults participated in the process. Confirmatory factor analysis was used to assess the fit of the model. Scale reliability was measured with ordinal α. Results: The translation resulted in minor changes and demonstrated satisfactory content validity. Confirmatory factor analysis showed that the FFQ-R(S) model, with four latent factors and 15 items, was not analyzable due to non-convergence. For the two-factors and six items, FFQ-R(S), the ordinal α values for the scales' harm outcome (HO) and degree of threat (DT), measuring reliability, were 0.70 and 0.88, respectively. The confirmatory factor analysis yielded mixed fit indices, where values of standardized root mean square residual, comparative fit index, and Tucker-Lewis index suggested a good fit of the model to the sample, whereas the χ Conclusion: The Swedish version of the 6-item FFQ-R demonstrates acceptable psychometric properties. Moreover, the six items align with the two factors, DT and HO. Based on these findings, we recommend using the Short FFQ-R(S) (6-item) to assess FoF in primary fall prevention efforts for community-dwelling older adults.

Indexed as

Accidental FallsFearAgedAged, 80 and overCross-Sectional StudiesFactor Analysis, StatisticalFemaleHumansIndependent LivingMaleMiddle AgedPsychometricsReproducibility of ResultsSurveys and QuestionnairesSwedenTranslationscross-sectional designdegree of threatfallsharm outcome

Identifiers

PMID41409522
PMCPMC12707113

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.