COSMIN database

Measurement of fall-related psychological constructs among independent-living older adults: A review of the research literature

Moore, D. S. and Ellis, R.
Objectives: Falls and the fall-related psychological concerns associated with these events pose a serious public health problem among aging adults. The measurement of fall-related psychological concerns can serve as important endpoints for fall prevention programs, yet there is some confusion regarding the best method of defining and measuring fall-related psychological constructs. Consequently, greater attention should be devoted to investigating fall-related psychological constructs and their measurement. Therefore, the purpose of this paper was to review the published research literature on the measurement of fall-related psychological constructs among independent-living older adults. Method: Electronic searches of PubMed, EBSCO, Academic Search Premier, PsycINFO, CINAHL and online library catalogs were conducted using search terms including but not limited to 'fear of falling', 'falls efficacy', 'fall-related self-efficacy', 'balance confidence', 'fall-related psychological outcome(s)' and 'independent-living'. Results: Each of these constructs is unique, yet instruments are often employed to measure constructs other than those the instruments were designed to assess. Inconsistencies were also revealed both within and across studies in terms of providing evidence of validity for these instruments. Conclusion: Fall-related psychological constructs, although similar in nature, are unique constructs and should be measured as such.
Pii 905730797
<Go to ISI>://WOS:000261094000002
Aging & Mental Health
Publication year:
Symptom status:
Cognitive/mental state
Emotional state
Seniors (65+)
Factors influencing health status and contact with health services
Mental and behavioural disorders and related symptoms
PRO / non-PRO:
Patient Reported Outcome
Type of measurement instrument:
1 - Questionnaires
2 - Interviews
ABC-6 - Activities-specific Balance Confidence scale-6 items
ABC modified - Activities-specific Balance Confidence scale modified
ABC scale - Activities-specific Balance Confidence scale    
amFES - amended Falls Efficacy Scale
Balance Self-perceptions Test
CoF - Consequences of Falling Scale
FES - Falls Efficacy Scale
FES-I - Falls Efficacy Scale International   
FFM - Fear of Falling Measure (University of Illinois at Chicago)
GES - Gait Efficacy Scale
MES - Mobility Efficacy Scale
mFES - modified Falls Efficacy Scale
mSAFFE - modified Survey of Activities and Fear of Falling in the Elderly
PAMF - Perceived Ability to Manage Falls
PCOF - Perceived Control Over Falling
rFES - revised Falls Efficacy Scale
SAFFE - Survey of Activities and Fear of Falling in the Elderly