Introduction: Blue Marble Health Company has created a digital fall risk screening tool (Health in Motion©) that can be used by means of self-report (touch/mouse) or by means of motion capture (Microsoft Kine...Introduction: Blue Marble Health Company has created a digital fall risk screening tool (Health in Motion©) that can be used by means of self-report (touch/mouse) or by means of motion capture (Microsoft Kinect Sensor). Health in Motion©consists of automated versions of the Fall Risk Question-naire, 30-Second Chair Stand Test, and the One Leg Stance Test. Methods: We compared the three methods (self-report, sensor, and clinical standard measurement) using stopwatch and observation in 15 community-dwelling older adults, aged 63 - 80 years old. Each version was completed three times each in random order, for a total of nine trials. Results: Health in Motion©falls screening tool accessible via self-report and sensor is a valid and reliable automated at-home self-assessment for falls risk. Conclusion: Results support the use of Health in Motion©falls screening tools as viable alternatives to standard falls risk assessments for use by older adults at home.展开更多
目的:采用标准化方法建立肌肉衰减症筛查5项评分量表【包括肌肉力量(strength)、辅助行走(assistance in walking)、座椅起身(rise from a chair)、爬楼梯(climb stairs)、跌倒次数(falls),简称SARC-F量表】中文版,并验证其用于老年人...目的:采用标准化方法建立肌肉衰减症筛查5项评分量表【包括肌肉力量(strength)、辅助行走(assistance in walking)、座椅起身(rise from a chair)、爬楼梯(climb stairs)、跌倒次数(falls),简称SARC-F量表】中文版,并验证其用于老年人肌肉衰减症筛查的信度和有效性。方法:根据世界卫生组织提出的量表工具翻译流程指南及欧洲老年医学学会肌肉衰减症特殊兴趣组方法学报告的规范,按照正向翻译-专家小组讨论修改-反向翻译-预测试-形成最终版本的步骤进行量表的中文翻译。通过预试验对SARC-F中文版量表进行重测信度、评分者间信度和内部一致性信度的评价。通过诊断试验进行临床验证,于2021年12月至2022年10月,通过在社区和医院进行连续招募北京和天津的社区居住老年人群。采用调查问卷、人体测量和身体成分测定进行资料收集,以SARC-F中文版量表评分≥4分为阳性,分别对欧洲老年肌肉衰减症工作组修订后的和亚洲老年肌肉衰减症工作组2019定义的肌肉衰减症进行诊断试验并绘制受试者工作特征曲线,以灵敏度、特异度、阳性预测值、阴性预测值和曲线下面积来表示。结果:SARC-F中文版获得了原作者授权,并被认可充分且正确表达其含义。信度验证显示SARC-F中文版量表具有良好的重测信度(ICC=0.914)、评分者间信度(r=0.726)和内部一致性信度(α=0.729)。临床验证共纳入社区居住老年人1882例。根据欧洲老年肌肉衰减症工作组修订后的和亚洲老年肌肉衰减症工作组2019的肌肉衰减症诊断标准,SARC-F中文版量表具有偏低的灵敏度(13.6%和16.0%)、阳性预测值(44.6%和35.4%)和偏高的特异度(95.1%和94.7%)、阴性预测值(79.0%和86.2%),曲线下面积分别为0.619和0.616(二者均为P<0.001),具有较好的筛查有效性。结论:SARC-F中文版具有良好的信度和筛查有效性,其在社区或初级卫生保健场所的应用将促�展开更多
文摘Introduction: Blue Marble Health Company has created a digital fall risk screening tool (Health in Motion©) that can be used by means of self-report (touch/mouse) or by means of motion capture (Microsoft Kinect Sensor). Health in Motion©consists of automated versions of the Fall Risk Question-naire, 30-Second Chair Stand Test, and the One Leg Stance Test. Methods: We compared the three methods (self-report, sensor, and clinical standard measurement) using stopwatch and observation in 15 community-dwelling older adults, aged 63 - 80 years old. Each version was completed three times each in random order, for a total of nine trials. Results: Health in Motion©falls screening tool accessible via self-report and sensor is a valid and reliable automated at-home self-assessment for falls risk. Conclusion: Results support the use of Health in Motion©falls screening tools as viable alternatives to standard falls risk assessments for use by older adults at home.
文摘目的:采用标准化方法建立肌肉衰减症筛查5项评分量表【包括肌肉力量(strength)、辅助行走(assistance in walking)、座椅起身(rise from a chair)、爬楼梯(climb stairs)、跌倒次数(falls),简称SARC-F量表】中文版,并验证其用于老年人肌肉衰减症筛查的信度和有效性。方法:根据世界卫生组织提出的量表工具翻译流程指南及欧洲老年医学学会肌肉衰减症特殊兴趣组方法学报告的规范,按照正向翻译-专家小组讨论修改-反向翻译-预测试-形成最终版本的步骤进行量表的中文翻译。通过预试验对SARC-F中文版量表进行重测信度、评分者间信度和内部一致性信度的评价。通过诊断试验进行临床验证,于2021年12月至2022年10月,通过在社区和医院进行连续招募北京和天津的社区居住老年人群。采用调查问卷、人体测量和身体成分测定进行资料收集,以SARC-F中文版量表评分≥4分为阳性,分别对欧洲老年肌肉衰减症工作组修订后的和亚洲老年肌肉衰减症工作组2019定义的肌肉衰减症进行诊断试验并绘制受试者工作特征曲线,以灵敏度、特异度、阳性预测值、阴性预测值和曲线下面积来表示。结果:SARC-F中文版获得了原作者授权,并被认可充分且正确表达其含义。信度验证显示SARC-F中文版量表具有良好的重测信度(ICC=0.914)、评分者间信度(r=0.726)和内部一致性信度(α=0.729)。临床验证共纳入社区居住老年人1882例。根据欧洲老年肌肉衰减症工作组修订后的和亚洲老年肌肉衰减症工作组2019的肌肉衰减症诊断标准,SARC-F中文版量表具有偏低的灵敏度(13.6%和16.0%)、阳性预测值(44.6%和35.4%)和偏高的特异度(95.1%和94.7%)、阴性预测值(79.0%和86.2%),曲线下面积分别为0.619和0.616(二者均为P<0.001),具有较好的筛查有效性。结论:SARC-F中文版具有良好的信度和筛查有效性,其在社区或初级卫生保健场所的应用将促�
