Cultural adaptation and validation of the Polish version of the physical activity scale for older people living in a community: a cross-sectional study

Agnieszka Wiśniowska-Szurlej,Natalia Wołoszyn,Bernard Sozański,Richard Washburn,Agnieszka Ćwirlej-Sozańska,Anna Wilmowska-Pietruszyńska

doi:10.1186/s11556-020-00252-8

Agnieszka Wiśniowska-Szurlej, Natalia Wołoszyn + Show 4 more

Open Access

https://doi.org/10.1186/s11556-020-00252-8

Copy DOI

Abstract

BackgroundPolish clinicians and researchers face challenges in selecting physical activity tools appropriate and validated for older people. The aim of this study is to provide cultural adaptation and validation of the Polish version of the Physical Activity Scale for Elderly (PASE-P).MethodsThis cross-sectional study was carried out among 115 older adults living in south-eastern Poland. The original version of the scale has been translated into the Polish language following standardized translation procedures. Validation was evaluated by Pearson’s rank correlation coefficients between PASE-P, the normal Timed Up and Go test and that with a cognitive task (TUG and TUG cog, respectively), grip strength, basic and instrumental activities of daily living (ADL and IADL, respectively), Five Times Sit to Stand (5x STS), 10-m Walk Test (10MWT), the Berg Balance Scale (BBS) and the International Physical Activity Questionnaire (IPAQ).ResultsThe mean PASE-P was 91.54 (SD 71.15). Sufficient reliability of the test-retest of the PASE-P questionnaire components was found between the trials. The ICC test was strong and ranged from 0.988 to 0.778 for both major domains and the total scale score. A significant correlation was found between the total PASE-P score and the shorter TUG, TUG cog (r = − 0.514, p < 0.001; r = − 0.481, p < 0.001) and 10MWT (r = 0.472, p < 0.001). The total PASE-P score was also positively correlated with ADL and IADL (r = 0.337, p < 0.001; r = 0.415 p < 0.001), BBS (r = 0.537, p < 0.001) and 5xSTS (r = 0.558, p < 0.001).ConclusionsThe results obtained in the study confirm that the Polish version of the PASE scale is a valid and reliable tool for assessing the level of physical activity in older adults living in a community.

Highlights

Polish clinicians and researchers face challenges in selecting physical activity tools appropriate and validated for older people
The purpose of this study was to adapt the Physical Activity Scale for the Elderly (PASE) scale to the Polish language (PASE-P) and assess its accuracy and reliability among older people living in south-eastern Poland
The average Geriatric Depression Scale (GDS) was 3.86, and the average cognitive status measured by the Mini-Mental State Examination (MMSE) was 25.67 points

Summary

Introduction

Polish clinicians and researchers face challenges in selecting physical activity tools appropriate and validated for older people. The aim of this study is to provide cultural adaptation and validation of the Polish version of the Physical Activity Scale for Elderly (PASE-P). Population ageing is a long-term trend that began in Europe and worldwide several decades ago. According to Eurostat data from 2017, people aged 65 and over accounted for 19.4% of the total population of the European Union (EU), including 16.5% of the population of Poland. According to the Prospective Urban Rural Epidemiology (PURE) study, higher physical activity (PA) is associated with a lower risk of mortality in countries with high, middle and low incomes [3]. According to Ekelund et al, increasing the level of PA among Europeans would reduce the number of deaths in Europe by 7.5% [5]

Objectives

Methods

Results