Key result
ABC-6 outperforms other scales in assessing fear of falling among older adults.
Why the study?
This study aimed to compare the psychometric properties of four fear of falling scales in older adults.
Which fear of falling scale has the best diagnostic performance properties in older adults?
Cross-Sectional
Which fear of falling scale has the best diagnostic performance properties in older adults?
The ABC-6 scale demonstrates the best diagnostic performance for assessing fear of falling in older adults compared to other commonly used scales.
Supports preferring ABC-6 for fear-of-falling assessment in older adults; leaves open confirmation in larger prospective studies before practice change.
Objectives: This study aimed to compare the psychometric properties of Falls Efficacy Scale-International, Activities-Specific Balance Confidence Scale, short version of Activities-Specific Balance Confidence Scale, and Geriatric Fear of Falling Measure in older adults. Material and Methods: The translation and back translation, qualitative and quantitative of face and content validity and construct validity were performed using exploratory factor analysis and convergent validity. The reliability of the scales was assessed by internal consistency (Cronbach’s α) and test-retest (intra-class correlation). Results: The results showed that the ABC-6 scale has the best diagnostic performance properties among older adults.
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Hiteh et al. (2025) conducted a cross-sectional in Fear of falling. Fear of falling scales (FES-I, ABC, ABC-6, GFFM) was evaluated on Psychometric properties (validity and reliability). The short version of the Activities-Specific Balance Confidence Scale (ABC-6) demonstrated the best diagnostic performance properties among older adults compared to other fear of falling scales.
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