Merske lastnosti vprašalnika »krajša ocena tveganja za padce ‒ steadi 3KQ« : magistrsko delo

Berends, Alena (author), Jakovljević, Miroljub (mentor), Knific, Tjaša (comentor), Kovačič, Tine (reviewer)

Uvod: Padci starejših odraslih predstavljajo pomemben javnozdravstveni problem, ki bo ob nadaljevanju vse daljše povprečne življenjske dobe v prihodnosti postal še večji. Ključen pristop k preprečevanju padcev starejših odraslih je ustrezna prepoznava prisotnosti dejavnikov tveganja za padce. Ta temelji predvsem na uporabi oziroma izvedbi ustreznih preizkusov, med katerimi je algoritem za odkrivanje dejavnikov tveganja za padce med bolj uveljavljenimi (STEADI). Navedeni algoritem predvideva tudi uporabo vprašalnika ocene tveganja za padce (12Q), ki ima tudi krajšo različico (3KQ). Namen: Osrednje raziskovalno vprašanje naše raziskave je bilo preučiti merske lastnosti krajše različice vprašalnika ocene tveganja za padce (3KQ) in oceniti ustreznost njegove uporabe v algoritmu za odkrivanje dejavnikov tveganja za padce. Metode dela: V raziskavi je sodelovalo 74 udeležencev in udeleženk s povprečno starostjo 70,5 (4,1) leta. Preiskovanci so izpolnjevali vprašalnik 3KQ dvakrat z vmesnim 48-urnim razmikom. Vprašalnik 3KQ so preiskovanci še ocenili po različnih lastnostih, in izvedli TUG test za oceno funkcijske premičnosti. Rezultati: Ugotovili smo, da so udeleženci vprašalnik 3KQ zaznavali kot razumljiv, preprost za izpolnjevanje in časovno sprejemljiv. Med spoloma ni bilo razlik v oceni funkcijske premičnosti (p = 0,078), ravno tako ne v oceni ogroženosti za padce na podlagi odgovorov na vprašalniku 3KQ. Vprašalnik je imel visoko zanesljivost (? = 0,935; p < 0,0001). Povezanost med 3KQ in TUG je bila šibka, a pozitivna (? = 0,391 (0,179–0,569)) in statistično značilna (p = 0,0006). Vprašalnik 3KQ ima v primerjavi s TUG-testom boljšo občutljivost (88,1–100,0), a slabšo specifičnost (53,4–81,8). Razlika med ROC krivuljama obeh postopkov je bila statistično pomembna (p = 0,001). Razprava in zaključek: Vprašalnik 3KQ ima ustrezne merske lastnosti in diagnostične sposobnosti, kar nakazuje na smiselnost njegove uporabe v algoritmu za odkrivanje dejavnikov tveganja za padce. Poleg dobrih merskih lastnosti so prednosti njegove uporabe razumljivost, preprostost in časovna ekonomičnost.

• Language: Slovenian
• Keywords: magistrska dela, fizioterapija, padci starejših odraslih, algoritem za odkrivanje dejavnikov tveganja za padce, vprašalnik 3KQ, preventiva padcev
• Work type: Master's thesis/paper
• Typology: 2.09 - Master's Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [A. Berends]
• Year: 2024
• Number of pages: 37 str., [16] str. pril.
• PID: 20.500.12556/RUL-158656
• UDC: 615.8
• COBISS.SI-ID: 199322115
• Publication date in RUL: 19.06.2024

Secondary language

• Language: English
• Title: Measurement properties of questionnaire »brief assessment of risk for falls ‒ steadi 3KQ« : master thesis

Abstract

Introduction: Falls in older adults represent an important public health problem that will become even greater in the future as average life expectancy continues to increase. A key approach to preventing falls in older adults is to adequately identify the presence of risk factors for falls. This is mainly based on the use or implementation of appropriate tests, among which the algorithm for detecting risk factors for falls is one of the most established (STEADI). The stated algorithm also assumes the use of the fall risk assessment questionnaire (12Q), which also has a shorter version (3KQ). Purpose: The central research question of this paper was to examine the measurement properties of the shorter version of the fall risk assessment questionnaire (3KQ) and to assess the propriety of its use in the algorithm for detecting risk factors for falls. Methods: 74 male and female participants with an average age of 70.5 (4.1) years participated in the research. Subjects completed the 3KQ questionnaire twice with an interval of 48 hours. The subjects also evaluated the 3KQ questionnaire according to various characteristics and performed the TUG test to assess functional mobility. Results: We found that the participants perceived the 3KQ questionnaire as comprehensible, easy to fill in, and acceptable time wise. There were no differences between the sexes in the assessment of functional mobility (p = 0.078), nor in the assessment of risk for falls based on the answers to the 3KQ questionnaire. The questionnaire had high reliability (ρ = 0.935; p < 0.0001). The association between 3KQ and TUG was weak but positive (ρ = 0.391 (0.179 – 0.569)) and statistically significant (p = 0.0006). Compared to the TUG test, the 3KQ questionnaire has better sensitivity (88.1 - 100.0), but worse specificity (53.4 - 81.8). The difference between the ROC curves of the two procedures was statistically significant (p = 0.001). Discussion and conclusion: The 3KQ questionnaire has adequate measurement properties and diagnostic capabilities, which suggests the rationality of its use in an algorithm for the detection of risk factors for falls. In addition to good measurement properties, the advantages of its use are comprehensibility, simplicity, and economic time efficiency.

• Keywords: master's theses, physiotherapy, falls of older adults, fall risk factor detection algorithm, 3KQ questionnaire, fall prevention