The Turkish Version of the Survey of Activities and Fear of Falling in the Elderly

Fall Clinical Trial

Official title:

The Reliability and Validity of the Turkish Version of the Survey of Activities and Fear of Falling in the Elderly

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04139109
• Other study ID #: 287826
• Status: Completed
• Start date: January 22, 2018
• Est. completion date: July 22, 2018

Study information

• Verified date: October 2019
• Source: Istanbul University-Cerrahpasa
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The Survey of Activities and Fear of Falling in the Elderly (SAFE) was originally developed in English to determine the level of fear of falling and its interactions with activities of daily living. The purpose of this study was to translate and cross-culturally adapt the SAFE instrument into Turkish and investigate its psychometric properties.

Description:

The Survey of Activities and Fear of Falling in the Elderly (SAFE) was originally developed in English to determine the level of fear of falling and its interactions with activities of daily living. The purpose of this study was to translate and cross-culturally adapt the SAFE instrument into Turkish and investigate its psychometric properties. One hundred eleven older adults (72 females) with a mean age of 69 years (SD=7.22; range=60-87) were included. For cross-cultural adaptation, two bi-lingual translators used the back-translation procedure. Within a 5-to-7-day period after the first assessment, the participants completed the Turkish version of SAFE (SAFE-T) to evaluate test-retest reliability. Cronbach's alpha (α) was used to assess internal consistency. The correlation with the Turkish version of the Falls Efficiency Scale-International (FES-T) was determined to check the validity.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 111
• Est. completion date: July 22, 2018
• Est. primary completion date: April 22, 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 60 Years and older

Eligibility

Inclusion Criteria:

1. age over 60 years old

2. ability to read and write in Turkish

3. score =24 on the Mini-Mental State Exam

4. >3 according to the Functional Ambulation Category (FAC)

5. no pathology in visual ability and hearing

Exclusion Criteria:

1. neurologist-diagnosed dementia or Alzheimer's disease

2. ambulatory only with a wheelchair

3. amputated lower extremity

Related Conditions & MeSH terms

• Activity, Motor
• Fall
• Fear
• Old Age; Debility
• Participation, Patient

Locations

Country	Name	City	State
Turkey	Istanbul University-Cerrahpasa	Istanbul	Bakirkoy

Sponsors (1)

Lead Sponsor	Collaborator
Istanbul University-Cerrahpasa

Country where clinical trial is conducted

Turkey, 

References & Publications (4)

Allison LK, Painter JA, Emory A, Whitehurst P, Raby A. Participation restriction, not fear of falling, predicts actual balance and mobility abilities in rural community-dwelling older adults. J Geriatr Phys Ther. 2013 Jan-Mar;36(1):13-23. doi: 10.1519/JPT — View Citation

Gazibara T, Kurtagic I, Kisic-Tepavcevic D, Nurkovic S, Kovacevic N, Gazibara T, Pekmezovic T. Falls, risk factors and fear of falling among persons older than 65 years of age. Psychogeriatrics. 2017 Jul;17(4):215-223. doi: 10.1111/psyg.12217. Epub 2017 J — View Citation

Lachman ME, Howland J, Tennstedt S, Jette A, Assmann S, Peterson EW. Fear of falling and activity restriction: the survey of activities and fear of falling in the elderly (SAFE). J Gerontol B Psychol Sci Soc Sci. 1998 Jan;53(1):P43-50. — View Citation

Yardley L, Smith H. A prospective study of the relationship between feared consequences of falling and avoidance of activity in community-living older people. Gerontologist. 2002 Feb;42(1):17-23. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	The Survey of Activities and Fear of Falling in the Elderly	The Survey of Activities and Fear of Falling in the Elderly (SAFE), is a reliable (a = 0.95) and valid (r = 0.91) questionnaire for evaluating activity level, fear of falling, and activity restriction. SAFE assesses 11 community-based and home-based activities. SAFE is scored as the following: Activity level is scored as the number of activities being done. Maximum score is 11 and higher scores indicate a higher activity level.; The fear of falling score is computed as the average worry scores across the 11 activities (or across as many of the activities that are done, i.e., if yes to A). Each activity is scored in the range 0 to 3 by recoding the answer. The recoding is described as 0=4 (Not at all worried), 1=3 (A little worried), 2=1 (Somewhat worried) and 3=1 (Very worried). In totally, higher scores indicate a greater fear of falling.; Activity restriction is scored by counting the number of activities which is responded "less than you used to".	Baseline (First assessment)
Secondary	The Survey of Activities and Fear of Falling in the Elderly	The Survey of Activities and Fear of Falling in the Elderly (SAFE), is a reliable (a = 0.95) and valid (r = 0.91) questionnaire for evaluating activity level, fear of falling, and activity restriction. SAFE assesses 11 community-based and home-based activities. SAFE is scored as the following: Activity level is scored as the number of activities being done. Maximum score is 11 and higher scores indicate a higher activity level.; The fear of falling score is computed as the average worry scores across the 11 activities (or across as many of the activities that are done, i.e., if yes to A). Each activity is scored in the range 0 to 3 by recoding the answer. The recoding is described as 0=4 (Not at all worried), 1=3 (A little worried), 2=1 (Somewhat worried) and 3=1 (Very worried). In totally, higher scores indicate a greater fear of falling.; Activity restriction is scored by counting the number of activities which is responded "less than you used to".	Within a 5-to-7-day period after the first assessment (Second assessment)
Secondary	Falls Efficiency Scale-International	Falls Efficiency Scale-International (FES-I) is a 16-item self-administered questionnaire that was designed to assess fear of falling in community-dwelling older people. It provides information on the level of concern about falls during daily living activities. Each item is rated on a four-point scale, where 1=not at all concerned, 2=somewhat concerned, 3=fairly concerned, and 4=very concerned. The total score ranges from 16 (no concern about falling) to 64 (extreme concern about falling). The Turkish version of FES-I (FES-T), which was previously reported as a reliable (a = 0.94) and valid (r = - 0.83) instrument, was used in the present study.	Baseline (First assessment)
Secondary	History of Fall	Frequency of falls in the last six months was questioned.	Baseline (First assessment)
Secondary	Leg Pain	Presence of leg pain at rest and during activity was questioned.	Baseline (First assessment)