Dept. of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Bibinagar, Hyderabad, India.
Dept. of Community and Family Medicine, All India Institute of Medical Sciences, Bathinda, India.
BMC Geriatr. 2024 Jun 6;24(1):500. doi: 10.1186/s12877-024-05072-4.
The Life-Space Assessment (LSA) is an instrument that measures mobility in older adults as they reach different areas, defined as life-spaces extending from home to beyond towns or regions. The purpose of the study was to develop the Hindi version of the LSA (LSA- H) and to investigate the validity and reliability of the Hindi version as well as its cultural adaptation.
A cross-sectional study of two hundred forty-five older adults participated in the study from four different study practice areas. Following forward backwards translation, the LSA-H was developed, and the scores were correlated with those of the Activities-Specific Balance Confidence Scale Hindi (ABC- H), the Physical Health Subscale of the WHO-BREF Questionnaire and the Geriatric Depression Scale: Short Form Hindi (GDS-SFH) to test the criterion and concurrent validity.
The mean score and standard deviation of the LSA-H questionnaire were 56.53 ± 35.99, those of the Physical Health Subscale of the WHO-BREF instrument were 18.54 ± 7.87, those of the GDS-SFH questionnaire were 6.95 ± 4.21 and those of the ABC- H questionnaire were 54.40 ± 28.96. The Pearson correlation coefficient (r) between the LSA-H score and ABC-H score was 0.707 (p value < 0.0001), that between the LSA-H score and the Physical Health Subscale of the WHO-BREF was 0.766 (p value < 0.0001), and that between the LSA-H score and GDS-SFG score was - 0.674 (p value < 0.0001).
This study demonstrated that the Hindi version of the LSA is a valid and reliable instrument for assessing living space among older adults in the Hindi language in an Indian population. Furthermore, the LSA-H was significantly correlated with other health assessment tools in terms of functional mobility, general health status and mental well-being.
生活空间评估（LSA）是一种衡量老年人到达不同区域时活动能力的工具，这些区域被定义为从家庭延伸到城镇或地区以外的生活空间。本研究的目的是开发印地语版的 LSA（LSA-H），并研究其文化适应性、有效性和可靠性。
本研究为一项横断面研究，共有 245 名老年人来自四个不同的研究实践区域参与研究。在正向反向翻译之后，开发了 LSA-H，并用其评分与活动特异性平衡信心量表印地语版（ABC-H）、世界卫生组织健康问卷-基本简表的生理健康分量表和老年抑郁量表：印地语短式（GDS-SFH）的评分进行相关性分析，以检验其准则和同时效度。
LSA-H 问卷的平均得分和标准差为 56.53±35.99，世界卫生组织健康问卷-基本简表的生理健康分量表的平均得分和标准差为 18.54±7.87，GDS-SFH 问卷的平均得分和标准差为 6.95±4.21，ABC-H 问卷的平均得分和标准差为 54.40±28.96。LSA-H 评分与 ABC-H 评分之间的 Pearson 相关系数（r）为 0.707（p 值<0.0001），LSA-H 评分与世界卫生组织健康问卷-基本简表的生理健康分量表之间的 r 值为 0.766（p 值<0.0001），LSA-H 评分与 GDS-SFH 评分之间的 r 值为-0.674（p 值<0.0001）。
本研究表明，LSA 的印地语版本是一种有效的、可靠的评估印度人口中老年人居住空间的工具。此外，LSA-H 与其他健康评估工具在功能移动性、一般健康状况和心理健康方面具有显著相关性。
