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一种评估老年人跌倒情况的工具的内容构建与验证。

Construction and validation of content of one instrument to assess falls in the elderly.

作者信息

Silveira Michele Bittencourt, Saldanha Ricardo Pedrozo, Leite José Carlos de Carvalho, Silva Thamyres Oliveira Ferreira da, Silva Thiago, Filippin Lidiane Isabel

机构信息

Universidade La Salle, Canoas, RS, Brazil.

出版信息

Einstein (Sao Paulo). 2018 Jun 11;16(2):eAO4154. doi: 10.1590/S1679-45082018AO4154.

Abstract

OBJECTIVE

To develop and validate the content of the online Questionnaire for Fall Risk Assessment in the Elderly.

METHODS

The instrument was developed based on the International Classification of Functioning, Disability and Health (ICF) of the World Health Organization. Initially, the set of items was submitted to evaluation of judges (healthcare professionals with experience in elderly health), who could suggest inclusion or exclusion of questions from the instrument; they were also asked to rate each question according to the expected scope. At this stage, clarity and relevance levels for each item were evaluated, generating a total of Content Validity Coefficient (CtVC).

RESULTS

Content Validity Coefficient values were satisfactory for both clarity (CtVC=0.76) and relevance (CtVC=0.82) of the questions. Next, a group of elderly volunteers participating in a socializing group evaluated the questionnaire for comprehension. The level of comprehension for each item was identified on a Likert scale, ranging from 0 to 5. The questionnaire was considered easy to understand by most participants (95%), with a mean of 4.75 (±0.11) points for each item.

CONCLUSION

The instrument showed acceptable psychometric qualities for screening fall risk among the elderly population. Future studies shall investigate different validation aspects of construct for this measure.

摘要

目的

开发并验证老年人跌倒风险评估在线问卷的内容。

方法

该工具基于世界卫生组织的《国际功能、残疾和健康分类》(ICF)开发。最初,将项目集提交给评判人员(有老年健康经验的医疗保健专业人员)进行评估,他们可以建议在工具中纳入或排除问题;还要求他们根据预期范围对每个问题进行评分。在此阶段,评估每个项目的清晰度和相关性水平,得出总内容效度系数(CtVC)。

结果

问题的清晰度(CtVC = 0.76)和相关性(CtVC = 0.82)的内容效度系数值均令人满意。接下来,一组参加社交团体的老年志愿者对问卷的理解程度进行了评估。每个项目的理解程度用李克特量表确定,范围从0到5。大多数参与者(95%)认为问卷易于理解,每个项目的平均得分为4.75(±0.11)分。

结论

该工具在筛查老年人群跌倒风险方面显示出可接受的心理测量学质量。未来的研究应调查该测量方法在结构方面的不同验证方面。

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