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The Short FES-I: a shortened version of the falls efficacy scale-international to assess fear of falling

Open access
Kempen, G. I. J. M., Yardley, L., Van Haastregt, J. C. M., Zijlstra, G. A. R., Beyer, N., Hauer, K., Todd, C.·2007·Age and Ageing

Abstract

BACKGROUND: the 16-item Falls Efficacy Scale-International (FES-I) has been shown to have excellent reliability and construct validity. However, for practical and clinical purposes, a shortened version of the FES-I would be useful. OBJECTIVE: to develop and validate a shortened version of FES-I while preserving good psychometric properties. DESIGN: initial development of a shortened version using data from a UK survey (Short FES-I; n = 704), test of reliability and validity of the Short FES-I using data from a Dutch survey (n = 300). SETTING: community samples. METHODS: comparison of reliability and validity of the Short FES-I and the FES-I in a random sample of 193 people aged between 70 and 92. RESULTS: the internal and 4-week test-retest reliability of the Short FES-I is excellent (Cronbach's alpha 0.92, intra-class coefficient 0.83) and comparable to the FES-I. The correlation between the Short FES-I and the FES-I is 0.97. Patterns in differences with respect to mean scores according to age, sex, falls history, and overall fear of falling are similar for the Short FES-I and the FES-I. The FES-I had slightly better power to discriminate between groups differentiated by age, sex, falls history, and fear falling, but differences are small. CONCLUSIONS: the Short FES-I is a good and feasible measure to assess fear of falling in older persons. However, if researchers or clinicians are particularly interested in the distributions of specific fear of falling-related activities not included in the Short FES-I, the use of the full FES-I is recommended.

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Metadata

Authors
Kempen, G. I. J. M., Yardley, L., Van Haastregt, J. C. M., Zijlstra, G. A. R., Beyer, N., Hauer, K., & Todd, C.
Venue
Age and Ageing
Published
2007-10-11
Volume
37
Issue
1
Pages
45-50
ISSN
  • 0002-0729 (ISSN-L)
  • 1468-2834
OpenAlex
W2098643673
Cited by
819
References
18
FWCI
21.95
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: The Short FES-I: a shortened version of the falls efficacy scale-international to assess fear of falling. https://app.cochat.ai/papers/10.1093/ageing/afm157
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Kempen, G. I. J. M., Yardley, L., Van Haastregt, J. C. M., Zijlstra, G. A. R., Beyer, N., Hauer, K., & Todd, C. (2007). The Short FES-I: a shortened version of the falls efficacy scale-international to assess fear of falling. Age and Ageing. https://doi.org/10.1093/ageing/afm157

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