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

Study Overview
=================
Brief 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.

Detailed 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.

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

Conditions
-----------------
Fall, Old Age; Debility, Fear, Activity, Motor, Participation, Patient

Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: age over 60 years old ability to read and write in Turkish score ≥24 on the Mini-Mental State Exam >3 according to the Functional Ambulation Category (FAC) no pathology in visual ability and hearing Exclusion Criteria: neurologist-diagnosed dementia or Alzheimer's disease ambulatory only with a wheelchair amputated lower extremity

Ages Eligible for Study
-----------------
Minimum Age: 60 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------
What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 (α = 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 Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 (α = 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) | 
| 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 (α = 0.94) and valid (r = - 0.83) instrument, was used in the present study. | Baseline (First assessment) | 
| History of Fall | Frequency of falls in the last six months was questioned. | Baseline (First assessment) | 
| Leg Pain | Presence of leg pain at rest and during activity was questioned. | Baseline (First assessment) | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
accidental falls, activity restriction, fear of falling, participation restriction, psychometrics