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Ghorbanpour Z, Taghizadeh G, Hosseini S A, Osqueizadeh R, Jamali S, Pishyareh E. Development and Validation of a Single-Item Scale to Screen Fear of Falling in Patients Experiencing Chronic Stroke. jrehab 2025; 25 (4)
URL: http://rehabilitationj.uswr.ac.ir/article-1-3404-en.html
URL: http://rehabilitationj.uswr.ac.ir/article-1-3404-en.html
Zahra Ghorbanpour1 
, Ghorban Taghizadeh2 , Seyed Ali Hosseini3 , Reza Osqueizadeh4 , Shamsi Jamali5 , Ebrahim Pishyareh * 6
, Ghorban Taghizadeh2 , Seyed Ali Hosseini3 , Reza Osqueizadeh4 , Shamsi Jamali5 , Ebrahim Pishyareh * 6
1- Department of Occupational Therapy, School of Rehabilitation Sciences, Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Tehran
2- Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran., Tehran
3- Department of Occupational Therapy, School of Rehabilitation Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Tehran
4- Department of Ergonomics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Tehran
5- Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran., Tehran
6- Department of Occupational Therapy, School of Rehabilitation Sciences, Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. ,eb.pishyareh@uswr.ac.ir
2- Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran., Tehran
3- Department of Occupational Therapy, School of Rehabilitation Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Tehran
4- Department of Ergonomics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Tehran
5- Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran., Tehran
6- Department of Occupational Therapy, School of Rehabilitation Sciences, Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. ,
Abstract: (2009 Views)
Purpose: Fear of falling (FOF) is a critical and highly prevalent neuropsychological disorder in stroke patients, confining the individual in mobility and activities of daily living, as well as communication. Screening and early detection of fear of falling, plays a crucial role in an effective and efficient rehabilitation management . Considering that the questionnaires that exist to assess the fear of falling in patients with stroke, none of them are single-item, Therefore, the present study was conducted in order to design and validate a single-item scale (Fear of Falling Rating Scale (FOF-RS) for a faster and step-by-step screening of the fear of falling in stroke patients. Also, considering the impact of psychosocial factors such as anxiety and depression on the fear of falling in these patients, these factors (anxiety and depression) have been controlled in this study.
Methods: In a cross-sectional study, 180 participants suffering post stroke symptoms were recruited from public and private rehabilitation clinics including: Rafideh Hospital, Loqman Hospital, Tajrish Hospital, Nizam Mafi Clinic, Hasti Clinic, Iran Rehabilitation Faculty Clinic through convenience sampling technique in Tehran, Iran. Sampling was carried out within a 3-month period, between Dec. 2021 and Mar. 2022. The cut-off point and validity indicators were computed for FOF-RS considering FES-I (Falls Efficacy Scale - International), as a criterion measure.
Results: Based on ROC Curve analysis, the resulted cut-off point for the FOF-RS (>3) had satisfactory level for specificity (82.30) and sensitivity (77.61); and the PPV and NPV were 32.8 and 97.1, respectively.
Conclusion: The FoF-RS has an effective level of diagnostic accuracy and may well be used as a fast tool for screening FOF. Besides, it could be employed for assessing the step by step protocols in chronic stroke patients.
Methods: In a cross-sectional study, 180 participants suffering post stroke symptoms were recruited from public and private rehabilitation clinics including: Rafideh Hospital, Loqman Hospital, Tajrish Hospital, Nizam Mafi Clinic, Hasti Clinic, Iran Rehabilitation Faculty Clinic through convenience sampling technique in Tehran, Iran. Sampling was carried out within a 3-month period, between Dec. 2021 and Mar. 2022. The cut-off point and validity indicators were computed for FOF-RS considering FES-I (Falls Efficacy Scale - International), as a criterion measure.
Results: Based on ROC Curve analysis, the resulted cut-off point for the FOF-RS (>3) had satisfactory level for specificity (82.30) and sensitivity (77.61); and the PPV and NPV were 32.8 and 97.1, respectively.
Conclusion: The FoF-RS has an effective level of diagnostic accuracy and may well be used as a fast tool for screening FOF. Besides, it could be employed for assessing the step by step protocols in chronic stroke patients.
Type of Study: Original |
Subject:
Occupational Therapy
Received: 1/12/2023 | Accepted: 23/04/2024 | Published: 28/02/2025
Received: 1/12/2023 | Accepted: 23/04/2024 | Published: 28/02/2025
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This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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