Almarwani Maha, Alosaimi Bashaier, Vincenzo Jennifer L
Department of Health Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
Physical Therapy Department, Ministry of Health, Riyadh, Saudi Arabia.
BMC Geriatr. 2024 Dec 6;24(1):997. doi: 10.1186/s12877-024-05592-z.
The Stay Independent Brochure (SIB) is part of the CDC's STEADI initiative and is a fall risk screening self-report tool. This study aimed to translate and cross-culturally adapt the Arabic version of the SIB (AR-SIB) and evaluate its psychometric properties among community-dwelling older adults.
The translation and cross-cultural adaptation process followed standard guidelines, including forward and backward translation, expert committee review, and pretesting to ensure semantic and conceptual equivalence, clarity, and cultural relevance of the Arabic version of the SIB. Internal consistency was assessed using the Kuder-Richardson formula (KR-20), and test-retest reliability was evaluated with the intraclass correlation coefficient (ICC). Convergent validity of the AR-SIB was evaluated using Spearman's rank correlation coefficients (r) with the Timed Up and Go (TUG) test and the Berg Balance Scale (BBS) and point-biserial correlation coefficients (r) with the three key questions. Floor and ceiling effects and the operating characteristic (ROC) curve were also calculated.
A total of 104 community-dwelling older adults participated in the study. The majority of participants were female (52.9%) and had a mean age of 63.77 ± 4.74 years. The AR-SIB demonstrated good internal consistency with an overall KR-20 of 0.73 and excellent test-retest reliability (ICC = 0.96). The AR-SIB showed moderate correlations with the TUG (r = 0.51, 95% CI: 0.35 to 0.64) and the BBS (r = -0.56, 95% CI: -0.69 to -0.41), and a high correlation with the three key questions (r = 0.75, 95% CI: 0.65 to 0.82). No floor or ceiling effects were observed. The cutoff point of the AR-SIB was determined to be 4.5.
The AR-SIB is a reliable and valid tool to discriminate falls and screen for fall risk among Arabic-speaking community-dwelling older adults. The AR-SIB can facilitate the implementation of evidence-based fall prevention initiatives tailored to Arabic-speaking older adults.
《保持独立手册》（SIB）是美国疾病控制与预防中心（CDC）的“老年人跌倒预防与独立促进计划”（STEADI）的一部分，是一种跌倒风险筛查自我报告工具。本研究旨在翻译并跨文化改编《保持独立手册》阿拉伯语版（AR-SIB），并评估其在社区居住老年人中的心理测量学特性。
翻译和跨文化改编过程遵循标准指南，包括正向和反向翻译、专家委员会审查以及预测试，以确保AR-SIB阿拉伯语版在语义和概念上的等效性、清晰度和文化相关性。使用库德-理查森公式（KR-20）评估内部一致性，并使用组内相关系数（ICC）评估重测信度。使用斯皮尔曼等级相关系数（r）与计时起立行走测试（TUG）和伯格平衡量表（BBS）评估AR-SIB的收敛效度，并使用点二列相关系数（r）与三个关键问题评估收敛效度。还计算了地板效应和天花板效应以及操作特征（ROC）曲线。
共有104名社区居住老年人参与了该研究。大多数参与者为女性（52.9%），平均年龄为63.77±4.74岁。AR-SIB表现出良好的内部一致性，总体KR-20为0.73，重测信度极佳（ICC = 0.96）。AR-SIB与TUG（r = 0.51，95%CI：0.35至0.64）和BBS（r = -0.56，95%CI：-0.69至-0.41）呈中度相关，与三个关键问题呈高度相关（r = 0.75，95%CI：0.65至0.82）。未观察到地板效应或天花板效应。AR-SIB的截断点确定为4.5。
AR-SIB是一种可靠且有效的工具，可用于区分跌倒情况并筛查说阿拉伯语的社区居住老年人的跌倒风险。AR-SIB有助于实施针对说阿拉伯语老年人的循证跌倒预防措施。
