Measurement properties of the falls efficacy scale in patients on hemodialysis

Abstract Background The measurement properties of the falls efficacy scale have not been evaluated in patients on hemodialysis. This study determined the inter- and intrarater reliability, standard error of measurement, minimal detectable change, and limits of agreements of the falls efficacy scale...

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Main Authors: Luciana Angélica da Silva de Jesus, Bruno Valle Pinheiro, Ana Beatriz Laguardia Almeida, Lara Fagundes Fonseca da Cunha, Gabriela Moreira Resende, Marco Aurelio Moreira-Júnior, Mauricio Becho Campos-Junior, Pelagia Koufaki, Leda Marília Fonseca Lucinda, Maycon Moura Reboredo
Format: Article
Language:English
Published: BMC 2024-03-01
Series:Renal Replacement Therapy
Subjects:
Online Access:https://doi.org/10.1186/s41100-024-00534-2
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author Luciana Angélica da Silva de Jesus
Bruno Valle Pinheiro
Ana Beatriz Laguardia Almeida
Lara Fagundes Fonseca da Cunha
Gabriela Moreira Resende
Marco Aurelio Moreira-Júnior
Mauricio Becho Campos-Junior
Pelagia Koufaki
Leda Marília Fonseca Lucinda
Maycon Moura Reboredo
author_facet Luciana Angélica da Silva de Jesus
Bruno Valle Pinheiro
Ana Beatriz Laguardia Almeida
Lara Fagundes Fonseca da Cunha
Gabriela Moreira Resende
Marco Aurelio Moreira-Júnior
Mauricio Becho Campos-Junior
Pelagia Koufaki
Leda Marília Fonseca Lucinda
Maycon Moura Reboredo
author_sort Luciana Angélica da Silva de Jesus
collection DOAJ
description Abstract Background The measurement properties of the falls efficacy scale have not been evaluated in patients on hemodialysis. This study determined the inter- and intrarater reliability, standard error of measurement, minimal detectable change, and limits of agreements of the falls efficacy scale in patients on hemodialysis. Methods A cross-sectional study was conducted with 65 patients (57.5 ± 13.9 years, 63.1% male) on hemodialysis. The fear of falling was assessed by two previously trained raters using the falls efficacy scale. The intraclass correlation coefficient, standard error of measurement, minimal detectable change, and Bland–Altman plot were calculated to assess the inter- and intrarater reliability of the falls efficacy scale. Results The interrater intraclass correlation coefficient was 0.91, and the intrarater intraclass correlation coefficient was 0.78, representing excellent interrater and good intrarater reliability. The standard error of measurement for inter- and intrarater assessments were 2.99 and 4.46, and the minimal detectable change for inter- and intrarater assessments were 9.26 and 12.33, respectively. The interrater mean difference score was 0.26 (95% limits of agreement: − 8.01 to 8.53), and the intrarater mean difference score was − 1.06 (95% limits of agreement: − 13.39 to 11.27). Conclusion In patients on hemodialysis, the falls efficacy scale showed excellent and good inter- and intrarater reliability, respectively. Additionally, standard error of measurement, minimal detectable change, and limits of agreements of the falls efficacy scale score were satisfactory.
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spelling doaj.art-0196161efe554ba09f9a463fda6f9be02024-03-24T12:34:32ZengBMCRenal Replacement Therapy2059-13812024-03-011011610.1186/s41100-024-00534-2Measurement properties of the falls efficacy scale in patients on hemodialysisLuciana Angélica da Silva de Jesus0Bruno Valle Pinheiro1Ana Beatriz Laguardia Almeida2Lara Fagundes Fonseca da Cunha3Gabriela Moreira Resende4Marco Aurelio Moreira-Júnior5Mauricio Becho Campos-Junior6Pelagia Koufaki7Leda Marília Fonseca Lucinda8Maycon Moura Reboredo9Pulmonary and Critical Care Division, University Hospital of Federal University of Juiz de ForaPulmonary and Critical Care Division, University Hospital of Federal University of Juiz de ForaBarbacena School of MedicineBarbacena School of MedicineBarbacena School of MedicineBarbacena School of MedicineBarbacena School of MedicineCentre of Health, Activity and Rehabilitation Research, School of Health Sciences, Queen Margaret UniversityPulmonary and Critical Care Division, University Hospital of Federal University of Juiz de ForaPulmonary and Critical Care Division, University Hospital of Federal University of Juiz de ForaAbstract Background The measurement properties of the falls efficacy scale have not been evaluated in patients on hemodialysis. This study determined the inter- and intrarater reliability, standard error of measurement, minimal detectable change, and limits of agreements of the falls efficacy scale in patients on hemodialysis. Methods A cross-sectional study was conducted with 65 patients (57.5 ± 13.9 years, 63.1% male) on hemodialysis. The fear of falling was assessed by two previously trained raters using the falls efficacy scale. The intraclass correlation coefficient, standard error of measurement, minimal detectable change, and Bland–Altman plot were calculated to assess the inter- and intrarater reliability of the falls efficacy scale. Results The interrater intraclass correlation coefficient was 0.91, and the intrarater intraclass correlation coefficient was 0.78, representing excellent interrater and good intrarater reliability. The standard error of measurement for inter- and intrarater assessments were 2.99 and 4.46, and the minimal detectable change for inter- and intrarater assessments were 9.26 and 12.33, respectively. The interrater mean difference score was 0.26 (95% limits of agreement: − 8.01 to 8.53), and the intrarater mean difference score was − 1.06 (95% limits of agreement: − 13.39 to 11.27). Conclusion In patients on hemodialysis, the falls efficacy scale showed excellent and good inter- and intrarater reliability, respectively. Additionally, standard error of measurement, minimal detectable change, and limits of agreements of the falls efficacy scale score were satisfactory.https://doi.org/10.1186/s41100-024-00534-2FearAccidental fallsChronic kidney failureRenal dialysisObserver variation
spellingShingle Luciana Angélica da Silva de Jesus
Bruno Valle Pinheiro
Ana Beatriz Laguardia Almeida
Lara Fagundes Fonseca da Cunha
Gabriela Moreira Resende
Marco Aurelio Moreira-Júnior
Mauricio Becho Campos-Junior
Pelagia Koufaki
Leda Marília Fonseca Lucinda
Maycon Moura Reboredo
Measurement properties of the falls efficacy scale in patients on hemodialysis
Renal Replacement Therapy
Fear
Accidental falls
Chronic kidney failure
Renal dialysis
Observer variation
title Measurement properties of the falls efficacy scale in patients on hemodialysis
title_full Measurement properties of the falls efficacy scale in patients on hemodialysis
title_fullStr Measurement properties of the falls efficacy scale in patients on hemodialysis
title_full_unstemmed Measurement properties of the falls efficacy scale in patients on hemodialysis
title_short Measurement properties of the falls efficacy scale in patients on hemodialysis
title_sort measurement properties of the falls efficacy scale in patients on hemodialysis
topic Fear
Accidental falls
Chronic kidney failure
Renal dialysis
Observer variation
url https://doi.org/10.1186/s41100-024-00534-2
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