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Fear of Falling and Activity Restriction: The Survey of Activities and Fear of Falling in the Elderly (SAFE)
Abstract
A new instrument was developed to assess the role of fear of falling in activity restriction. The instrument assesses fear of falling during performance of 11 activities, and gathers information about participation in these activities as well as the extent to which fear is a source of activity restriction. The instrument demonstrated good internal consistency reliability and showed convergent validity with other fear of falling measures. Concurrent (empirical) validity was demonstrated in that the scale was effective in differentiating among those who were expected to be afraid vs. not afraid of falling. Criterion validity was examined in relation to quality of life variables. Fear of falling was shown to be related to lower quality of life, even when controlling for related background factors. One advantage of this measure over existing measures is the possibility for differentiating fear of falling that leads to activity restriction from fear of falling that accompanies activity. This may provide useful information for those interested in treating fear of falling of promoting activity among the elderly.
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Citations
Cited by
Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons
Scheffer, A. C., Schuurmans, M. J., van Dijk, N., van der Hooft, T., & de Rooij, S. E. (2008) · Age and Ageing · doi:10.1093/ageing/afm169 · Cited by 1,451
Friedman, S. M., Munoz, B., West, S. K., Rubin, G. S., & Fried, L. P. (2002) · Journal of the American Geriatrics Society · doi:10.1046/j.1532-5415.2002.50352.x · Cited by 1,050
The Falls Efficacy Scale International (FES-I). A comprehensive longitudinal validation study
Delbaere, K., Close, J. C. T., Mikolaizak, A. S., Sachdev, P. S., Brodaty, H., & Lord, S. R. (2010) · Age and Ageing · doi:10.1093/ageing/afp225 · Cited by 852
Sullivan, A. N., & Lachman, M. E. (2017) · Frontiers in Public Health · doi:10.3389/fpubh.2016.00289 · Cited by 458
Self-citationSchoene, D., Heller, C., Aung, Y. N., Sieber, C. C., Kemmler, W., & Freiberger, E. (2019) · Clinical Interventions in Aging · doi:10.2147/cia.s197857 · Cited by 426
Metadata
- Authors
- Lachman, M. E., Howland, J., Tennstedt, S., Jette, A., Assmann, S., & Peterson, E. W.
- Venue
- The Journals of Gerontology Series B: Psychological Sciences and Social Sciences
- Publisher
- Oxford University Press (OUP)
- Published
- 1998-01-01
- Volume
- 53B
- Issue
- 1
- Pages
- P43-P50
- ISSN
- 1079-5014 (ISSN-L)
- 1758-5368
- OpenAlex
- W2149297160
- Cited by
- 622
- References
- 0
- FWCI
- 20.19
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Fear of Falling and Activity Restriction: The Survey of Activities and Fear of Falling in the Elderly (SAFE). https://app.cochat.ai/papers/10.1093/geronb/53b.1.p43
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- Lachman, M. E., Howland, J., Tennstedt, S., Jette, A., Assmann, S., & Peterson, E. W. (1998). Fear of Falling and Activity Restriction: The Survey of Activities and Fear of Falling in the Elderly (SAFE). The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. https://doi.org/10.1093/geronb/53b.1.p43
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.