scholarly journals Comparison of the structural validity of three Balance Evaluation Systems Test in older adults with femoral or vertebral fracture

2020 ◽  
pp. 0
Author(s):  
K Miyata ◽  
S Hasegawa ◽  
H Iwamoto ◽  
T Otani ◽  
Y Kaizu ◽  
...  
Keyword(s):  
Older Adults ◽  
Vertebral Fracture ◽  
Structural Validity ◽  
Evaluation Systems

scholarly journals 90 Falls Efficacy Related Instruments for Community-Dwellig Older Adults – Development and Content Validity: A Cosmin-Based Systematic Review

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv18-iv27 ◽  
Author(s):  
Shawn Leng-Hsien Soh ◽  
Chee-Wee Tan ◽  
Lane Judith ◽  
Nigel Gleeson ◽  
Tim Xu
Keyword(s):  
Older Adults ◽  
Content Validity ◽  
Community Dwelling ◽  
High Quality ◽  
Structural Validity ◽  
Balance Confidence ◽  
High Quality Evidence ◽  
Community Dwelling Older Adults ◽  
Quality Evidence ◽  
Selection Of

Abstract Background Falls efficacy is a widely-studied latent construct in community-dwelling older adults. Various self-reported instruments have been used to measure falls efficacy. Empirical evidence is needed to justify the selection of a specific instrument to measure the intended construct. Objectives To summarize evidence on the development, content validity and structural validity of instruments measuring falls efficacy in community-dwelling older adults using Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) checklist. Study Design and Setting MEDLINE, Web of Science, PsychINFO, SCOPUS, CINAHL were searched (May 2019). Records on development of instruments and studies assessing content validity or structural validity of falls efficacy related scales were included. COSMIN methodology guided the review of eligible studies and methodological quality. Evidence of content validity: relevance, comprehensiveness and comprehensibility and unidimensionality for structural validity were synthesized. A modified GRADE approach was applied to evidence synthesis. Results 35 studies on 18 instruments were included in the review. High quality evidence showed that modified Falls-Efficacy Scale (FES)–13 items (mFES-13) is relevant but not comprehensive for measuring falls efficacy. Moderate quality evidence supported the FES-10 had sufficient relevance and the mFES-14 had sufficient comprehensibility. Only the Activities-specific Balance Confidence (ABC) Scale–Simplified (ABC-15) had sufficient relevance of moderate quality evidence to measure balance confidence. Low to very low quality evidence underpinned content validity of other instruments. High quality evidence supported sufficient unidimensionality for eight instruments (FES-10, mFES-14, ABC-6, ABC-15, ABC-16, Iconographical FES (Icon-FES), FES–International (FES-I) and Perceived Ability to Prevent and Manage Fall Risks (PAPMFR)). Conclusion Content validity of the instruments to measure falls efficacy is understudied. Structural validity is sufficient for a number of widely-used instruments. Measuring balance confidence is a subset of falls efficacy. Further work is needed to investigate the broader continuum of falls efficacy.

scholarly journals Structural validity of Balance Evaluation Systems Test assessed using factor and Rasch analyses in patients with stroke

2018 ◽  
Vol 30 (12) ◽  
pp. 1446-1454 ◽  
Author(s):  
Kazuhiro Miyata ◽  
Satoshi Hasegawa ◽  
Hiroki Iwamoto ◽  
Tomohiro Otani ◽  
Yoichi Kaizu ◽  
...  
Keyword(s):  
Structural Validity ◽  
Evaluation Systems ◽  
Rasch Analyses

scholarly journals Vertebral Bone Marrow Fat Associated With Lower Trabecular BMD and Prevalent Vertebral Fracture in Older Adults

2013 ◽  
Vol 98 (6) ◽  
pp. 2294-2300 ◽  
Author(s):  
Ann V. Schwartz ◽  
Sigurdur Sigurdsson ◽  
Trisha F. Hue ◽  
Thomas F. Lang ◽  
Tamara B. Harris ◽  
...  
Keyword(s):  
Older Adults ◽  
Bone Marrow ◽  
Vertebral Fracture ◽  
Marrow Fat ◽  
Prevalent Vertebral Fracture ◽  
Vertebral Bone ◽  
Bone Marrow Fat ◽  
Vertebral Bone Marrow

scholarly journals Falls efficacy instruments for community-dwelling older adults: A COSMIN-based systematic review

