مروری بر نقش پرسش نامه کوتاه شده اطمینان به حفظ تعادل در فعالیت های خاص در پیش بینی خطر زمین خوردن در سالمندان

نوع مقاله : مقاله مروری

نویسندگان

1 دفتر تحقیقات و فناوری دانشجویان، دانشجوی کارشناسی ارشد شنوایی شناسی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

2 مربی گروه شنوایی شناسی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

چکیده

چکیده
یکی از رایج­ترین اختلالات دوران سالمندی عدم تعادل و گیجی است.از دست دادن اطمینان به حفظ تعادل در بعضی موارد از زمین خوردن نیز ناتوان کننده­تر است. با توجه به روند رو به رشد جهانی جمعیت سالمندان توجه به نیازها و مسائل خاص آنها ضروری به نظر می­رسد، اما آیا خطر زمین خوردن قابل پیش­بینی است؟
پرسش­نامه ABC یک ابزار معتبر و مفید در ارزیابی اطمینان به حفظ تعادل و ترس از زمین خوردن در سالمندان می­باشد که استانداردسازی و انطباق فرهنگی آن به تازگی در ایران صورت گرفته است. با وجود اینکه این پرسش­نامه 16 گزینه­ای از روایی و پایایی خوبی برخوردار است، اما به لحاظ وقت­گیر بودن استفاده از آن در کاربردهای بالینی و پژوهشی درجمعیت سالمند، نسخه کوتاه شده آن طراحی شده و در دسترس قرار گرفته است. نسخه کوتاه شده پرسش­نامه اطمینان به حفظ تعادل دارای ویژگی­های مشابه با نسخه اصلی بوده و برای ارزیابی ترس از زمین خوردن در گروه­های مختلف مفید است.اندازه­گیری­ها در مطالعات مختلف نشان می­دهد که روایی نسخه کوتاه پرسش­نامه مشابه نسخه­ی طولانی­تر است. گرچه برخی مطالعات به طراحی نسخه کوتاه این پرسش­نامه (6 گزینه به جای 16 گزینه اصلی) اشاره کرده­اند و همبستگی بالایی با نسخه اصلی نشان داده است، به­طوری­که می­تواند جایگزین نسخه اصلی گردد، اما بررسی روایی و پایایی نسخه کوتاه شده timدر جمعیت سالمندان در جوامع مختلف ضروری به نظر می­رسد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

A Review of the Role of the Shortened Activities-Specific Balance Confidence Questionnaire in Predicting the Risk of Falling in the Elderly

نویسندگان [English]

  • Fatemeh Azizi 1
  • Homa Zarrinkoob 2
1 Student’s Research Committee, MSc in Audiology, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 MSc in Audiology, Lecturer, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
چکیده [English]

Background and Aim: Balance impairment and dizziness are among the most common disorders among the elderly. Losing confidence in maintaining balance can sometimes be even more debilitating than actually falling down. Considering the global increase in the elderly population, it seems important to focus on their specific needs including balance and the question whether it is possible to predict the risk of falling.
The ABC questionnaire is a valid and useful tool for evaluating balance confidence and fear of falling among the elderly. Recently, the questionnaire has been standardized and culturally adapted for use in Iran. Although this 16-item questionnaire has acceptable validity and reliability, completing it for clinical and research purposes among the elderly is time-consuming. Therefore, a shorter version consisting of six items was designed, which is useful for assessing fear of falling in different groups. Objective assessment of the short version showed that it is as reliable as the long version, as reported previously. Although some studies have used the short version, which has been shown to have a high correlation with the original version meaning that it can replace the latter. However, it is necessary to assess the validity and reliability of the short version (ABC-6) in different elderly populations.

کلیدواژه‌ها [English]

  • Balance confidence
  • Fall
  • Balance Impairment
  • Elderly
1. Vahdaninia MS, Goshtasbi A, Goshtasb A, Montazeri A., Maftoun F. health-related quality of life in the elderly: a population study. Payesh 2005;4(2): 113-120.[In Persian]##
2. WHO. Ageing and Life Course. 2014. Available at: http://www.who.int/ageing/en. Accessed Apr 4, 2014.##
3. Statistical Center of Iran. General Population and Housing Census. 2014. Available at: http://www.amar.org.ir/Default.aspx?tabid=133. Accessed Apr4, 2014.##
4. Mirzaei M, Shams-Ghahfarkhi M. Demographic characteristics of the elderly population in Iran according to the census 1976-2006. Iranian J Ageing 2007;2(5):326-331.##
5. Maarsingh ORDros JSchellevis FGvan Weert HCBindels PJHorst HE .Dizziness reported by elderly patients in family practice: prevalence, incidence, and clinical characteristics BMC Fam Pract. 2010 Jan 11;11:2.##
6. Tinetti ME, Gordon C, Sogolow E, Lapin P, Bradley EH. Fall-risk evaluation and management: challenges in adopting geriatric care practices. The Gerontologist. 2006;46(6):717-25. Epub 2006/12/16.##
7. Belal A, Glorig A. Dysequilibrium of ageing. J Laryngol Otol 1986;100: 1037-41.##
8. Whitney SL F. Marchetti G ,Management of the Elderly Person With Vestibular Hypofunction,Herdman.S,Vestibular Rehabilitation, 3th edition, Davis Company ,2007, pp 376- 408##
9. Esther Lo´ pez Ferna´ndez-Argu¨ elles, Juan Rodrı´guez-Mansilla, Luis Espejo Antunez, Elisa Marı´ Garrido-Ardila, Rafael Perez Mun˜oz, Effects of dancing on the risk of falling related factors of healthy older adults: A systematic review. Archives of Gerontology and Geriatrics 60 (2015) 1–8##
10. Lacour M. Visuo-vestibular interaction in adaptation to vestibular pathologies. In: Guidetti G, (ed). Rehabilitative management of the dizzy patient. Milano Excerpta Medica 2000: 9-23.##
11. Baloh RW. Dizziness in older people. J Am Geriatr Soc 1992; 40: 713-21.##
12. Howland JPeterson EWLevin WCFried LPordon DBak S. Fear of falling among the community-dwelling elderly, J Aging Health. 1993 May;5(2):229-43.##
13. Cheryl Hawk, John K Hyland, Ronald Rupert, Makasha Colonvega and Stephanie Hall. Assessment of balance and risk for falls in a sample of community-dwelling adults aged 65 and older. Chiropractic & Osteopathy 2006, 14:3. Available at http://www.chiroandosteo.com/content/14/1/3 ##
14. World Health Organization (2007). Global report on falls prevention in older age. Geneva, Switzerland: World Health Organization Available from WHO Web site www.who.int/ageing/publications/Falls_prevention7March.pdf ##
15. Brittany A,Matsumura MD,Anne F,Ambrose MD. Balance in the elderly. Clin Geriatr Med , 2006 ; 22(2) :395-412.##
16. Pluijm SMSmit JHTromp EAStel VSDeeg DJBouter LMLips P. A risk profile for identifying community-dwelling elderly with a high risk of recurrent falling: results of a 1-year prospective study, Osteoporos Int. 2006;17(3):417-25. Epub 2006 Jan 17.##
17. Nadja Schott, Reliability and validity of the German short version of the Activities specific Balance Confidence (ABC-D6) scale in older adults. Archives of Gerontology and Geriatrics 59 (2014) 272–279##
18. Suzuki MOhyama NYamada KKanamori M.The relationship between fear of falling, activities of daily living and quality of life among elderly individuals. Nursing & health sciences, Nurs Health Sci. 2002 Dec;4(4):155-61.##
19. Legters K. Fear of falling, Phys Ther. 2002;82(3):264-72.##
20. Cumming RGSalkeld GThomas MSzonyi G. Prospective study of the impact of fear of falling on activities of daily living, SF- 36 scores, and nursing home admission, J Gerontol A Biol Sci Med Sci. 2000 May;55(5):M299-305.##
21. Boyd R, Stevens J.A.Falls and fear of falling: burden, beliefs and behaviours. Age and Ageing, 2009;38: 423-428.##
22. Adkin AL, Frank JS, Jog MS. Fear of falling and postural control in Parkinson’s disease. Mov Disord 2003;18:496 –502.##
