Interrater and test-retest reliability and validity of the Norwegian version of the BESTest and mini-BESTest in people with increased risk of falling

BMC Geriatrics

Research Article

Gro Gujord Tangen¹  Jorunn L. Helbostad²  Charlotta Hamre³  Pernille Botolfsen⁴ 

[1] Department of Health Sciences, University of Oslo, Oslo, Norway;Norwegian National Advisory Unit on Aging and Health, Vestfold Hospital Trust and Department of Geriatric Medicine, Oslo University Hospital Ulleval, Oslo, Norway;Department of Neuroscience, Norwegian University of Science and Technology, Trondheim, Norway;Department of Clinical Services, St Olavs Hospital of Trondheim, Trondheim, Norway;Department of Physiotherapy and Department of Geriatric Medicine, Oslo University Hospital Ulleval, PB 4956 Nydalen, 0424, Oslo, Norway;Department of Health Sciences, University of Oslo, Oslo, Norway;Department of Physiotherapy, Oslo and Akershus University College of Applied Sciences, Oslo, Norway;

关键词: Balance;    Assessment;    Reliability;    Validity;   

DOI  :  10.1186/s12877-017-0480-x

 received in 2016-11-23, accepted in 2017-04-05,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe Balance Evaluation Systems Test (BESTest) was developed to assess underlying systems for balance control in order to be able to individually tailor rehabilitation interventions to people with balance disorders. A short form, the Mini-BESTest, was developed as a screening test. The study aimed to assess interrater and test-retest reliability of the Norwegian version of the BESTest and the Mini-BESTest in community-dwelling people with increased risk of falling and to assess concurrent validity with the Fall Efficacy Scale-International (FES-I), and it was an observational study with a cross-sectional design.MethodsForty-two persons with increased risk of falling (elderly over 65 years of age, persons with a history of stroke or Multiple Sclerosis) were assessed twice by two raters. Relative reliability was analysed with Intraclass Correlation Coefficient (ICC), and absolute reliability with standard error of measurement (SEM) and smallest detectable change (SDC). Concurrent validity was assessed against the FES-I using Spearman’s rho.ResultsThe BESTest showed very good interrater reliability (ICC = 0.98, SEM = 1.79, SDC95 = 5.0) and test-retest reliability (rater A/rater B = ICC = 0.89/0.89, SEM = 3.9/4.3, SDC95 = 10.8/11.8). The Mini-BESTest also showed very good interrater reliability (ICC = 0.95, SEM = 1.19, SDC95 = 3.3) and test-retest reliability (rater A/rater B = ICC = 0.85/0.84, SEM = 1.8/1.9, SDC95 = 4.9/5.2). The correlations were moderate between the FES-I and both the BESTest and the Mini-BESTest (Spearman’s rho −0.51 and-0.50, p < 0.01).ConclusionThe BESTest and its short form, the Mini-BESTest, showed very good interrater and test-retest reliability when assessed in a heterogeneous sample of people with increased risk of falling. The concurrent validity measured against the FES-I showed moderate correlation. The results are comparable with earlier studies and indicate that the Norwegian versions can be used in daily clinic and in research.

【 授权许可】

CC BY   
© The Author(s). 2017

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