Translation and psychometric evaluation of Cumulative Ambulation Score in elderly inpatients
10.3760/cma.j.cn211501-20230917-00563
- VernacularTitle:累积移动量表在住院老年患者中的汉化及信效度检验
- Author:
Yuqi LIANG
1
;
Min ZOU
;
Bingjie TIAN
;
Yiyan LIU
;
Hua CHEN
;
Ping WANG
;
Liping JIANG
Author Information
1. 上海交通大学护理学院,上海 200025
- Keywords:
Inpatients;
Elderly inpatients;
Cumulated Ambulation Score;
Basic mobility;
Reliability;
Validity
- From:
Chinese Journal of Practical Nursing
2024;40(18):1418-1423
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To translate the Cumulated Ambulation Score (CAS) into Chinese and test its reliability and validity in elderly inpatients, to provide a basis for assessing elderly inpatients′ basic mobility during hospitalization.Methods:This was a cross-sectional study. After obtaining the authorization of the original author, the Chinese version of CAS was formed by WHO′s cross-cultural translation process. A total of 414 hospitalized elderly inpatients from Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, and Shanghai Yangpu District Kongjiang Hospital were selected between March and September 2021. Cronbach′s α coefficient was used to test internal consistency, linear weighted Kappa was employed to assess inter-rater reliability, and concurrent validity was examined using items related to mobility of Barthel Index scores as a reference standard.Results:Of the 414 patients, 221 were males and 193 were females, and the patients aged (76.67 ± 9.98) years old; 122 cases (29.5%) had a perfect score of 6 with normal basic mobility, 89 cases (21.5%) had a score of 0 with complete loss of mobility, and the remaining 203 patients had a score of 1-5 with varying degrees of reduced mobility. The Chinese version of CAS demonstrated good assessment performance for basic mobility in elderly inpatients with a Cronbach′s α coefficient of 0.952. Weighted Kappa values for individual items and total scores showed excellent agreement among raters (>0.85), while concurrent validity yielded a value of 0.935 ( P<0.01) when compared with Barthel Index scores.Total score of CAS was significantly correlated with item scores and total score of Barthel index ( r values were 0.423 to 0.944, all P<0.01). Conclusions:The Chinese version of CAS has good reliability and validity. The items are concise, clear and easy to understand. It is suitable as a preliminary screening tool for clinical departments to evaluate the basic mobility of elderly inpatients.
