A Falls Concern Scale for people with spinal cord injury (SCI-FCS)
Study design: Observational study and cross-sectional survey. Objectives: To develop a scale assessing concern about falling in people with spinal cord injuries who are dependent on manual wheelchairs, and to evaluate psychometric properties of this new scale. Setting: Community and hospitals, Austr...
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| Veröffentlicht in: | Spinal cord 2010-09, Vol.48 (9), p.704-709 |
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| creator | Boswell-Ruys, C L Harvey, L A Delbaere, K Lord, S R |
| description | Study design:
Observational study and cross-sectional survey.
Objectives:
To develop a scale assessing concern about falling in people with spinal cord injuries who are dependent on manual wheelchairs, and to evaluate psychometric properties of this new scale.
Setting:
Community and hospitals, Australia.
Methods:
The Spinal Cord Injury-Falls Concern Scale (SCI-FCS) was developed in consultation with SCI professionals. The SCI-FCS addressed concern about falling during 16 activities of daily living associated with falling and specific to people with SCI. One hundred and twenty-five people with either acute or chronic SCI who used manual wheelchairs were assessed on the SCI-FCS and asked questions related to their SCI and overall physical abilities. A subgroup of 20 people was reassessed on the SCI-FCS within 7 days.
Results:
The SCI-FCS had excellent internal and test–retest reliability (Cronbach's α=0.92, intra-class correlation coefficient (ICC)=0.93). Factor analysis revealed three underlying dimensions of the SCI-FCS addressing concern about falling during activities that limit hand support and require movement of the body's centre of mass. The discriminative ability of the SCI-FCS between different diagnostic groups indicated good construct validity. Subjects with a high level of SCI, few previous falls, dependence in vertical transfers and poor perceived sitting ability demonstrated high levels of concern about falling.
Conclusions:
This study suggests that the SCI-FCS is a valid and reliable tool for assessing concern about falling in people with SCI dependent on manual wheelchairs. The SCI-FCS could also assist in determining the effectiveness of fall minimization programs. |
| doi_str_mv | 10.1038/sc.2010.1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_877594531</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>877594531</sourcerecordid><originalsourceid>FETCH-LOGICAL-c443t-be4cba72d3ee7ea2506d8beac9980e83be523ae3ab92ea2137a39d0e4341a5fa3</originalsourceid><addsrcrecordid>eNqF0UtLxDAQAOAgiq6Pg39AgiA-oJpn0xzX4qogeFg9lzSdapduW5Mtsv_elF1d0IOnTJiPmWQGoWNKrinhyY2314wMly00okLFkYyZ2A4xj1kkuOZ7aN_7GSFEU53sor2gmaREjdDtGE9MXXucto0F1-CpNTXgsnW4g7YL4We1eMe-qxpTY9u6AlfNrHdLfDFNH6NJOr08RDulqT0crc8D9Dq5e0kfoqfn-8d0_BRZIfgiykHY3ChWcAAFhkkSF0kOxmqdEEh4DpJxA9zkmoU05cpwXRAQXFAjS8MP0Pmqbufajx78IptX3kJdmwba3meJUlILyem_UklBCBWUBXn6S87a3oWvBiQ0Y1omcUCXK2Rd672DMutcNTdumVGSDQvIvM2GBWRD65N1wT6fQ_EjvycewNkaGB9GXTrT2MpvHKeKEDW4q5XzIdW8gdu87G_XL7uomEk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>749229586</pqid></control><display><type>article</type><title>A Falls Concern Scale for people with spinal cord injury (SCI-FCS)</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Springer Nature - Complete Springer Journals</source><creator>Boswell-Ruys, C L ; Harvey, L A ; Delbaere, K ; Lord, S R</creator><creatorcontrib>Boswell-Ruys, C L ; Harvey, L A ; Delbaere, K ; Lord, S R</creatorcontrib><description>Study design:
Observational study and cross-sectional survey.
Objectives:
To develop a scale assessing concern about falling in people with spinal cord injuries who are dependent on manual wheelchairs, and to evaluate psychometric properties of this new scale.
Setting:
Community and hospitals, Australia.
Methods:
The Spinal Cord Injury-Falls Concern Scale (SCI-FCS) was developed in consultation with SCI professionals. The SCI-FCS addressed concern about falling during 16 activities of daily living associated with falling and specific to people with SCI. One hundred and twenty-five people with either acute or chronic SCI who used manual wheelchairs were assessed on the SCI-FCS and asked questions related to their SCI and overall physical abilities. A subgroup of 20 people was reassessed on the SCI-FCS within 7 days.
Results:
The SCI-FCS had excellent internal and test–retest reliability (Cronbach's α=0.92, intra-class correlation coefficient (ICC)=0.93). Factor analysis revealed three underlying dimensions of the SCI-FCS addressing concern about falling during activities that limit hand support and require movement of the body's centre of mass. The discriminative ability of the SCI-FCS between different diagnostic groups indicated good construct validity. Subjects with a high level of SCI, few previous falls, dependence in vertical transfers and poor perceived sitting ability demonstrated high levels of concern about falling.
