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Reliability, Construct Validity, and Clinical Feasibility of the Activities-Specific Fall Caution Scale for Residential Living Seniors

By Blanchard, Robin A., MSc; Myers, Anita M., PhD, Pearce, Nancy J., RN, MSc; Archives of Physical Medicine and Rehabilitation, Vol. 88, No. 6, pp. 732-739
Publication Date: June 2007

Study conducted to examine the reliability, validity, and feasibility of the Activities-Specific Fall Caution (AFC) Scale. The Scale was developed via studies with staff and residents from nursing home and assisted living facilities, and is based on Bandura’s social cognitive theory. The AFC Scale content focuses on potentially challenging situations related to sitting and standing balance, postural change, and exposure to crowded or noisy rooms or hallways. A total of 101 people participated in phase 1 of the study, while 31 participated in phase 2, both of which were conducted in residential care facilities in Ontario, Canada. In study 1, the AFC Scale was re-administered to 44 residents, while 64 were assessed using the Berg Balance Scale, Timed Up & Go, and Self-Paced Walk Tests. The Nursing Home Life-Space Diameter was also completed for 80 residents. In study 2, staff administered the AFC Scale to 31 residents on 2 occasions. In study 1, test-retest reliability was .87. The AFC scores were associated with physical performance and mobility patterns, and were found to be able to discriminate on the basis of gait aid use, balance disorders, transfer assistance, and walk speed. In study 2, staff administration was fairly consistent, while similar associations were found for AFC scores. The authors conclude that the AFC Scale shows good reproducibility, convergent and discriminative validity, and is feasible for clinical and research use.
Published by: W.B. Saunders Company, a division of Elsevier Health Sciences   (Website:http://us.elsevierhealth.com)

American Academy of Physical Medicine and Rehabilitation    (Web Site: http://www.aapmr.org/ )
American Congress of Rehabilitation Medicine    (Web Site: http://www.acrm.org )
This publication is included in the library of the National Rehabilitation Information Center (NARIC), accession number J52715
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