The psychometric properties of the Four Square Step Test in older adults with mild cognitive impairment.

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY Geriatric Nursing Pub Date : 2024-12-31 DOI:10.1016/j.gerinurse.2024.12.029

Ulku Kezban Sahin, Taskin Ozkan, Habibe Durdu, Zeynep Unluturk, Fatih Soke

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Abstract

Purpose: The study aimed to determine the test-retest, interrater, and minimum detectable change, concurrent and known-groups validity in older adults with mild cognitive impairment. Minimal detectable change values are the degree of change needed to exceed a measurement's error within a confidence limit.

Methods: A total of 46 older adults with mild cognitive impairment and 34 healthy controls were included. The Four Square Step Test was used together with the Timed Up and Go Test, Berg Balance Scale, Functional Reach Test, and One-Leg Stand Test.

Results: The Four Square Step Test revealed high interrater and test-retest reliability (ICC = 0.963-0.986 and 0.937-0.956, respectively). The cut-off times of 15.11 s best distinguished older adults as fallers from non-fallers with mild cognitive impairment.

Conclusions: The Four Square Step Test is a valid, reliable, applicable, and safe dynamic balance evaluation to identify subtle changes to dynamic balance in mild cognitive impairment patients.

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.