Conclusions:
This study suggests that the SCI-FCS is a valid and reliable tool for assessing concern about falling in people with SCI dependent on manual wheelchairs. The SCI-FCS could also assist in determining the effectiveness of fall minimization programs.</description><identifier>ISSN: 1362-4393</identifier><identifier>EISSN: 1476-5624</identifier><identifier>DOI: 10.1038/sc.2010.1</identifier><identifier>PMID: 20125107</identifier><identifier>CODEN: SPCOFM</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/378/1687/1825 ; 692/1807/1693 ; 692/700/478/174 ; Accidental Falls - prevention & control ; Acute Disease ; Adult ; Anatomy ; Attitude to Health ; Biological and medical sciences ; Biomedical and Life Sciences ; Biomedicine ; Cerebrospinal fluid. Meninges. Spinal cord ; Chronic Disease ; Cross-Sectional Studies ; Female ; Health Surveys - methods ; Health Surveys - standards ; Human Physiology ; Humans ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Male ; Medical sciences ; Middle Aged ; Nervous system (semeiology, syndromes) ; Neurochemistry ; Neurology ; Neuropsychology ; Neurosciences ; original-article ; Psychometrics - methods ; Psychometrics - standards ; Spinal Cord Injuries - complications ; Spinal Cord Injuries - psychology ; Surveys and Questionnaires - standards ; Traumas. Diseases due to physical agents</subject><ispartof>Spinal cord, 2010-09, Vol.48 (9), p.704-709</ispartof><rights>International Spinal Cord Society 2010</rights><rights>2015 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Sep 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c443t-be4cba72d3ee7ea2506d8beac9980e83be523ae3ab92ea2137a39d0e4341a5fa3</citedby><cites>FETCH-LOGICAL-c443t-be4cba72d3ee7ea2506d8beac9980e83be523ae3ab92ea2137a39d0e4341a5fa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/sc.2010.1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/sc.2010.1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23170077$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20125107$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Boswell-Ruys, C L</creatorcontrib><creatorcontrib>Harvey, L A</creatorcontrib><creatorcontrib>Delbaere, K</creatorcontrib><creatorcontrib>Lord, S R</creatorcontrib><title>A Falls Concern Scale for people with spinal cord injury (SCI-FCS)</title><title>Spinal cord</title><addtitle>Spinal Cord</addtitle><addtitle>Spinal Cord</addtitle><description>Study design:
Observational study and cross-sectional survey.
Objectives:
To develop a scale assessing concern about falling in people with spinal cord injuries who are dependent on manual wheelchairs, and to evaluate psychometric properties of this new scale.
Setting:
Community and hospitals, Australia.
Methods:
The Spinal Cord Injury-Falls Concern Scale (SCI-FCS) was developed in consultation with SCI professionals. The SCI-FCS addressed concern about falling during 16 activities of daily living associated with falling and specific to people with SCI. One hundred and twenty-five people with either acute or chronic SCI who used manual wheelchairs were assessed on the SCI-FCS and asked questions related to their SCI and overall physical abilities. A subgroup of 20 people was reassessed on the SCI-FCS within 7 days.
Results:
The SCI-FCS had excellent internal and test–retest reliability (Cronbach's α=0.92, intra-class correlation coefficient (ICC)=0.93). Factor analysis revealed three underlying dimensions of the SCI-FCS addressing concern about falling during activities that limit hand support and require movement of the body's centre of mass. The discriminative ability of the SCI-FCS between different diagnostic groups indicated good construct validity. Subjects with a high level of SCI, few previous falls, dependence in vertical transfers and poor perceived sitting ability demonstrated high levels of concern about falling.