2020 ◽  
Author(s):  
Shawn Leng-Hsien Soh ◽  
Judith Lane ◽  
Tim Tianma Xu ◽  
Nigel Gleeson ◽  
Chee-Wee Tan
Keyword(s):  
Older Adults ◽  
Content Validity ◽  
Community Dwelling ◽  
High Quality ◽  
Structural Validity ◽  
Balance Confidence ◽  
High Quality Evidence ◽  
Community Dwelling Older Adults ◽  
Quality Evidence ◽  
Selection Of

Abstract Background: Falls efficacy is a widely-studied latent construct in community-dwelling older adults. Various self-reported instruments have been used to measure falls efficacy. Empirical evidence is needed to justify the selection of a specific instrument to measure the intended construct. Methods: To summarize evidence on the development, content validity and structural validity of instruments measuring falls efficacy in community-dwelling older adults using the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) checklist. MEDLINE, Web of Science, PsychINFO, SCOPUS, CINAHL were searched (May 2019). Records on the development of instruments and studies assessing content validity or structural validity of falls efficacy related scales were included. COSMIN methodology was used to guide the review of eligible studies and assessed their methodological quality. Evidence of content validity: relevance, comprehensiveness and comprehensibility and unidimensionality for structural validity were synthesized. A modified GRADE approach was applied to evidence synthesis. Results: 35 studies, which had 18 instruments identified, were included in the review. High-quality evidence showed that the Modified Falls Efficacy Scale (FES)–13 items (MFES-13) has sufficient relevance but insufficient comprehensiveness for measuring falls efficacy. Moderate quality evidence supported the FES-10 has sufficient relevance and MFES-14 has sufficient comprehensibility. Activities-specific Balance Confidence (ABC) Scale–Simplified (ABC-15) has sufficient relevance to measuring balance confidence supported by moderate-quality evidence. Low to very low quality evidence underpinned the content validity of other instruments. High-quality evidence supported sufficient unidimensionality for eight instruments (FES-10, MFES-14, ABC-6, ABC-15, ABC-16, Iconographical FES (Icon-FES), FES–International (FES-I) and Perceived Ability to Prevent and Manage Fall Risks (PAPMFR)). Conclusion: Content validity of instruments to measure falls efficacy is understudied. Structural validity is sufficient for a number of widely-used instruments. Measuring balance confidence is a subset of falls efficacy. Further work is needed to investigate a broader construct of falls efficacy.

scholarly journals Falls efficacy instruments for community-dwelling older adults: A COSMIN-based systematic review

2020 ◽  
Author(s):  
Shawn Leng-Hsien Soh ◽  
Judith Lane ◽  
Tim Tianma Xu ◽  
Nigel Gleeson ◽  
Chee-Wee Tan
Keyword(s):  
Older Adults ◽  
Content Validity ◽  
Community Dwelling ◽  
High Quality ◽  
Structural Validity ◽  
Balance Confidence ◽  
Moderate Quality ◽  
High Quality Evidence ◽  
Community Dwelling Older Adults ◽  
Quality Evidence

Abstract Background: Falls efficacy is a widely-studied latent construct in community-dwelling older adults. Various self-reported instruments have been used to measure falls efficacy. In order to be informed of the choice of the best measurement instrument for a specific purpose, empirical evidence of the development and measurement properties of falls efficacy related instruments is needed.Methods: The Consensus-based Standards for the Selection of Health Measurement Intruments (COSMIN) checklist was used to summarise evidence on the development, content validity, and structural validity of instruments measuring falls efficacy in community-dwelling older adults. Databases including MEDLINE, Web of Science, PsychINFO, SCOPUS, CINAHL were searched (May 2019). Records on the development of instruments and studies assessing content validity or structural validity of falls efficacy related scales were included. COSMIN methodology was used to guide the review of eligible studies and in the assessment of their methodological quality. Evidence of content validity: relevance, comprehensiveness and comprehensibility and unidimensionality for structural validity were synthesised. A modified GRADE approach was applied to evidence synthesis.Results: 35 studies, of which 18 instruments had been identified, were included in the review. High-quality evidence showed that the Modified Falls Efficacy Scale (FES)-13 items (MFES-13) has sufficient relevance, yet insufficient comprehensiveness for measuring falls efficacy. Moderate quality evidence supporting the FES-10 has sufficient relevance, and MFES-14 has sufficient comprehensibility. Activities-specific Balance Confidence (ABC) Scale–Simplified (ABC-15) has sufficient relevance in measuring balance confidence supported by moderate-quality evidence. Low to very low-quality evidence underpinned the content validity of other instruments. High-quality evidence supported sufficient unidimensionality for eight instruments (FES-10, MFES-14, ABC-6, ABC-15, ABC-16, Iconographical FES (Icon-FES), FES–International (FES-I) and Perceived Ability to Prevent and Manage Fall Risks (PAPMFR)). Conclusion: Content validity of instruments to measure falls efficacy is understudied. Structural validity is sufficient for a number of widely-used instruments. Measuring balance confidence is a subset of falls efficacy. Further work is needed to investigate a broader construct for falls efficacy.