23. Hassan H, Zarrinkoob H, Jafarzadeh S, Baghban AA. Psychometric evaluation of persian version of activities-specific balance confidence scale for elderly persians. Auditory and Vestibular Research. 2015;24(2):54-63##
24. Peretz, C., Herman, T., Hausdorff, J., & Giladi, N. (2006). Assessing fear of falling: Can a short version of the Activities-specific Balance Confidence scale be useful? Movement Disorders, 21, 2101-2105.##
25. Allon Goldberg, The five-times-sit-to-stand-test (FTSST), the short version of the activities-specific balance confidence (ABC) scale,and fear of falling predict step execution time (SET) in older adults. Archives of Geronotology and Geriatrics 54 (2012) 434-438##
26. Schepens SGoldberg AWallace M.The short version of the Activities-specific Balance Confidence (ABC) scale: Its validity, reliability, and relationship to balance impairment and falls in older adults, Arch Gerontol Geriatr. 2010 Jul-Aug;51(1):9-12.##
27. Powell L.Myers A. The Activities-specific Balance Confidence (ABC) Scale, Journal of Gerontology: MEDICAL SCIENCES ,1995; 50 .##
28. Tinetti ME, Powell L. Fear of falling and low self-efficacy: A case of dependence in elderly persons , J Gerontol. 1993 Sep;48 Spec No:35-8##
29. Hjizadeh A,Asghari M.Methods and statistical analysis According to research method (In Persian),1st edition,Tehran, jahad daneshgahi puplications,2011,pp395-445##
30. U. S. Census Bureau (2014). U.S.A. QuickFacts from the U.S. Census Burean: 2014. Retrieved from http://quickfacts.census.gov/qfd/states/00000.html ##
31. Centers for Disease Control and Prevention National Center for Injury Prevention and Control (2004). Home Safety Checklist. 2004 Home Safety Council. Retrieved from www.cdc.gov/injury.##
32. Rubenstein, L. (2006). Falls in older people: Epidemiology, risk factors and strategies for Prevention. Age & Ageing, 35. 37-41.##
33. Yardley, L., & Smith, H. (2002). A prospective study of the relationship between feared consequences of falling and avoidance of activity in community- living older people. The Gerontologist, 42, 17-23.##
34. Antonius D. Skipper. Examining the validity and reliability of the Activities-Specific Balance Confidence Scale-6 (ABC-6) in a diverse group of older adults . A Thesis Submitted in Partial Fulfillment of the Requirements for the Degree of Master of Arts in the College of Arts and Sciences Georgia State University (2012)##
35. American Geriatrics Society, British Geriatrics Society, and American Academy of Orthopedic Surgeons Panel on Fall Prevention (2001). Guideline for the prevention of falls in older adults. Journal of the American Geriatrics Society, 49, 664-672.##
36. Moore, D., Ellis, R., Kosma, M., Fabre, J., McCarter, K., Wood, R. (2011). Comparison of the validity of four fall-related psychological measures in a community-based falls risk screening. Research Quarterly for Exercise and Sport, 82, 545-554.##
37. Moore, D., & Ellis, R. (2008). Measurement of fall-related psychological constructs: A review of the research literature. Aging and Mental Health, 12, 684-699.##
38. Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191-215.##
39. Vellas, B., Wayne, S., Romero, L., Baumgartner, R., & Garry, P. (1997). Fear of falling and restriction of mobility in elderly fallers. Age and Ageing, 26, 189-193.##
40. Howland, J., Lachman, M., Peterson, E., Cote, J., Kasten, L., et al. (1998). Covariates of fear of falling and associated activity curtailment. The Gerontologist, 38, 549-555.##
41. Talley, K., Wyman, J., & Gross, C. (2008). Psychometric properties of the activities-specific balance confidence scale and the survey of activities and fear of falling in older women.
Journal of the American Geriatrics Society, 56, 328-333.##
42. Botner, E., Miller, W., & Eng, J. (2005). Measurement properties of the activities-specific balance confidence scale among individuals with stroke. Disability & Rehabilitation, 27, 156-163.##
43. Y. Lajoie , A. Girard, M. Guay. Comparison of the reaction time, the Berg Scale and the ABC in non-fallers and fallers. Archives of Gerontology and Geriatrics 35 (2002) 215–225##