Validation of the Persian version of the 9-item Berg Balance Scale Among Older Iranians
Objectives: Old age is often associated with a progressive decline in the capacity of individuals to maintain dynamic and static balance, leading to falls and fear of falling. This study aimed to validate the 9-item Berg Balance Scale (BBS-9) for the older Iranian population. Methods: The current ps...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Oman Medical Specialty Board
2023-05-01
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| Series: | Oman Medical Journal |
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| Online Access: | https://omjournal.org/articleDetails.aspx?coType=1&aId=3452 |
| _version_ | 1797774434980855808 |
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| author | Fatemeh Razmjouie Bahareh Zeynalzadeh Ghoochani Leila Ghahremani Tahereh Sokout Abdolrahim Asadollahi Abdulrazzak Abyad |
| author_facet | Fatemeh Razmjouie Bahareh Zeynalzadeh Ghoochani Leila Ghahremani Tahereh Sokout Abdolrahim Asadollahi Abdulrazzak Abyad |
| author_sort | Fatemeh Razmjouie |
| collection | DOAJ |
| description | Objectives: Old age is often associated with a progressive decline in the capacity of individuals to maintain dynamic and static balance, leading to falls and fear of falling. This study aimed to validate the 9-item Berg Balance Scale (BBS-9) for the older Iranian population. Methods: The current psychometric study involved translation of the BBS-9 to Persian language and its validation among a cohort of Persian-speaking elderly people. Confirmatory factor analysis, exploratory factor analysis, internal consistency, construct validity, test-retest reliability, receiver operating characteristic analysis, inter-rater, and convergent validity of the BBS-9 (Persian) were investigated and statistically analyzed. Results: The participants were 9117 Iranians with an average age of 64.3±2.45 years. The cohort was 54.1% female. Nearly three quarters of the subjects (72.4%) lived alone, 92.9% needed help with activities of daily living, and 93.0% sustained falls in the previous two years. Internal consistency was confirmed using intraclass correlation coefficient and McDonald’s Omega (≥ 0.75). The receiver operating characteristic analysis represented the exact cut-off values for male and female and with or without fear of falling with good specificity and sensitivity. Analysis of variance revealed that fear of falling was significantly related to age, Aging in Place, loneliness, hospitalization rate, frailty, and sense of anxiety (effect size ≥ 0.130, p ≤ 0.050). Conclusions: The Persian version of BBS-9, a psychometrically sound self-reported measure of fear of falling, retained the original’s satisfactory psychometric properties. It has the potential to be used among older Iranians in community-based and clinical settings. |
| first_indexed | 2024-03-12T22:21:01Z |
| format | Article |
| id | doaj.art-ab78ae9fdf2f41249454cd4db76bc423 |
| institution | Directory Open Access Journal |
| issn | 1999-768X 2070-5204 |
| language | English |
| last_indexed | 2024-03-12T22:21:01Z |
| publishDate | 2023-05-01 |
| publisher | Oman Medical Specialty Board |
| record_format | Article |
| series | Oman Medical Journal |
| spelling | doaj.art-ab78ae9fdf2f41249454cd4db76bc4232023-07-23T10:36:11ZengOman Medical Specialty BoardOman Medical Journal1999-768X2070-52042023-05-01383e506e50610.5001/omj.2023.77Validation of the Persian version of the 9-item Berg Balance Scale Among Older IraniansFatemeh Razmjouie0Bahareh Zeynalzadeh Ghoochani1Leila Ghahremani2Tahereh Sokout3Abdolrahim Asadollahi4Abdulrazzak Abyad5Student Research Committee, Department of Health Promotion and Gerontology, School of Health, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Occupational Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Health Promotion and Education, Research Center for Health Sciences, Institute of Health, School of Health, Shiraz University of Medical Sciences, Shiraz, IranAging Psychology, Farzanegan Daily Caring Foundation, Shiraz, IranStudent Research Committee, Department of Health Promotion and Gerontology, School of Health, Shiraz University of Medical Sciences, Shiraz, iran; The Middle-East Academy for Medicine of Aging, Tripoli, LebanonThe Middle-East Academy for Medicine of Aging, Tripoli, LebanonObjectives: Old age is often associated with a progressive decline in the capacity of individuals to maintain dynamic and static balance, leading to falls and fear of falling. This study aimed to validate the 9-item Berg Balance Scale (BBS-9) for the older Iranian population. Methods: The current psychometric study involved translation of the BBS-9 to Persian language and its validation among a cohort of Persian-speaking elderly people. Confirmatory factor analysis, exploratory factor analysis, internal consistency, construct validity, test-retest reliability, receiver operating characteristic analysis, inter-rater, and convergent validity of the BBS-9 (Persian) were investigated and statistically analyzed. Results: The participants were 9117 Iranians with an average age of 64.3±2.45 years. The cohort was 54.1% female. Nearly three quarters of the subjects (72.4%) lived alone, 92.9% needed help with activities of daily living, and 93.0% sustained falls in the previous two years. Internal consistency was confirmed using intraclass correlation coefficient and McDonald’s Omega (≥ 0.75). The receiver operating characteristic analysis represented the exact cut-off values for male and female and with or without fear of falling with good specificity and sensitivity. Analysis of variance revealed that fear of falling was significantly related to age, Aging in Place, loneliness, hospitalization rate, frailty, and sense of anxiety (effect size ≥ 0.130, p ≤ 0.050). Conclusions: The Persian version of BBS-9, a psychometrically sound self-reported measure of fear of falling, retained the original’s satisfactory psychometric properties. It has the potential to be used among older Iranians in community-based and clinical settings.https://omjournal.org/articleDetails.aspx?coType=1&aId=3452reliability and validityquestionnaireaccidental fallselderlyprevention and controlsurveys and questionnairespsychometricsiran |
| spellingShingle | Fatemeh Razmjouie Bahareh Zeynalzadeh Ghoochani Leila Ghahremani Tahereh Sokout Abdolrahim Asadollahi Abdulrazzak Abyad Validation of the Persian version of the 9-item Berg Balance Scale Among Older Iranians Oman Medical Journal reliability and validity questionnaire accidental falls elderly prevention and control surveys and questionnaires psychometrics iran |
| title | Validation of the Persian version of the 9-item Berg Balance Scale Among Older Iranians |
| title_full | Validation of the Persian version of the 9-item Berg Balance Scale Among Older Iranians |
| title_fullStr | Validation of the Persian version of the 9-item Berg Balance Scale Among Older Iranians |
| title_full_unstemmed | Validation of the Persian version of the 9-item Berg Balance Scale Among Older Iranians |
| title_short | Validation of the Persian version of the 9-item Berg Balance Scale Among Older Iranians |
| title_sort | validation of the persian version of the 9 item berg balance scale among older iranians |
| topic | reliability and validity questionnaire accidental falls elderly prevention and control surveys and questionnaires psychometrics iran |
| url | https://omjournal.org/articleDetails.aspx?coType=1&aId=3452 |
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