Preprint Article Version 1 This version is not peer-reviewed

Validity and Reliability of the Self-Administered Timed Up and Go Test for Monitoring the Risk of Falls in Community-Dwelling Older Adults

Version 1 : Received: 27 September 2024 / Approved: 29 September 2024 / Online: 29 September 2024 (11:21:25 CEST)

How to cite: Reis, M.; Teixeira, M.; Carvão, C.; Martins, A. Validity and Reliability of the Self-Administered Timed Up and Go Test for Monitoring the Risk of Falls in Community-Dwelling Older Adults. Preprints 2024, 2024092309. https://doi.org/10.20944/preprints202409.2309.v1 Reis, M.; Teixeira, M.; Carvão, C.; Martins, A. Validity and Reliability of the Self-Administered Timed Up and Go Test for Monitoring the Risk of Falls in Community-Dwelling Older Adults. Preprints 2024, 2024092309. https://doi.org/10.20944/preprints202409.2309.v1

Abstract

Objectives: The aim of this study was to determinate the validity and the reliability of the self-administered Timed Up and Go (TUG) test, a gold standard test for fall risk screening, when compared to the traditional face-to-face assessment carried out by a physiotherapist. Methods: A total of 37 community-dwelling adults, mean age 61.78±6.88, 73% female, who took part in fall risk screening actions in the central region of Portugal, were assessed. The protocol included sociodemographic and history of falls questions, the Self-Efficacy for Exercise questionnaire, the Activities and Participation Profile Related to Mobility (PAPM) and three functional tests, namely the 10-Meter Walking Speed (10-MWS), TUG and 30 Seconds Sit to Stand (30s STS) tests. Within an interval of 18-24 hours after the face-to-face moment, the participants were instructed to self-administer the TUG test at home. The validity and reliability of self-administered TUG test were examined using the limits of agreement, clinically acceptable limit, intra-class correlation coefficients (ICC), paired t-tests and Pearson´s coefficient correlation (r). Results: The limits of agreement for self-administered assessment were within the clinically acceptable limits. The average result of the face-to-face TUG test and self-administered TUG test was 7.47 ± 2.45 and 7.57 ± 3.10 seconds, respectively. When comparing the two evaluations, they were strongly associated (r=0.716, p<0.001), with an excellent ICC of 0.82 (0.65-0.91), for a 95% confidence interval. Conclusion: The use of the self-administered TUG test for the screening of risk of fall, using low-cost technology, appears to be valid and reliable in community-dwelling adults aged 50 and over.

Keywords

Timed Up and Go test, self-administered, reliability, validity, risk of falls.

Subject

Public Health and Healthcare, Physical Therapy, Sports Therapy and Rehabilitation

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