Guimarães Andrea Carmen, D'Louar Costa Maia Brisa, Dantas Karollyni Bastos Andrade, Santos Gustavo Costa, Américo Letícia Moreira, Werner Nelzy Aparecida Silva, da Costa Lucio Flávio Gomes Ribeiro, da Silva Santos César Augusto, Dantas Estélio Henrique Martin
Department of Medicine, Program in Health Sciences, Federal University of Lavras, Lavras, Brazil.
Department of Medicine, Doctor of Federal University of São João del-Rei, São João del-Rei, Brazil.
Front Public Health. 2025 Jan 29;12:1456564. doi: 10.3389/fpubh.2024.1456564. eCollection 2024.
This study aims to address significant gaps in fall risk assessment among older adult individuals, using a methodological approach to develop and validate effective instruments.
To establish the objectivity and reliability of the Battery for Fall Risk Assessment in older adult people - BARQ.
This descriptive, cross-sectional, exploratory study started with a preliminary version of BARQ, based on the Comprehensive Falls Risk Screening Instrument-CFRSI. The following variables were included: Fall History and Adverse Events (FH), Medication Use (MU), Home Safety (HS), Balance (Ba), Mobility (Mo), and Visual Acuity (VA). BARQ was administered to 136 older adult participants (X̅ = 70.3 ± 7.20 years) by two assessment teams (∝ and ), at three different times, to examine instrument reliability and objectivity. Statistical analyses included Pearson's correlation, Cronbach's alpha coefficient, Student's -test, and Hedges' g.
Intra-rater and inter-rater correlations were significant for mobility ( = 0.90 and = 0.88, respectively; < 0.01) and visual acuity ( = 0.86 and = 0.87, respectively; < 0.01). Cronbach's alpha coefficients indicated nearly perfect reliability for mobility (0.97) and visual acuity (0.96). No statistically significant differences were found in intra-rater assessments (p ranging from 0.11 to 0.55) and inter-rater assessments (p ranging from 0.37 to 0.55). Hedges' g test showed medium effect sizes for the overall fall risk index between S1 and S2 ( = 0.39) and small to medium for other variables.
本研究旨在填补老年个体跌倒风险评估方面的重大空白，采用一种方法来开发和验证有效的工具。
确立老年人跌倒风险评估量表（BARQ）的客观性和可靠性。
本描述性、横断面、探索性研究始于基于综合跌倒风险筛查工具（CFRSI）的BARQ初步版本。纳入了以下变量：跌倒史和不良事件（FH）、药物使用（MU）、家庭安全（HS）、平衡能力（Ba）、活动能力（Mo）和视力（VA）。由两个评估团队（α和β）在三个不同时间对136名老年参与者（X̅ = 70.3 ± 7.20岁）进行BARQ评估，以检验该工具的可靠性和客观性。统计分析包括Pearson相关性、Cronbach's α系数、Student's t检验和Hedges' g。
活动能力的评分者内和评分者间相关性均显著（分别为r = 0.90和r = 0.88；p < 0.01），视力的相关性也显著（分别为r = 0.86和r = 0.87；p < 0.01）。Cronbach's α系数表明活动能力（0.97）和视力（0.96）具有近乎完美的可靠性。评分者内评估（p值范围为0.11至0.55）和评分者间评估（p值范围为0.37至0.55）均未发现统计学显著差异。Hedges' g检验显示，S1和S2之间总体跌倒风险指数的效应量为中等（g = 0.39），其他变量的效应量为小到中等。