scholarly journals Reliability, Validity, and Ability to Identity Fall Status of the Berg Balance Scale, Balance Evaluation Systems Test (BESTest), Mini-BESTest, and Brief-BESTest in Older Adults Who Live in Nursing Homes

2019 ◽  
Vol 42 (4) ◽  
pp. E45-E54 ◽  
Author(s):  
Larissa Alamino Pereira Viveiro ◽  
Gisele Cristine Vieira Gomes ◽  
Jéssica Maria Ribeiro Bacha ◽  
Nelson Carvas Junior ◽  
Marina Esteves Kallas ◽  
...  
Keyword(s):  
Older Adults ◽  
Nursing Homes ◽  
Berg Balance Scale ◽  
Evaluation Systems ◽  
Balance Scale

scholarly journals Prevalence and “Red Flags” Regarding Specified Causes of Back Pain in Older Adults Presenting in General Practice

2016 ◽  
Vol 96 (3) ◽  
pp. 305-312 ◽  
Author(s):  
Wendy T.M. Enthoven ◽  
Judith Geuze ◽  
Jantine Scheele ◽  
Sita M.A. Bierma-Zeinstra ◽  
Herman J. Bueving ◽  
...  
Keyword(s):  
Older Adults ◽  
General Practice ◽  
Back Pain ◽  
Vertebral Fracture ◽  
Confidence Interval ◽  
Vertebral Fractures ◽  
Positive Likelihood Ratio ◽  
Pain Intensity Score ◽  
Red Flags ◽  
Underlying Pathology

Background In a small proportion of patients experiencing unspecified back pain, a specified underlying pathology is present. Objective The purposes of this study were: (1) to identify the prevalence of physician-specified causes of back pain and (2) to assess associations between “red flags” and vertebral fractures, as diagnosed by the patients' general practitioner (GP), in older adults with back pain. Methods The Back Complaints in the Elders (BACE) study is a prospective cohort study. Patients (aged >55 years) with back pain were included when consulting their GP. A questionnaire was administered and a physical examination and heel bone densitometry were performed, and the results determined back pain and patient characteristics, including red flags. Participants received a radiograph, and reports were sent to their GP. The final diagnoses established at 1 year were collected from the GP's patient registry. Results Of the 669 participants included, 6% were diagnosed with a serious underlying pathology during the 1-year follow-up. Most of these participants (n=33, 5%) were diagnosed with a vertebral fracture. Multivariable regression analysis showed that age of ≥75 years, trauma, osteoporosis, a back pain intensity score of ≥7, and thoracic pain were associated with a higher chance of getting the diagnosis of a vertebral fracture. Of these variables, trauma showed the highest positive predictive value for vertebral fracture of 0.25 (95% confidence interval=0.09, 0.41) and a positive likelihood ratio of 6.2 (95% confidence interval=2.8, 13.5). A diagnostic prediction model including the 5 red flags did not increase these values. Limitations Low prevalence of vertebral fractures could have led to findings by chance. Conclusions In these older adults with back pain presenting in general practice, 6% were diagnosed with serious pathology, mainly a vertebral fracture (5%). Four red flags were associated with the presence of vertebral fracture.

Sign in / Sign up

Export Citation Format

Share Document