Why measure attitudes to interventions? Introducing the Attitudes to Falls-Related Interventions Scale (AFRIS)

However good your intervention is, it can only help people who take it up. Typically between 50% and 90% of people reject falls-related interventions, and it is important to know why so that interventions can be offered in the most acceptable way, to improve uptake and adherence. The Attitudes to Falls-Related Interventions Scale (AFRIS) is the only scale that has been developed and validated [1,2] as a measure of the acceptability of falls-related interventions. The original ProFaNE Workpackage 4 leaders Chris Todd and Lucy Yardley worked with the other members to produce a tool that can be used in clinical settings, based on their research across six European Countries [3]. Use of the AFRIS in a variety of settings will allow comparison between the acceptability of different interventions (based on the mean total scores of all patients offered them). In addition, the individual items can be used to identify the particular reasons why people reject an intervention. This information can be used to modify the way the intervention is presented (e.g. to improve confidence in being able to do it) or to identify and then address the specific concerns of particular individuals [4]. An example of it's use is the online intervention delivered by Mansdorf and colleagues in the USA within long-term care facilities [5].


You can download the AFRIS here.


[1] Yardley L, Donovan-Hall M, Francis K, Todd C. Older people's views of advice about falls prevention: a qualitative study. Health Educ Res. 2006;21(4):508-17.

[2] Yardley L, Donovan-Hall M, Francis K, Todd C. Attitudes and beliefs that predict older people's intention to undertake strength and balance training. J Gerontol B Psychol Sci Soc Sci. 2007;62(2):P119-25.

[3] Yardley L, Bishop FL, Beyer N, Hauer K, Kempen GI, Piot-Ziegler C, Todd CJ, Cuttelod T, Horne M, Lanta K, Holt AR. Older people's views of falls-prevention interventions in six European countries. Gerontologist. 2006;46(5):650-60.

[4] Yardley L, Kirby S, Ben-Shlomo Y, Gilbert R, Whitehead S, Todd C. How likely are older people to take up different falls prevention activities?. Prev Med. 2008;47(5):554-8.

[5] Mansdorf IJ, Sharma R, Perez M, Lepore AM. Falls reduction in long-term care facilities: a preliminary report of a new internet-based behavioral technique. J Am Med Dir Assoc. 2009;10(9):630-3.