Clinical trial NCT04139109: The Turkish Version of the Survey of Activities and Fear of Falling in the Elderly
Official title: The Reliability and Validity of the Turkish Version of the Survey of Activities and Fear of Falling in the Elderly
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Fall
Old Age; Debility
Fear
Activity, Motor
Participation, Patient
Keywords: accidental falls
activity restriction
fear of falling
participation restriction
psychometrics
Lead sponsor: Istanbul University - Cerrahpasa
Sponsor class: OTHER
First posted: 2019-10-25
Enrollment: 111
Sex: ALL
Minimum age (years): 60
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: CASE_ONLY
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: One-hundred eleven older adults who were admitted to the Department of Geriatrics at Istanbul Medeniyet University Goztepe Training and Research Hospital or who volunteered to participate in this study via an online form, were evaluated between January 2018 and July 2018.

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.

Eligibility criteria: 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

Primary outcomes:
measure: The Survey of Activities and Fear of Falling in the Elderly
timeFrame: Baseline (First assessment)
Secondary outcomes:
measure: The Survey of Activities and Fear of Falling in the Elderly
timeFrame: Within a 5-to-7-day period after the first assessment (Second assessment)
measure: Falls Efficiency Scale-International
timeFrame: Baseline (First assessment)
measure: History of Fall
timeFrame: Baseline (First assessment)
measure: Leg Pain
timeFrame: Baseline (First assessment)
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Istanbul University-Cerrahpasa
state: Bakırkoy
Study officials:
affiliation: Istanbul University - Cerrahpasa
name: Burcu Ersoz Huseyinsinoglu, PhD
role: STUDY_DIRECTOR
References:
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. doi: 10.1093/geronb/53b.1.p43.
citation: 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.0b013e3182493d20.
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. doi: 10.1093/geront/42.1.17.
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 Jan 27.
citation: Ersoz Huseyinsinoglu B, Tufekcioglu Z, Birinci T, Demirdag F. The Reliability and Validity of the Turkish Version of the Survey of Activities and Fear of Falling in the Elderly. J Geriatr Phys Ther. 2021 Apr-Jun 01;44(2):E132-E137. doi: 10.1519/JPT.0000000000000260.