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Translation and Content Validation of the Korean Version of the Falls Efficacy Scale for Stroke and Brain Injury Patients

뇌졸중 및 뇌손상 환자를 위한 한국판 넘어짐효능감척도(Korean Version-Falls Efficacy Scale) 번안과 내용타당도 연구

  • Su-jin Kim (Department of Physical Therapy, College of Medical Science, Jeonju University) ;
  • Jeong-Ah Kim (iMOVE Center) ;
  • Su-jin Hwang (Department of Physical Therapy, Division of Health Science, Baekseok University)
  • 김수진 (전주대학교 의과학대학 물리치료학과) ;
  • 김정아 (아이무브센터) ;
  • 황수진 (백석대학교 보건학부 물리치료학과)
  • Received : 2023.11.26
  • Accepted : 2023.12.05
  • Published : 2023.12.31

Abstract

Purpose: The purpose of this study was to develop a Korean version of the Falls Efficacy Scale (K-FES), which is used to measure the fear of falling, that is conceptually equivalent to the original and culturally adaptable to the Korean population. Methods: A five-step translation and adaptation process was employed to create the K-FES, adhering to the established guidelines for cross-cultural rehabilitation outcome measures. The content validity was then evaluated by 22 rehabilitation professionals (15 males and 7 females) with an average clinical experience of 201 months at neurological rehabilitation centers. The content validity ratio and index were used as a basis for judgment. Results: The translation process identified inconsistencies with the terms "objects" and "telephone" in the original Falls Efficacy Scale, which were subsequently resolved in the final K-FES version. The content validity ratios for the original, second, and third versions of the K-FES ranged from -0.27-0.91, -0.27-0.91, and -0.27-0.91, respectively. Correspondingly, the content validity index values for the original, second, and third versions of the K-FES ranged from 0.77-1.00, 0.68-1.00, and 0.63-1.00, respectively. Conclusions: The K-FES was rigorously developed through translation, adaptation, and validation processes, making it a reliable tool for Korean stroke rehabilitation professionals. It is expected to be instrumental in clinical and research settings to assess postural stability and fall risk in patients with strokes and brain injuries.

Keywords

Acknowledgement

This research was supported by the Rehabilitation Research & Development Support Program (#NRCRSP-EX23010), National Rehabilitation Center, Ministry of Health and Welfare, Korea.

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