Chinese version of the fear of falling assessment tools for older adults based on COSMIN guidelines: a systematic review_Chinese Journal of Evidence-Based Medicine

Authors：

ZHOU Yue , PAN Yufan , DAI Yu , SUN Yujian , XIAO Yi ,  YU Yufeng

College of nursing, Chengdu University of Traditional Chinese Medicine, Chengdu 610032, P. R. China;

Corresponding author：

YU Yufeng, Email: 19902026@cdutcm.edu.cn

Keywords：

Elderly; Fear of falling; Scale; Psychometrics; Systematic review; COSMIN

DOI：

10.7507/1672-2531.202402069

Video：

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Objective This study aimed to systematically review the quality of psychometric properties and methodological quality of the Chinese versions of fear of falling assessment tools for the elderly, providing evidence-based guidance for medical staff in selecting high-quality assessment tools. Methods We systematically searched CNKI, WanFang Data, VIP, CBM, PubMed, Embase, and Web of Science databases for studies related to the evaluation of psychometric properties and methodological quality of fear of falling assessment tools for the elderly. The search spanned from the inception of the databases to January 19, 2024. Two researchers independently screened literature and extracted data using the consensus-based standards for the selection of health measurement instruments. The COSMIN risk of bias checklist and quality criteria were employed to evaluate instrument measurement characteristics and formulate final recommendations. Results Fifteen studies involving 11 Chinese versions of fear of falling assessment tools for the elderly were included. None of the studies reported measurement error, cross-cultural validity, or responsiveness. Due to insufficient or uncertain content validity and low or below-quality evidence, all 11 tools received a recommendation of level B. Conclusion Among the 11 instruments, the Chinese version of IFES demonstrates the most balanced measurement characteristics, along with good reliability and validity. However, further verification of other measurement characteristics of this instrument is warranted.

Citation： ZHOU Yue, PAN Yufan, DAI Yu, SUN Yujian, XIAO Yi, YU Yufeng. Chinese version of the fear of falling assessment tools for older adults based on COSMIN guidelines: a systematic review. Chinese Journal of Evidence-Based Medicine, 2024, 24(11): 1305-1311. doi: 10.7507/1672-2531.202402069 Copy

