Ullrich Phoebe, Werner Christian, Abel Bastian, Hummel Merit, Bauer Jürgen M, Hauer Klaus
Geriatrisches Zentrum am Universitätsklinikum Heidelberg, AGAPLESION Bethanien Krankenhaus, Rohrbacher Str. 149, 69126, Heidelberg, Germany.
Z Gerontol Geriatr. 2022 Dec;55(8):660-666. doi: 10.1007/s00391-022-02035-5. Epub 2022 Mar 4.
Life-space mobility (LSM), as the extent of mobility within one's environment, is a key for successful aging and has become a relevant concept in gerontology and geriatric research. Adequate assessment instruments are needed to identify older persons with LSM restrictions, and to initiate, adapt or evaluate intervention strategies.
To systematically identify, describe and analyze the psychometric properties of LSM questionnaires, with a special focus on their availability in the German language.
A systematic literature search was conducted in PubMed, PsycINFO, Cochrane Library, CINAHL, and Web of Science. Studies that examined at least one psychometric property of LSM questionnaires published up to August 2021 were included and evaluated based on the consensus-based standards for the selection of health measurement instruments (COSMIN) guidelines.
This study included 37 validation studies describing 13 different LSM questionnaires. Methodological quality and comprehensiveness of validations were heterogeneous. Based on comprehensive and high-quality results, four LSM questionnaires stood out: the University of Alabama at Birmingham life-space assessment (UAB-LSA), life-space assessment in persons with cognitive impairment (LSA-CI), interview-based and proxy-based versions of the life-space assessment in institutionalized settings (LSA-IS), all of them available in the German language.
This systematic review provides a concise overview of available LSM questionnaires and their psychometric properties to facilitate the selection for use in clinical practice and research. The UAB-LSA and LSA-CI for community settings and the interview-based or proxy-based LSA-IS for institutional settings were found to be the most appropriate LSM questionnaires.
生活空间流动性（LSM）作为个体在其环境中的活动范围，是成功老龄化的关键，并且已成为老年学和老年医学研究中的一个相关概念。需要有适当的评估工具来识别存在LSM受限的老年人，并启动、调整或评估干预策略。
系统地识别、描述和分析LSM问卷的心理测量学特性，特别关注其德语版本的可用性。
在PubMed、PsycINFO、Cochrane图书馆、CINAHL和科学网进行了系统的文献检索。纳入了截至2021年8月发表的研究至少一种LSM问卷心理测量学特性的研究，并根据基于共识的健康测量工具选择标准（COSMIN）指南进行评估。
本研究纳入了37项验证研究，描述了13种不同的LSM问卷。验证的方法学质量和全面性存在异质性。基于全面和高质量的结果，有四种LSM问卷脱颖而出：阿拉巴马大学伯明翰分校生活空间评估（UAB-LSA）、认知障碍者生活空间评估（LSA-CI）、机构环境中基于访谈和代理的生活空间评估（LSA-IS），所有这些问卷都有德语版本。
本系统评价简要概述了可用的LSM问卷及其心理测量学特性，以方便在临床实践和研究中进行选择。发现用于社区环境的UAB-LSA和LSA-CI以及用于机构环境的基于访谈或代理的LSA-IS是最合适的LSM问卷。
