eISSN 2097-6054 ISSN 1672-9234 CN 11-5289/R
Responsible Institution:China Association for Science and Technology
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Chinese Journal of Nursing Education ›› 2025, Vol. 22 ›› Issue (3): 355-362.doi: 10.3761/j.issn.1672-9234.2025.03.016

• Health Education and Health Promotion • Previous Articles     Next Articles

Chinese version instruments of measuring fear of falling for the elderly:a systematic review of psychometric properties

ZHANG Haiying(),WANG Xuechen,YANG Di,ZHANG Fengwa()   

  • Received:2024-08-07 Online:2025-03-15 Published:2025-03-21

Abstract:

Objective To evaluate the quality of psychometric properties and methodological quality of the Chinese version instruments for measuring fear of falling(FOF) in the elderly,and to provide reference for healthcare professionals in selecting assessment tools. Methods Databases were searched to collect studies on the Chinese version instruments for measuring FOF in the elderly since their inception to May 15,2024,including PubMed,Embase,CINAHL,Web of Science,PsycInfo,CBM,CNKI,Wanfang Data,and VIP. After that,two researchers completed literature screening and data extraction independently. The Consensus-based Standards for the Selection of Health Measurement Instruments(COSMIN) guidelines were used to evaluate the assessment tools. Finally,recommendations were made. Results A total of 17 studies were included,involving 13 Chinese version instruments for measuring FOF in the elderly. None of them reported the cross-cultural validity and responsiveness. Through comparing,NHFSS was recommended as Category A,ABC-6 and GFFM were recommended as Category C,while the other 10 scales,including FFQ-R,were recommended as Category B. Conclusion NHFSS holds good content validity and is preferentially recommended for use,though only applicable in old adults in elderly care institutions. FFQ-R,which comprehensively and multidimensionally evaluates fear of falling in the elderly,can be initially recommended,but its psychometric properties need further validation.

Key words: Aged, Fear of falling, Assessment tools, Psychometric properties, Systematic review