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德国版简短特定活动平衡信心量表(ABC-D6)在老年人中的信度和效度

Reliability and validity of the German short version of the Activities specific Balance Confidence (ABC-D6) scale in older adults.

作者信息

Schott Nadja

机构信息

University of Stuttgart, Department of Sport and Exercise Science, Allmandring 28, 70569 Stuttgart, Germany.

出版信息

Arch Gerontol Geriatr. 2014 Sep-Oct;59(2):272-9. doi: 10.1016/j.archger.2014.05.003. Epub 2014 Jun 4.

Abstract

The Activities specific Balance Confidence (ABC) is a questionnaire which was developed to assess falls-associated self-efficacy. The aim of this study was to evaluate reliability and validity of the German abbreviated 6-item version of the ABC scores in community-dwelling older people. The study sample included 384 subjects (age 71.1 ± 9.7). In order to determine the psychometric properties, reliability and validity were assessed through administration of the German adaptation of the ABC-D16 to participants twice, 10 days apart, and comparison of the ABC-D16 and the ABC-D6 with functional measures of balance and mobility (one-leg stance; 10 m walk; TUG; Fullerton Advanced Balance Scale (FAB)), physical activity (Physical Activity Scale for the Elderly (PASE)), physical fitness (30s arm curl, 30s chair stand, 6 min walk), cognition (Trail-Making-Test (TMT)), falls status, and quality of life (SF36). Factor analyses suggested a 1-factor solution for the ABC-D6 scale (explained variance 79.8%). Internal consistency (.95) and test-retest reliability (.98) for the ABC-D6 scores were excellent. Scores on the ABC-D6 were significantly lower than on the ABC-D16, but ABC-D16 and ABC-D6 scores were highly correlated (.94). There was an increasing difference in the ABC-scores between men and women with increasing age. Fallers reported lower balance confidence than non-fallers. The ABC-D6 score significantly correlated with functional measures of balance and mobility, physical activity, physical fitness, cognition, and quality of life (-.698<r<.720). It was found that the ABC-D6 is a reliable and valid instrument to asses falls-associated self-efficacy and may be used in future research projects and clinical trials.

摘要

特定活动平衡信心量表(ABC)是一种用于评估与跌倒相关的自我效能感的问卷。本研究的目的是评估德国版6项简版ABC评分在社区居住老年人中的信度和效度。研究样本包括384名受试者(年龄71.1±9.7岁)。为了确定心理测量学特性,通过对参与者两次施测间隔10天的德国版ABC-D16,并将ABC-D16和ABC-D6与平衡和运动功能测量指标(单腿站立;10米步行;定时起立步行测试;富勒顿高级平衡量表(FAB))、身体活动(老年人身体活动量表(PASE))、身体素质(30秒手臂卷曲、30秒椅子站立、6分钟步行)、认知(连线测验(TMT))、跌倒状况和生活质量(SF36)进行比较,来评估信度和效度。因素分析表明ABC-D6量表为单因素解决方案(解释方差79.8%)。ABC-D6评分的内部一致性(.95)和重测信度(.98)极佳。ABC-D6的得分显著低于ABC-D16,但ABC-D16和ABC-D6得分高度相关(.94)。随着年龄增长,男性和女性在ABC评分上的差异越来越大。跌倒者报告的平衡信心低于未跌倒者。ABC-D6评分与平衡和运动功能测量指标、身体活动、身体素质、认知和生活质量显著相关(-.698<r<.720)。研究发现,ABC-D6是一种评估与跌倒相关的自我效能感的可靠且有效的工具,可用于未来的研究项目和临床试验。

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