The Stay Independent Brochure as a Screening Evaluation for Fall Risk in an Elderly Thai Population

Sriprapa Loonlawong,1,2 Weerawat Limroongreungrat,3 Wiroj Jiamjarasrangsi1 1Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; 2Regional Health Promotion Center 9 Nakhon Ratchasima, Department of Health, Ministry of Public Health, Nakhon R...

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Autores principales:	Loonlawong S, Limroongreungrat W, Jiamjarasrangsi W
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	stay independent brochure psychometric property screening falls thai elderly Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/4aae2041443f4377a8312231ae0e6ae1
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spelling	oai:doaj.org-article:4aae2041443f4377a8312231ae0e6ae12021-12-02T06:02:58ZThe Stay Independent Brochure as a Screening Evaluation for Fall Risk in an Elderly Thai Population1178-1998https://doaj.org/article/4aae2041443f4377a8312231ae0e6ae12019-12-01T00:00:00Zhttps://www.dovepress.com/the-stay-independent-brochure-as-a-screening-evaluation-for-fall-risk--peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Sriprapa Loonlawong,1,2 Weerawat Limroongreungrat,3 Wiroj Jiamjarasrangsi1 1Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; 2Regional Health Promotion Center 9 Nakhon Ratchasima, Department of Health, Ministry of Public Health, Nakhon Ratchasima, Thailand; 3College of Sports Science and Technology, Mahidol University, Nakhon Pathom, ThailandCorrespondence: Wiroj JiamjarasrangsiDepartment of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok 10330, ThailandTel +662 2564000 Ext. 3700Fax +662 2564292Email wjiamja@gmail.comIntroduction: The Stay Independent Brochure (SIB) is a widely used fall-risk self-assessment tool, which is part of the Stopping Elderly Accident, Deaths & Injuries (STEADI) program in the US. However, the validity and reliability of the SIB have not been established in an elderly Thai population.Objective: To construct a fall risk screening tool based on the SIB in a Thai elderly population and investigate its psychometric effect in a community context.Methods: A total of 480 elderly participants volunteered to take part in this study from the Nakhon Ratchasima province. In the first part of the study, the original version of the SIB was translated into Thai (total 12 questions) and adapted into a modified version (total 18 questions). The translated SIBs were cross-culturally adapted and tested for content validity, test-retest reliability, inter-rater reliability, construct validity and internal consistency. In the second part of the study, the psychometric properties of the translated SIBs were assessed using test-retest and inter-rater reliability and content and construct validity.Results: The SIBs had good content validity (IOC: 0.80 to 1.00), and the interclass correlation coefficient (ICC) of test-retest and inter-rater reliability was excellent for both SIB versions (ICC 0.89–0.95). The construct validity of 18 questions was tested by principal component factor analysis with varimax rotation and using factor loading greater than 0.4, and yielded 6 factors that explained 59.1% of the variance in fall risk (more than 12 questions). The coefficient alpha was higher than the usually recommended value of 0.70 for the total score of both SIB versions. The convergent validity between the TUG and BBS tests was statistically significant (p<0.001).Conclusion: Based on psychometric properties, it is recommended that the two Thai versions of the SIB are an appropriate initial screening tool for the multi-steps fall risk assessment algorithm in predicting falls in an elderly Thai community.Keywords: Stay Independent Brochure, psychometric property, screening, falls, Thai elderlyLoonlawong SLimroongreungrat WJiamjarasrangsi WDove Medical Pressarticlestay independent brochurepsychometric propertyscreeningfallsthai elderlyGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 14, Pp 2155-2162 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	stay independent brochure psychometric property screening falls thai elderly Geriatrics RC952-954.6
spellingShingle	stay independent brochure psychometric property screening falls thai elderly Geriatrics RC952-954.6 Loonlawong S Limroongreungrat W Jiamjarasrangsi W The Stay Independent Brochure as a Screening Evaluation for Fall Risk in an Elderly Thai Population
description	Sriprapa Loonlawong,1,2 Weerawat Limroongreungrat,3 Wiroj Jiamjarasrangsi1 1Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; 2Regional Health Promotion Center 9 Nakhon Ratchasima, Department of Health, Ministry of Public Health, Nakhon Ratchasima, Thailand; 3College of Sports Science and Technology, Mahidol University, Nakhon Pathom, ThailandCorrespondence: Wiroj JiamjarasrangsiDepartment of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok 10330, ThailandTel +662 2564000 Ext. 3700Fax +662 2564292Email wjiamja@gmail.comIntroduction: The Stay Independent Brochure (SIB) is a widely used fall-risk self-assessment tool, which is part of the Stopping Elderly Accident, Deaths & Injuries (STEADI) program in the US. However, the validity and reliability of the SIB have not been established in an elderly Thai population.Objective: To construct a fall risk screening tool based on the SIB in a Thai elderly population and investigate its psychometric effect in a community context.Methods: A total of 480 elderly participants volunteered to take part in this study from the Nakhon Ratchasima province. In the first part of the study, the original version of the SIB was translated into Thai (total 12 questions) and adapted into a modified version (total 18 questions). The translated SIBs were cross-culturally adapted and tested for content validity, test-retest reliability, inter-rater reliability, construct validity and internal consistency. In the second part of the study, the psychometric properties of the translated SIBs were assessed using test-retest and inter-rater reliability and content and construct validity.Results: The SIBs had good content validity (IOC: 0.80 to 1.00), and the interclass correlation coefficient (ICC) of test-retest and inter-rater reliability was excellent for both SIB versions (ICC 0.89–0.95). The construct validity of 18 questions was tested by principal component factor analysis with varimax rotation and using factor loading greater than 0.4, and yielded 6 factors that explained 59.1% of the variance in fall risk (more than 12 questions). The coefficient alpha was higher than the usually recommended value of 0.70 for the total score of both SIB versions. The convergent validity between the TUG and BBS tests was statistically significant (p<0.001).Conclusion: Based on psychometric properties, it is recommended that the two Thai versions of the SIB are an appropriate initial screening tool for the multi-steps fall risk assessment algorithm in predicting falls in an elderly Thai community.Keywords: Stay Independent Brochure, psychometric property, screening, falls, Thai elderly
format	article
author	Loonlawong S Limroongreungrat W Jiamjarasrangsi W
author_facet	Loonlawong S Limroongreungrat W Jiamjarasrangsi W
author_sort	Loonlawong S
title	The Stay Independent Brochure as a Screening Evaluation for Fall Risk in an Elderly Thai Population
title_short	The Stay Independent Brochure as a Screening Evaluation for Fall Risk in an Elderly Thai Population
title_full	The Stay Independent Brochure as a Screening Evaluation for Fall Risk in an Elderly Thai Population
title_fullStr	The Stay Independent Brochure as a Screening Evaluation for Fall Risk in an Elderly Thai Population
title_full_unstemmed	The Stay Independent Brochure as a Screening Evaluation for Fall Risk in an Elderly Thai Population
title_sort	stay independent brochure as a screening evaluation for fall risk in an elderly thai population
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/4aae2041443f4377a8312231ae0e6ae1
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The Stay Independent Brochure as a Screening Evaluation for Fall Risk in an Elderly Thai Population

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