1.	Salari N, Darvishi N, Ahmadipanah M, et al. Global prevalence of falls in the older adults: a comprehensive systematic review and meta-analysis. J Orthop Surg Res, 2022, 17(1): 334.
2.	Wu KY, Chen DR, Chan CC, et al. Fear of falling as a mediator in the association between social frailty and health-related quality of life in community-dwelling older adults. BMC Geriatr, 2023, 23(1): 421.
3.	康宁, 于海军, 陆晓敏, 等. 中国老年人跌倒发生率的Meta分析. 中国循证医学杂志, 2022, 22(10): 1142-1148.
4.	Huang X, Jiang Y, Liu Y, et al. Influencing factors of falls among older adults in Chinese retirement institutions: a systematic review and meta-analysis. PLoS One, 2023, 18(12): e0296348.
5.	Jung D. Fear of falling in older adults: comprehensive review. Asian Nurs Res (Korean Soc Nurs Sci), 2008, 2(4): 214-222.
6.	Lee D, Tak SH. A concept analysis of fear of falling in older adults: insights from qualitative research studies. BMC Geriatr, 2023, 23(1): 651.
7.	Xiong W, Wang D, Ren W, et al. The global prevalence of and risk factors for fear of falling among older adults: a systematic review and meta-analysis. BMC Geriatr, 2024, 24(1): 321-329.
8.	Sawa R, Doi T, Tsutsumimoto K, et al. Overlapping status of frailty and fear of falling: an elevated risk of incident disability in community-dwelling older adults. Aging Clin Exp Res, 2023, 35(9): 1937-1944.
9.	Lee S, Hong GS. The predictive relationship between factors related to fear of falling and mortality among community-dwelling older adults in Korea: analysis of the Korean longitudinal study of aging from 2006 to 2014. Aging Ment Health, 2020, 24(12): 1999-2005.
10.	Prinsen CAC, Mokkink LB, Bouter LM, et al. COSMIN guideline for systematic reviews of patient-reported outcome measures. Qual Life Res, 2018, 27(5): 1147-1157.
11.	Terwee CB, Jansma EP, Riphagen II, et al. Development of a methodological PubMed search filter for finding studies on measurement properties of measurement instruments. Qual Life Res, 2009, 18(8): 1115-1123.
12.	Alhazzani W, Guyatt G. An overview of the GRADE approach and a peek at the future. Med J Aust, 2018, 209(7): 291-292.
13.	郝燕萍, 刘雪琴. 修订版跌倒效能量表在我国老年人群中的测试研究. 中华护理杂志, 2007, 42(1): 19-21.
14.	黄蓉蓉, 孙慧敏, 王进波, 等. 图像版跌倒效能量表的跨文化调适. 中国实用护理杂志, 2019, 35(2): 126-131.
15.	Chan P, Chan A, Lau E, et al. Translation and validation study of the Chinese version Iconographical Falls Efficacy Scale-Short Version (Icon-FES). Arch Gerontol Geriatr, 2018, 77(1): 1-7.