Conclusions:
This study suggests that the SCI-FCS is a valid and reliable tool for assessing concern about falling in people with SCI dependent on manual wheelchairs. The SCI-FCS could also assist in determining the effectiveness of fall minimization programs.</description><subject>631/378/1687/1825</subject><subject>692/1807/1693</subject><subject>692/700/478/174</subject><subject>Accidental Falls - prevention & control</subject><subject>Acute Disease</subject><subject>Adult</subject><subject>Anatomy</subject><subject>Attitude to Health</subject><subject>Biological and medical sciences</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Chronic Disease</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Health Surveys - methods</subject><subject>Health Surveys - standards</subject><subject>Human Physiology</subject><subject>Humans</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurochemistry</subject><subject>Neurology</subject><subject>Neuropsychology</subject><subject>Neurosciences</subject><subject>original-article</subject><subject>Psychometrics - methods</subject><subject>Psychometrics - standards</subject><subject>Spinal Cord Injuries - complications</subject><subject>Spinal Cord Injuries - psychology</subject><subject>Surveys and Questionnaires - standards</subject><subject>Traumas. Diseases due to physical agents</subject><issn>1362-4393</issn><issn>1476-5624</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqF0UtLxDAQAOAgiq6Pg39AgiA-oJpn0xzX4qogeFg9lzSdapduW5Mtsv_elF1d0IOnTJiPmWQGoWNKrinhyY2314wMly00okLFkYyZ2A4xj1kkuOZ7aN_7GSFEU53sor2gmaREjdDtGE9MXXucto0F1-CpNTXgsnW4g7YL4We1eMe-qxpTY9u6AlfNrHdLfDFNH6NJOr08RDulqT0crc8D9Dq5e0kfoqfn-8d0_BRZIfgiykHY3ChWcAAFhkkSF0kOxmqdEEh4DpJxA9zkmoU05cpwXRAQXFAjS8MP0Pmqbufajx78IptX3kJdmwba3meJUlILyem_UklBCBWUBXn6S87a3oWvBiQ0Y1omcUCXK2Rd672DMutcNTdumVGSDQvIvM2GBWRD65N1wT6fQ_EjvycewNkaGB9GXTrT2MpvHKeKEDW4q5XzIdW8gdu87G_XL7uomEk</recordid><startdate>20100901</startdate><enddate>20100901</enddate><creator>Boswell-Ruys, C L</creator><creator>Harvey, L A</creator><creator>Delbaere, K</creator><creator>Lord, S R</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20100901</creationdate><title>A Falls Concern Scale for people with spinal cord injury (SCI-FCS)</title><author>Boswell-Ruys, C L ; Harvey, L A ; Delbaere, K ; Lord, S R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c443t-be4cba72d3ee7ea2506d8beac9980e83be523ae3ab92ea2137a39d0e4341a5fa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>631/378/1687/1825</topic><topic>692/1807/1693</topic><topic>692/700/478/174</topic><topic>Accidental Falls - prevention & control</topic><topic>Acute Disease</topic><topic>Adult</topic><topic>Anatomy</topic><topic>Attitude to Health</topic><topic>Biological and medical sciences</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Cerebrospinal fluid. 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Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boswell-Ruys, C L</creatorcontrib><creatorcontrib>Harvey, L A</creatorcontrib><creatorcontrib>Delbaere, K</creatorcontrib><creatorcontrib>Lord, S R</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Spinal cord</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boswell-Ruys, C L</au><au>Harvey, L A</au><au>Delbaere, K</au><au>Lord, S R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Falls Concern Scale for people with spinal cord injury (SCI-FCS)</atitle><jtitle>Spinal cord</jtitle><stitle>Spinal Cord</stitle><addtitle>Spinal Cord</addtitle><date>2010-09-01</date><risdate>2010</risdate><volume>48</volume><issue>9</issue><spage>704</spage><epage>709</epage><pages>704-709</pages><issn>1362-4393</issn><eissn>1476-5624</eissn><coden>SPCOFM</coden><abstract>Study design:
Observational study and cross-sectional survey.
Objectives:
To develop a scale assessing concern about falling in people with spinal cord injuries who are dependent on manual wheelchairs, and to evaluate psychometric properties of this new scale.
Setting:
Community and hospitals, Australia.
Methods:
The Spinal Cord Injury-Falls Concern Scale (SCI-FCS) was developed in consultation with SCI professionals. The SCI-FCS addressed concern about falling during 16 activities of daily living associated with falling and specific to people with SCI. One hundred and twenty-five people with either acute or chronic SCI who used manual wheelchairs were assessed on the SCI-FCS and asked questions related to their SCI and overall physical abilities. A subgroup of 20 people was reassessed on the SCI-FCS within 7 days.
Results:
The SCI-FCS had excellent internal and test–retest reliability (Cronbach's α=0.92, intra-class correlation coefficient (ICC)=0.93). Factor analysis revealed three underlying dimensions of the SCI-FCS addressing concern about falling during activities that limit hand support and require movement of the body's centre of mass. The discriminative ability of the SCI-FCS between different diagnostic groups indicated good construct validity. Subjects with a high level of SCI, few previous falls, dependence in vertical transfers and poor perceived sitting ability demonstrated high levels of concern about falling.
Conclusions:
This study suggests that the SCI-FCS is a valid and reliable tool for assessing concern about falling in people with SCI dependent on manual wheelchairs. The SCI-FCS could also assist in determining the effectiveness of fall minimization programs.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>20125107</pmid><doi>10.1038/sc.2010.1</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1362-4393 |
| ispartof | Spinal cord, 2010-09, Vol.48 (9), p.704-709 |
| issn | 1362-4393 1476-5624 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Springer Nature - Complete Springer Journals |
| subjects | 631/378/1687/1825 692/1807/1693 692/700/478/174 Accidental Falls - prevention & control Acute Disease Adult Anatomy Attitude to Health Biological and medical sciences Biomedical and Life Sciences Biomedicine Cerebrospinal fluid. Meninges. Spinal cord Chronic Disease Cross-Sectional Studies Female Health Surveys - methods Health Surveys - standards Human Physiology Humans Injuries of the nervous system and the skull. Diseases due to physical agents Male Medical sciences Middle Aged Nervous system (semeiology, syndromes) Neurochemistry Neurology Neuropsychology Neurosciences original-article Psychometrics - methods Psychometrics - standards Spinal Cord Injuries - complications Spinal Cord Injuries - psychology Surveys and Questionnaires - standards Traumas. Diseases due to physical agents |
| title | A Falls Concern Scale for people with spinal cord injury (SCI-FCS) |
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