Patrocinio Ariza-Vega1,2, Marta Mora-Traverso3, Mariana Ortiz-Piña4, Maureen Celeste Ashe5,6, Morten Tange Kristensen7,8. 1. Physical Medicine and Rehabilitation Service, Virgen de las Nieves University Hospital, Granada, Spain. 2. Department of Physiotherapy, University of Granada, Granada, Spain. 3. Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain. 4. Vista Nevada Nursing Home for Older Adults, Granada, Spain. 5. Department of Family Practice, University of British Columbia, Vancouver, Canada. 6. Centre for Hip Health and Mobility, Vancouver, Canada. 7. Physical Medicine and Rehabilitation Research - Copenhagen (PMR-C), Copenhagen, Denmark. 8. Departments of Physiotherapy and Orthopaedic Surgery, Copenhagen University Hospital, Hvidovre, Copenhagen, Denmark.
Abstract
Purpose: To translate the Cumulated Ambulation Score into Spanish, and to examine its inter-rater reliability, agreement and internal consistency.Materials and Methods: Two occupational therapists independently used the Spanish version of the Cumulated Ambulation Score (three activities scored from 0-2 points) to assess 60 consecutive patients with hip fracture within the first post-surgery week at a traumatology service of a public hospital. We used linear weighted kappa (κ) statistics to determine inter-rater reliability, percent agreement to assess measurement error, Cronbach's α coefficient to establish the internal consistency, and the McNemar-Bowker test to evaluate for systematic between-rater differences. Results: The κ was ≥ 0.83 for the three individual activities and the total score, the percent agreement was ≥ 0.87, and Cronbach's α was 0.89 with no observed systematic between-rater difference.Conclusions: This study provides evidence for almost perfect inter-rater reliability, excellent internal consistency, and high percent agreement of the Spanish version of the Cumulated Ambulation Score. Due to the strong psychometric properties, and its ease of use, we suggest it be used in Spanish speaking countries to assess early basic mobility status of patients with hip fracture until independence is reached.Implications for rehabilitationThe Spanish version of the Cumulated Ambulation Score is a reliable outcome measure to assess basic mobility of patients with hip fracture.We suggest the Spanish version of the Cumulated Ambulation Score be used in Spanish speaking settings to indicate small changes in basic mobility of patients with hip fracture until an independent level is reached.The Spanish version of the Cumulated Ambulation Score can be used with a high reliability by experienced and inexperienced occupational therapists, corresponding to the already established reliability when used by physicians and physiotherapists.
Purpose: To translate the Cumulated Ambulation Score into Spanish, and to examine its inter-rater reliability, agreement and internal consistency.Materials and Methods: Two occupational therapists independently used the Spanish version of the Cumulated Ambulation Score (three activities scored from 0-2 points) to assess 60 consecutive patients with hip fracture within the first post-surgery week at a traumatology service of a public hospital. We used linear weighted kappa (κ) statistics to determine inter-rater reliability, percent agreement to assess measurement error, Cronbach's α coefficient to establish the internal consistency, and the McNemar-Bowker test to evaluate for systematic between-rater differences. Results: The κ was ≥ 0.83 for the three individual activities and the total score, the percent agreement was ≥ 0.87, and Cronbach's α was 0.89 with no observed systematic between-rater difference.Conclusions: This study provides evidence for almost perfect inter-rater reliability, excellent internal consistency, and high percent agreement of the Spanish version of the Cumulated Ambulation Score. Due to the strong psychometric properties, and its ease of use, we suggest it be used in Spanish speaking countries to assess early basic mobility status of patients with hip fracture until independence is reached.Implications for rehabilitationThe Spanish version of the Cumulated Ambulation Score is a reliable outcome measure to assess basic mobility of patients with hip fracture.We suggest the Spanish version of the Cumulated Ambulation Score be used in Spanish speaking settings to indicate small changes in basic mobility of patients with hip fracture until an independent level is reached.The Spanish version of the Cumulated Ambulation Score can be used with a high reliability by experienced and inexperienced occupational therapists, corresponding to the already established reliability when used by physicians and physiotherapists.
Entities:
Keywords:
Hip fracture; basic mobility; older adults; psychometric properties; reliability
Authors: Rafael Prieto-Moreno; Patrocinio Ariza-Vega; Mariana Ortiz-Piña; Maureen C Ashe; Dulce Romero-Ayuso; Morten Tange Kristensen Journal: Int J Environ Res Public Health Date: 2021-01-15 Impact factor: 3.390
Authors: Margherita Napolitani; Giovanni Guarducci; Gulnara Abinova; Gabriele Messina; Nicola Nante Journal: Int J Environ Res Public Health Date: 2022-03-15 Impact factor: 3.390