16.	Lee SC, Tzeng IS, Feng CT, et al. Cross-cultural adaptation and psychometric property testing of the Taiwan Chinese version of the iconographical falls efficacy scale. J Formos Med Assoc, 2024, 123(6): 655-663.
17.	Huang TT. Geriatric fear of falling measure: development and psychometric testing. Int J Nurs Stud, 2006, 43(3): 357-365.
18.	Chang KC, Chen HS, Horng YS, et al. Cross-cultural adaptation of the Taiwan Chinese version of the Falls Efficacy Scale-International for community-dwelling elderly individuals. BMC Geriatr, 2022, 22(1): 881.
19.	Kwan MM, Tsang WW, Close JC, et al. Development and validation of a Chinese version of the Falls Efficacy Scale International. Arch Gerontol Geriatr, 2013, 56(1): 169-174.
20.	郭启云, 郭沐洁, 张林, 等. 国际版跌倒效能量表汉化后信效度评价. 中国全科医学, 2015, 18(35): 4273-4276.
21.	Guan Q, Han H, Li Y, et al. Activities-specific Balance Confidence (ABC) Scale adapted for the mainland population of China. Clin Rehabil, 2012, 26(7): 648-655.
22.	Mak MK, Lau AL, Law FS, et al. Validation of the Chinese translated activities-specific balance confidence scale. Arch Phys Med Rehabil, 2007, 88(4): 496-503.
23.	郭启云, 刘堃, 高涵, 等. 修订版老年人活动和害怕跌倒量表汉化后的信效度分析. 中国实用护理杂志, 2014, 30(33): 73-76.
24.	颜文, 张雪梅, 陈茜. 养老机构跌倒自我效能量表的汉化及信效度研究. 护理研究, 2019, 33(18): 3254-3257.
25.	陈正权. 躯体感觉敏感度在自主姿势控制中效应的探讨. 上海: 上海体育学院, 2019.
26.	王蕾, 王颖, 鲁志卉, 等. 修订版跌倒恐惧问卷的汉化及信效度研究. 护理研究, 2022, 36(7): 1134-1138.
27.	贾志花, 陆皓, 汉瑞娟, 等. 住院患者害怕跌倒问卷的编制及信效度检验. 中西医结合心血管病电子杂志, 2020, 8(1): 122.
28.	彭健, 沈蓝君, 陈祎婷, 等. COSMIN-RoB清单简介及测量工具内部结构研究的偏倚风险清单解读. 中国循证医学杂志, 2020, 20(10): 1234-1240.
29.	Terwee CB, Prinsen CAC, Chiarotto A, et al. COSMIN methodology for evaluating the content validity of patient-reported outcome measures: a delphi study. Qual Life Res, 2018, 27(5): 1159-1170.
30.	Mokkink LB, de Vet HCW, Prinsen CAC, et al. COSMIN risk of bias checklist for systematic reviews of patient-reported outcome measures. Qual Life Res, 2018, 27(5): 1171-1179.
31.	Mokkink LB, Terwee CB, Patrick DL, et al. The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes. J Clin Epidemiol, 2010, 63(7): 737-745.
32.	Mokkink LB, Terwee CB, Patrick DL, et al. The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international delphi study. Qual Life Res, 2010, 19(4): 539-549.
33.	陈祎婷, 彭健, 沈蓝君, 等. COSMIN方法介绍: 结合一项系统评价实例进行解读. 护理研究, 2021, 35(9): 1505-1510.
34.	施月仙, 张海明, 黄亚琪, 等. 选择健康测量工具的共识标准(COSMIN)偏倚风险评价清单的解读. 中国护理管理, 2021, 21(7): 1053-1057.
35.	Wang Z, Zhu Y, Duan X, et al. HIV-specific reported outcome measures: systematic review of psychometric properties. JMIR Public Health Surveill, 2022, 8(12): e39015.

