Propiedades psicométricas sobre los instrumentos de evaluación utilizados para medir el riesgo de caída en personas mayores. una revisión narrativa
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Archivos
Fecha
2023
Profesor/a Guía
Facultad/escuela
Idioma
es
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad Andrés Bello
Nombre de Curso
Licencia CC
Licencia CC
Resumen
Objetivo: Realizar una revisión narrativa sobre las propiedades psicométricas de los
instrumentos de evaluación utilizados para medir el riesgo de caída en personas
mayores. Método: El diseño del estudio utilizado es una revisión narrativa
considerando el criterio de expertos para la selección de artículos científicos
seleccionando a su conocimiento los artículos científicos pertinentes para responder
la pregunta planteada. Se realizó un análisis descriptivo de los datos obtenidos según:
autor del artículo, año de publicación del artículo, título y fuente de la información y
hallazgos principales ordenando esta información y presentado en una tabla resumen.
Resultados: Community Balance and Mobility scale (CB&M) fue una escala válida
para evaluar equilibrio y movilidad en personas post-ACV. El instrumento Falling
Efficacy Scale (FES) y sus variantes cumplieron los estándares aceptados de
fiabilidad, validez, sensibilidad, practicidad y viabilidad. El Tinetti-POMA contó con
excelentes resultados en confiabilidad y validez. En cuanto al Timed Up and Go (TUG)
y Timed Up and Go Obstacle (TUGO), tuvieron validez clinimétrica, sin embargo, se
debe tener en cuenta la población objetivo. El Test Geriatric Fear of Falling
Measurement (GFFM), se consideró de primera elección centrado en mejorar el miedo
a las caídas. Finalmente, los instrumentos FARAM, PHFRAT, QFRAT y MFRAT,
obtuvieron bajas propiedades clinimétricas.
Conclusión: No hubo un test que por sí solo determine el riesgo de caída. Se
analizaron las propiedades psicométricas de practicidad y validez y se llegó al
consenso de que la combinación de los test sería más objetiva para establecer criterios
de predictibilidad de riesgo de caídas en la población adulta mayor.
Objective: To conduct a narrative review of the psychometric properties of the assessment instruments used to measure the risk of falling in the elderly. Method: The study design used is a narrative review considering the criteria of experts for the selection of scientific articles, selecting to their knowledge the relevant scientific articles to answer the question posed. A descriptive analysis of the data obtained was carried out according to author of the article, year of publication of the article, title and source of the information and main findings, ordering this information and presenting it in a summary table. Results: Community balance and mobility scale (CB&M) was a valid scale to assess balance and mobility in post-ACV persons. The Falling Efficacy Scale (FES) instrument and its variants met accepted standards of reliability, validity, sensitivity, practicality, and feasibility. The Tinetti-POMA had excellent results in reliability and validity. As for the Timed Up and Go (TUG) and Timed Up and Go Obstacle (TUGO), they had clinimetric validity, however the target population should be taken into account. The Geriatric Fear of Falling Measurement Test (GFFM), was considered first choice focused on improving fear of falling. Finally, the instruments FARAM, PHFRAT, QFRAT, and MFRAT, obtained low psychometric properties. Conclusion: There was no test that alone determined the risk of falling. We analyzed the clinimetric properties, practicality, validity, and reached the consensus that the combination of tests would be more objective to establish predictive criteria for fall risk in the older adult population.
Objective: To conduct a narrative review of the psychometric properties of the assessment instruments used to measure the risk of falling in the elderly. Method: The study design used is a narrative review considering the criteria of experts for the selection of scientific articles, selecting to their knowledge the relevant scientific articles to answer the question posed. A descriptive analysis of the data obtained was carried out according to author of the article, year of publication of the article, title and source of the information and main findings, ordering this information and presenting it in a summary table. Results: Community balance and mobility scale (CB&M) was a valid scale to assess balance and mobility in post-ACV persons. The Falling Efficacy Scale (FES) instrument and its variants met accepted standards of reliability, validity, sensitivity, practicality, and feasibility. The Tinetti-POMA had excellent results in reliability and validity. As for the Timed Up and Go (TUG) and Timed Up and Go Obstacle (TUGO), they had clinimetric validity, however the target population should be taken into account. The Geriatric Fear of Falling Measurement Test (GFFM), was considered first choice focused on improving fear of falling. Finally, the instruments FARAM, PHFRAT, QFRAT, and MFRAT, obtained low psychometric properties. Conclusion: There was no test that alone determined the risk of falling. We analyzed the clinimetric properties, practicality, validity, and reached the consensus that the combination of tests would be more objective to establish predictive criteria for fall risk in the older adult population.
Notas
Actividad Final de Graduación (Magíster en Neurorrehabilitación)
Palabras clave
Accidentes por Caídas en la Vejez, Investigaciones, Sarcopenia, propiedades psicométricas.