Haselwander Maren, Henes Yannick, Weisbrod Matthias, Diermayr Gudrun
Fakultät für Therapiewissenschaften, SRH Hochschule Heidelberg, Maria-Probst-Str. 3, 69123, Heidelberg, Deutschland.
Abteilung für Allgemeine Psychiatrie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Heidelberg, Voßstraße 2, 69115, Heidelberg, Deutschland.
Z Gerontol Geriatr. 2023 Mar;56(2):125-131. doi: 10.1007/s00391-022-02023-9. Epub 2022 Feb 4.
The Balance Evaluation Systems Test (BESTest) evaluates balance ability and identifies affected systems associated with balance deficits.
The primary objective was the translation and cultural adaptation of the BESTest into German. Secondary objective was the preliminary evaluation of psychometric properties of the BESTest.
In accordance with international guidelines, the BESTest was translated and adapted by a 7-step process. To test the psychometric properties, persons with subjective or objective balance deficits were included. Internal consistency was evaluated by means of Cronbach's alpha. The criterion validity was tested by measuring the correlation with the Berg Balance Scale (BBS). Construct validity was examined using the Activities-Specific Balance Confidence (ABC-D) scale and the known groups methods (fallers versus non-fallers).
A total of 27 subjects were included in the testing of the psychometric properties. Cronbach's alpha was 0.95 for the total scale. The correlation of BESTest scores with those of the BBS revealed a Spearmen's ρ of 0.84 (p < 0.001) and 0.61 (p < 0.001) with those of the ABC‑D scale. Fallers and non-fallers showed a trend towards different BESTest scores (p = 0.057).
This paper provides a German translation of the BESTest authorized by the developer. Our preliminary results confirm reliability and validity.
平衡评估系统测试（BESTest）用于评估平衡能力，并识别与平衡缺陷相关的受影响系统。
主要目的是将BESTest翻译成德语并进行文化调适。次要目的是对BESTest的心理测量特性进行初步评估。
根据国际指南，通过7个步骤对BESTest进行翻译和调适。为测试心理测量特性，纳入了有主观或客观平衡缺陷的人群。通过Cronbach's α评估内部一致性。通过测量与伯格平衡量表（BBS）的相关性来测试标准效度。使用特定活动平衡信心（ABC-D）量表和已知组方法（跌倒者与非跌倒者）检查结构效度。
共有27名受试者参与了心理测量特性测试。总量表的Cronbach's α为0.95。BESTest得分与BBS得分的相关性显示斯皮尔曼相关系数ρ为0.84（p < 0.001），与ABC-D量表得分的相关性为0.61（p < 0.001）。跌倒者和非跌倒者在BESTest得分上呈现出不同趋势（p = 0.057）。
本文提供了经开发者授权的BESTest德语翻译版本。我们的初步结果证实了其可靠性和有效性。
