Abstract
Abstract Objective: to translate and cross-culturally adapt the Home Falls and Accidents Screening Tool - HOME FAST into Brazilian Portuguese and to evaluate its construct validity and intra-and inter-rater reliability. Method: a cross-sectional study was carried out that included older people aged 60 years or older. Translation and cross-cultural adaptation were carried out in the following stages: 1. Translation, 2. Synthesis, 3. Back translation, 4. Expert panel (review and pre-final version), 5. Pre-testing, 6. Analysis by the expert panel and the final version of the instrument. The Berg Balance Scale - BBS was used to test construct validity (Spearman correlation coefficient). Additionally, intra-and inter-rater reliability analysis was conducted using the Intraclass Correlation Coefficient (ICC) and the Bland-Altman plot. Results were considered significant at p<0.05. Results: the HOME FAST-Brazil was applied to 53 older people with a mean age of 71(5) years; 79% (42) of whom were female and 21% (11) of whom were male. The translation and cross-cultural adaptation process resulted in similar versions among translations. The correlation of the total score of HOME FAST-Brazil with the BBS was ρ=-0.241, p=0.041. The reliability rate was ICC=0.99 and 0.92 (intra-and inter-rater, respectively). Conclusion: The HOME FAST-Brazil, translated and cross-culturally adapted to Brazilian Portuguese, was shown to have construct validity and excellent intra-and inter-rater reliability.
Highlights
Falls are considered a global public health issue, and significantly contribute to the increase in the rate of injuries, hospitalizations, and deaths among the older population[1]
Results: the HOME FAST-Brazil was applied to 53 older people with a mean age of 71(5) years; 79% (42) of whom were female and 21% (11) of whom were male
The translation and cross-cultural adaptation process resulted in similar versions among translations
Summary
Falls are considered a global public health issue, and significantly contribute to the increase in the rate of injuries, hospitalizations, and deaths among the older population[1]. Factors related to falls can be intrinsic, such as dysfunctions in the systems involved in postural control (the sensory, musculoskeletal and central nervous systems). Their risk factors can be extrinsic, and include environmental risks, such as loose mats, slippery surfaces, poor lighting, inadequate clothes and shoes, poorly kept public roads, among others[1]. Review studies have shown the most prevalent environmental factors related to falls are irregular, wet, or slippery floor surfaces, loose objects and/or mats, uneven ground and issues with stairs[5,6]. An association between falls and environmental factors was found among older people, such as stairs; uneven floors; pets, lack of anti-slip mats in the bedroom and kitchen; and objects on the bedroom floor[8]
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