1. Salari N, Darvishi N, Ahmadipanah M, et al. Global prevalence of falls in the older adults: a comprehensive systematic review and meta-analysis. J Orthop Surg Res, 2022, 17(1): 334.
2. Wu KY, Chen DR, Chan CC, et al. Fear of falling as a mediator in the association between social frailty and health-related quality of life in community-dwelling older adults. BMC Geriatr, 2023, 23(1): 421.
3. 康宁, 于海军, 陆晓敏, 等. 中国老年人跌倒发生率的Meta分析. 中国循证医学杂志, 2022, 22(10): 1142-1148.
4. Huang X, Jiang Y, Liu Y, et al. Influencing factors of falls among older adults in Chinese retirement institutions: a systematic review and meta-analysis. PLoS One, 2023, 18(12): e0296348.
5. Jung D. Fear of falling in older adults: comprehensive review. Asian Nurs Res (Korean Soc Nurs Sci), 2008, 2(4): 214-222.
6. Lee D, Tak SH. A concept analysis of fear of falling in older adults: insights from qualitative research studies. BMC Geriatr, 2023, 23(1): 651.
7. Xiong W, Wang D, Ren W, et al. The global prevalence of and risk factors for fear of falling among older adults: a systematic review and meta-analysis. BMC Geriatr, 2024, 24(1): 321-329.
8. Sawa R, Doi T, Tsutsumimoto K, et al. Overlapping status of frailty and fear of falling: an elevated risk of incident disability in community-dwelling older adults. Aging Clin Exp Res, 2023, 35(9): 1937-1944.
9. Lee S, Hong GS. The predictive relationship between factors related to fear of falling and mortality among community-dwelling older adults in Korea: analysis of the Korean longitudinal study of aging from 2006 to 2014. Aging Ment Health, 2020, 24(12): 1999-2005.
10. Prinsen CAC, Mokkink LB, Bouter LM, et al. COSMIN guideline for systematic reviews of patient-reported outcome measures. Qual Life Res, 2018, 27(5): 1147-1157.
11. Terwee CB, Jansma EP, Riphagen II, et al. Development of a methodological PubMed search filter for finding studies on measurement properties of measurement instruments. Qual Life Res, 2009, 18(8): 1115-1123.
12. Alhazzani W, Guyatt G. An overview of the GRADE approach and a peek at the future. Med J Aust, 2018, 209(7): 291-292.
13. 郝燕萍, 刘雪琴. 修订版跌倒效能量表在我国老年人群中的测试研究. 中华护理杂志, 2007, 42(1): 19-21.
14. 黄蓉蓉, 孙慧敏, 王进波, 等. 图像版跌倒效能量表的跨文化调适. 中国实用护理杂志, 2019, 35(2): 126-131.
15. Chan P, Chan A, Lau E, et al. Translation and validation study of the Chinese version Iconographical Falls Efficacy Scale-Short Version (Icon-FES). Arch Gerontol Geriatr, 2018, 77(1): 1-7.
16. Lee SC, Tzeng IS, Feng CT, et al. Cross-cultural adaptation and psychometric property testing of the Taiwan Chinese version of the iconographical falls efficacy scale. J Formos Med Assoc, 2024, 123(6): 655-663.
17. Huang TT. Geriatric fear of falling measure: development and psychometric testing. Int J Nurs Stud, 2006, 43(3): 357-365.
18. Chang KC, Chen HS, Horng YS, et al. Cross-cultural adaptation of the Taiwan Chinese version of the Falls Efficacy Scale-International for community-dwelling elderly individuals. BMC Geriatr, 2022, 22(1): 881.
19. Kwan MM, Tsang WW, Close JC, et al. Development and validation of a Chinese version of the Falls Efficacy Scale International. Arch Gerontol Geriatr, 2013, 56(1): 169-174.
20. 郭启云, 郭沐洁, 张林, 等. 国际版跌倒效能量表汉化后信效度评价. 中国全科医学, 2015, 18(35): 4273-4276.
21. Guan Q, Han H, Li Y, et al. Activities-specific Balance Confidence (ABC) Scale adapted for the mainland population of China. Clin Rehabil, 2012, 26(7): 648-655.
22. Mak MK, Lau AL, Law FS, et al. Validation of the Chinese translated activities-specific balance confidence scale. Arch Phys Med Rehabil, 2007, 88(4): 496-503.
23. 郭启云, 刘堃, 高涵, 等. 修订版老年人活动和害怕跌倒量表汉化后的信效度分析. 中国实用护理杂志, 2014, 30(33): 73-76.
24. 颜文, 张雪梅, 陈茜. 养老机构跌倒自我效能量表的汉化及信效度研究. 护理研究, 2019, 33(18): 3254-3257.
25. 陈正权. 躯体感觉敏感度在自主姿势控制中效应的探讨. 上海: 上海体育学院, 2019.
26. 王蕾, 王颖, 鲁志卉, 等. 修订版跌倒恐惧问卷的汉化及信效度研究. 护理研究, 2022, 36(7): 1134-1138.
27. 贾志花, 陆皓, 汉瑞娟, 等. 住院患者害怕跌倒问卷的编制及信效度检验. 中西医结合心血管病电子杂志, 2020, 8(1): 122.
28. 彭健, 沈蓝君, 陈祎婷, 等. COSMIN-RoB清单简介及测量工具内部结构研究的偏倚风险清单解读. 中国循证医学杂志, 2020, 20(10): 1234-1240.
29. Terwee CB, Prinsen CAC, Chiarotto A, et al. COSMIN methodology for evaluating the content validity of patient-reported outcome measures: a delphi study. Qual Life Res, 2018, 27(5): 1159-1170.
30. Mokkink LB, de Vet HCW, Prinsen CAC, et al. COSMIN risk of bias checklist for systematic reviews of patient-reported outcome measures. Qual Life Res, 2018, 27(5): 1171-1179.
31. Mokkink LB, Terwee CB, Patrick DL, et al. The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes. J Clin Epidemiol, 2010, 63(7): 737-745.
32. Mokkink LB, Terwee CB, Patrick DL, et al. The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international delphi study. Qual Life Res, 2010, 19(4): 539-549.
33. 陈祎婷, 彭健, 沈蓝君, 等. COSMIN方法介绍: 结合一项系统评价实例进行解读. 护理研究, 2021, 35(9): 1505-1510.
34. 施月仙, 张海明, 黄亚琪, 等. 选择健康测量工具的共识标准(COSMIN)偏倚风险评价清单的解读. 中国护理管理, 2021, 21(7): 1053-1057.
35. Wang Z, Zhu Y, Duan X, et al. HIV-specific reported outcome measures: systematic review of psychometric properties. JMIR Public Health Surveill, 2022, 8(12): e39015.

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