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Table 2 Summary of findings and quality ratings

From: Falls risk perception measures in hospital: a COSMIN systematic review

Scale

Targeted population

Content validity

Structural validity

Internal consistency

Cross cultural validity

Reliability

Measurement error

Hypotheses testing for construct validity

Responsiveness

Recommendations

using

Construct: balance confidence

Activities-Specific Balance Confidence Scale (ABC)

16 item version

Hospitalised adults with PD

?

Not assessed

 + 

Moderate

 + 

High

N/A

 + 

High

NR

 + 

High

NR

B

ABC-6P [42]

Hospitalised adults with PD

?

Not assessed

 + 

Moderate

 + 

High

N/A

 + 

High

NR

 + 

High

NR

B

ABC-6ON [43]

Hospitalised adults with PD

?

Not assessed

 + 

Moderate

 + 

High

N/A

 + 

High

NR

 + 

High

NR

B

ABC-5L [44]

Hospitalised adults with PD

?

Not assessed

 + 

Moderate

 + 

High

N/A

 + 

High

NR

 + 

High

NR

B

Construct: fall-related self-efficacy

Adapted version of the falls efficacy scale (FES) 12 item version

Older adults in post-acute rehabilitation

?

Not assessed

 − 

Low

 + 

Moderate

N/A

 + 

Low

NR

 + 

Moderate

NR

B

Modified-Falls Efficacy Scale (M-FES)

Older hospitalised adults

?

Not assessed

 + 

Moderate

 + 

Moderate

 + 

(French)

Moderate

 + 

Moderate

NR

 + 

Moderate

NR

B

Falls Efficacy Scale (FES) 10 item version

Older adults in geriatric rehabilitation

?

Not assessed

NR

 + 

Moderate

N/A

 + 

Moderate

NR

 − 

Low

NR

B

Falls Efficacy Scale—International (FES-I)

Older adults in geriatric rehabilitation

?

Not assessed

 ± 

Moderate

 + 

High

N/A

 ± 

Moderate

 ± 

Moderate

 ± 

Moderate

NR

B

Perform-FES

Older hospitalised adults

?

Not assessed

NR

 + 

Moderate

N/A

 + 

Low

NR

 + 

Moderate

NR

B

Spinal Cord Injury-Falls Concern Scale (SCI-FCS)

Adults with a spinal cord injury

 + 

High

 ± 

Moderate

 + 

Moderate

 ± 

(Brazilian- Portugese, Norwegian, Thai)

Moderate

 + 

Moderate

 ± 

Moderate

 − 

Moderate

NR

A

Confidence to Perform Without Falling Scale

Older adults in acute care units

?

Not assessed

 − 

Low

 + 

Moderate

N/A

 − 

Low

NR

 − 

Low

NR

C

Construct: Fear of Falling

Fear of Falling Questionnaire-revised (FFQ-R)

15 items

Older adults following a hip fracture

?

Not assessed

 + 

Moderate

 + 

High

N/A

 + 

Moderate

NR

 + 

High

NR

B

Fear of Falling Questionnaire-revised (FFQ-R)

6 items

Older adults following a hip or pelvic fracture

?

Not assessed

 + 

High

 + 

High

 + 

(German)

 + 

High

NR

 + 

High

NR

B

Fear of Falling While Hospitalized Scale

Older adults in acute care units

?

Not assessed

 − 

Low

 + 

Moderate

N/A

 − 

Low

NR

 − 

Low

NR

C

Construct: falls risk awareness

Self-Awareness of Falls in Elderly (SAFE) scale

Older hospitalised adults

?

Not assessed

 + 

High

 + 

High

 + 

(Turkish)

High

 + 

High

NR

 + 

High

NR

B

Self-Awareness of Falls Risk Measure (SAFRM)

Older adults in inpatient rehabilitation

?

Not assessed

 + 

Moderate

 + 

Moderate

N/A

 + 

Moderate

NR

 + 

Moderate

NR

B

Falls Risk Awareness Questionnaire (FRAQ)

Older hospitalised adults

?

Not assessed

NR

NR

N/A

NR

NR

 − 

Very low

NR

C

Falls Risk Perception Questionnaire (FRPQ)

Older hospitalised adults

 + 

High

 + 

Moderate

 + 

High

N/A

 − 

Low

NR

 + 

High

NR

A

Construct: outcome expectancy

Consequences of Falling While Hospitalized Scale

Older adults in acute care units

?

Not assessed

 − 

Low

 + 

Moderate

N/A

 − 

Low

NR

 − 

Low

NR

C

Intention to Engage in Fall Prevention Scale

Older adults in acute care units

?

Not assessed

 − 

Low

 + 

Moderate

N/A

 − 

Low

NR

 − 

Low

NR

C

  1. When results were indeterminate (?), not reported (NR) or not applicable (N/A), the overall quality of evidence rating was not assessed
  2.  + : Sufficient: ≥ 85% of the items of the PROM (or subscale) fulfill the criteria
  3. ?: Indeterminate: Not enough information or no information available or quality of the study is inadequate
  4.  ± : Inconsistent
  5.  − : Insufficient: < 85% of the items of the PROM (or subscale) does fulfill the criteria
  6. N/A: Not applicable
  7. NR: Not reported
  8. A: Sufficient content validity and at least low-quality evidence for internal consistency
  9. B: PROMs that are neither A nor C
  10. C: insufficient psychometric properties
  11. ABC activities-specific balance confidence scale, ADLs activities of daily living, CV content validity, CVI content validity index, FES falls efficacy scale, FES-I falls efficacy scale-international, FFQ-R fear of falling questionnaire-revised, FoF fear of falling, FRAQ falls risk awareness questionnaire, FRPQ falls risk perception questionnaire (FRPQ), MMSE mini-mental state examination, PD Parkinson’s disease, SAFE self-awareness of falls in elderly (SAFE) scale, SAFRM self-awareness of falls risk measure, SCI spinal cord injury, SCI-FCS spinal cord injury-falls concern scale