TRANSCULTURAL VALIDATION OF THE TEST TIMED UP AND GO IN SPANISH: A STUDY OF HOSPITALIZED PATIENTS IN COLOMBIA

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Galeano-Navarro C.P.1, Hernández Álvarez E.2, Barbosa-Meneses N.E.1, Alvis G K.M.2, Forero-Espinosa S.M.1, Suarez S L.2, Martinez. V T.2
1Central Military Hospital Colombia, Physiotherapy, Bogota, Colombia, 2National University of Colombia, Human Movement Department, Bogota, Colombia

Background: The increase of the older adult population in Colombia and the world, the high incidence of falls to which this population is exposed and the high economic and social costs of their care determine the fall risk measure. The Timed Up and Go Test, which determines the functional performance and fall risk in adults and the elderly, is a test with a high degree of sensitivity and specificity, making it a highly reliable tool for predicting the risk of falls in older adults.

Purpose: The present study aims to perform and validate the transcultural Timed Up and Go Test into the Spanish language in hospitalized adult and older adult patients in the Hospital Militar Central in Bogota.

Methods: The Timed Up and Go Test was translated from English to Spanish following a standardized forward- and backward-translation protocol, following the international recommendations for adaptation by trained bilingual translators. A group of experts was selected to check for understanding in translation, with the English back translation for technical review of concordance by an expert translator. Pilot testing of the Spanish translation was subsequently completed in 10 persons.

Results: the English to Spanish translation and the Spanish to English translation by trained translators revealed the following: consistency in Colombian Spanish language; no major discrepancy among the items in the translation; the expert judges were in agreement from 78 to 100% of the items; the level of disagreement for the lowest items was from 78 to 89%; the pilot test was applied to 10 patients which resulted in changes made in the application of the instrument and understanding of the test.

Conclusion(s): the Timed Up and Go instrument is ready at the end of this phase, which shows a suitable consistency in Spanish language for test reliability in Colombian population in the Hospital Militar Central.

Implications: Having a fall risk assessment instrument for the elderly population in physiotherapy is an important element for decision making in health.

Funding acknowledgements: Central Military Hospital through Research Project No. 2015050 and the university of Colombia for support us

Topic: Health promotion & wellbeing/healthy ageing

Ethics approval: Military hospital’s Ethics Committee by means of the Committee’s Act No. 22 from its Dec 11 , 2015 session


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