Volume 25, Issue 4 (Winter 2025)
jrehab 2025, 25(4): 746-765 |
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Ghorbanpour Z, Hosseini S A, Osqueizadeh R, Jamali S, Pishyareh E, Fallah S. Development and Validation of a Single-Item Scale to Screen Fear of Falling in Patients Experiencing Chronic Stroke. jrehab 2025; 25 (4) :746-765
URL: http://rehabilitationj.uswr.ac.ir/article-1-3404-en.html
URL: http://rehabilitationj.uswr.ac.ir/article-1-3404-en.html
Zahra Ghorbanpour1 
, Seyed Ali Hosseini2 , Reza Osqueizadeh3 , Shamsi Jamali4 , Ebrahim Pishyareh *5 , Soheila Fallah6
, Seyed Ali Hosseini2 , Reza Osqueizadeh3 , Shamsi Jamali4 , Ebrahim Pishyareh *5 , Soheila Fallah6
1- Department of Occupational Therapy, Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Tehran
2- Department of Occupational Therapy, Neuromusculoskeletal Rehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Tehran
3- Department of Ergonomics, School of Rehabilitation Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Tehran
4- Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran., Tehran
5- Department of Occupational Therapy, Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. ,eb.pishyareh@uswr.ac.ir
6- Department of Neurosciences, Faculty of Advanced Technologies in Medicine, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Occupational Therapy, Neuromusculoskeletal Rehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Tehran
3- Department of Ergonomics, School of Rehabilitation Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Tehran
4- Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran., Tehran
5- Department of Occupational Therapy, Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. ,
6- Department of Neurosciences, Faculty of Advanced Technologies in Medicine, Iran University of Medical Sciences, Tehran, Iran.
Abstract: (3661 Views)
Objective Fear of falling (FOF) is a critical and highly prevalent neuropsychological disorder in stroke patients, confining the individual in mobility, activities of daily living, and communication. Screening and detecting FOF is crucial in effective and efficient rehabilitation management. Considering that none of the questionnaires that assess the FOF in patients with stroke are single-item, the present study was conducted to design and validate a single-item scale (FOF rating scale [FOF-RS]) for a faster and step-by-step screening of the FOF in stroke patients. Also, considering the impact of psychosocial factors such as anxiety and depression on the fear of falling in these patients, they were controlled in this study.
Materials & 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 SHohada Hospital, Nizam Mafi Clinic, Hasti Clinic, and Iran Rehabilitation Faculty Clinic through convenience sampling in Tehran City, Iran. Sampling was conducted within 3 months, between December 2021 and March 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 receiver operating characteristics curve analysis, the resulting cut-off point for the FOF-RS (>3) had a satisfactory level of specificity (82.30) and sensitivity (77.61). Also, the positive predictive value and negative predictive value were 32.8 and 97.1, respectively.
Conclusion The FOF-RS has an adequate level of diagnostic accuracy and may well be used as a fast tool for screening FOF. Besides, it could assess step-by-step protocols in chronic stroke patients.
Materials & 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 SHohada Hospital, Nizam Mafi Clinic, Hasti Clinic, and Iran Rehabilitation Faculty Clinic through convenience sampling in Tehran City, Iran. Sampling was conducted within 3 months, between December 2021 and March 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 receiver operating characteristics curve analysis, the resulting cut-off point for the FOF-RS (>3) had a satisfactory level of specificity (82.30) and sensitivity (77.61). Also, the positive predictive value and negative predictive value were 32.8 and 97.1, respectively.
Conclusion The FOF-RS has an adequate level of diagnostic accuracy and may well be used as a fast tool for screening FOF. Besides, it could assess step-by-step protocols in chronic stroke patients.
Type of Study: Original |
Subject:
Occupational Therapy
Received: 1/12/2023 | Accepted: 23/04/2024 | Published: 1/01/2025
Received: 1/12/2023 | Accepted: 23/04/2024 | Published: 1/01/2025
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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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