Publicação
Validity, reliability and minimal detectable change of the balance evaluation systems test (BESTest), mini-BESTest and brief-BESTest in patients with end-stage renal disease
| Resumo: | PURPOSE: This study determined the validity, test-retest reliability and minimal detectable change of the balance evaluation systems test (BESTest), mini-balance evaluation systems test (Mini-BESTest) and brief-balance evaluation systems test (Brief-BESTest) in patients with end-stage renal disease. METHODS: A cross-sectional study with 74 patients with end-stage renal disease (male 66.2%; 63.9 ± 15.1 years old) was conducted. Participants were asked to report the number of falls during the previous 12 months and to complete the activity-specific balance confidence (ABC) scale. The BESTest was administered, and the Mini-BESTest and Brief-BESTest scores were computed based on the BESTest performance. Validity was assessed by correlating balance tests with each other and with the ABC scale. Test-retest relative reliability and agreement were explored with the intraclass correlation coefficient (ICC) equation (2,1) and the Bland and Altman method. Minimal detectable changes at the 95% confidence level were established. RESULTS: Balance test scores were significantly correlated with each other (spearman's correlation = 0.89-0.92) and with the ABC scale (spearman's correlation = 0.49-0.59). Balance tests presented high test-retest reliability (ICC = 0.84-0.94), with no evidence of bias. Minimal detectable change values were 10.8 (expressed as a percentage 13.5%), 5.3 (23.7%) and 5.6 (34%) points for the BESTest, Mini-BESTest and Brief-BESTest, respectively. CONCLUSIONS: All tests are valid and reliable to assess balance in patients with end-stage renal disease. Nevertheless, based on the minimal detectable changes found, BESTest and Mini-BESTest may be the most recommended tests for this specific population. Implications for Rehabilitation Balance evaluation systems test (BESTest), mini-balance evaluation systems test (Mini-BESTest) and brief-balance evaluation systems test (Brief-BESTest) are reliable and valid in patients with end stage renal disease (ESRD). The minimal detectable changes of 10.8 for the BESTest, 5.3 for the Mini-BESTest and 5.6 for the Brief-BESTest can be used by clinicians to identify a true change in balance over time or in response to interventions. Based on the minimal detectable changes found, BESTest and Mini-BESTest may be the most recommended; and the selection of one of them may be based on time and equipment availability. |
|---|---|
| Autores principais: | Jácome, Cristina |
| Outros Autores: | Flores, Inês; Martins, Filipa; Castro, Conceição; McPhee, Charlotte; Shepherd, Ellen; Demain, Sara; Figueiredo, Daniela; Marques, Alda |
| Assunto: | Chronic kidney failure Dialysis Postural balance Reproducibility of results Risk assessment |
| Ano: | 2017 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Universidade de Aveiro |
| Idioma: | inglês |
| Origem: | RIA - Repositório Institucional da Universidade de Aveiro |
| _version_ | 1866172819299106816 |
|---|---|
| author | Jácome, Cristina |
| author2 | Flores, Inês Martins, Filipa Castro, Conceição McPhee, Charlotte Shepherd, Ellen Demain, Sara Figueiredo, Daniela Marques, Alda |
| author2_role | author author author author author author author author |
| author_facet | Jácome, Cristina Flores, Inês Martins, Filipa Castro, Conceição McPhee, Charlotte Shepherd, Ellen Demain, Sara Figueiredo, Daniela Marques, Alda |
| author_role | author |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Jácome, Cristina\"},{\"Person.name\":\"Flores, Inês\"},{\"Person.name\":\"Martins, Filipa\"},{\"Person.name\":\"Castro, Conceição\"},{\"Person.name\":\"McPhee, Charlotte\"},{\"Person.name\":\"Shepherd, Ellen\"},{\"Person.name\":\"Demain, Sara\"},{\"Person.name\":\"Figueiredo, Daniela\"},{\"Person.name\":\"Marques, Alda\"}] |
| datacite.creators.creator.creatorName.fl_str_mv | Jácome, Cristina Flores, Inês Martins, Filipa Castro, Conceição McPhee, Charlotte Shepherd, Ellen Demain, Sara Figueiredo, Daniela Marques, Alda |
| datacite.date.Accepted.fl_str_mv | 2017-09-08T00:00:00Z |
| datacite.date.available.fl_str_mv | 2025-06-13T10:44:40Z |
| datacite.date.embargoed.fl_str_mv | 2025-06-13T10:44:40Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Chronic kidney failure Dialysis Postural balance Reproducibility of results Risk assessment |
| datacite.titles.title.fl_str_mv | Validity, reliability and minimal detectable change of the balance evaluation systems test (BESTest), mini-BESTest and brief-BESTest in patients with end-stage renal disease |
| dc.creator.none.fl_str_mv | Jácome, Cristina Flores, Inês Martins, Filipa Castro, Conceição McPhee, Charlotte Shepherd, Ellen Demain, Sara Figueiredo, Daniela Marques, Alda |
| dc.date.Accepted.fl_str_mv | 2017-09-08T00:00:00Z |
| dc.date.available.fl_str_mv | 2025-06-13T10:44:40Z |
| dc.date.embargoed.fl_str_mv | 2025-06-13T10:44:40Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10773/22124 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Taylor & Francis |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.subject.none.fl_str_mv | Chronic kidney failure Dialysis Postural balance Reproducibility of results Risk assessment |
| dc.title.fl_str_mv | Validity, reliability and minimal detectable change of the balance evaluation systems test (BESTest), mini-BESTest and brief-BESTest in patients with end-stage renal disease |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | PURPOSE: This study determined the validity, test-retest reliability and minimal detectable change of the balance evaluation systems test (BESTest), mini-balance evaluation systems test (Mini-BESTest) and brief-balance evaluation systems test (Brief-BESTest) in patients with end-stage renal disease. METHODS: A cross-sectional study with 74 patients with end-stage renal disease (male 66.2%; 63.9 ± 15.1 years old) was conducted. Participants were asked to report the number of falls during the previous 12 months and to complete the activity-specific balance confidence (ABC) scale. The BESTest was administered, and the Mini-BESTest and Brief-BESTest scores were computed based on the BESTest performance. Validity was assessed by correlating balance tests with each other and with the ABC scale. Test-retest relative reliability and agreement were explored with the intraclass correlation coefficient (ICC) equation (2,1) and the Bland and Altman method. Minimal detectable changes at the 95% confidence level were established. RESULTS: Balance test scores were significantly correlated with each other (spearman's correlation = 0.89-0.92) and with the ABC scale (spearman's correlation = 0.49-0.59). Balance tests presented high test-retest reliability (ICC = 0.84-0.94), with no evidence of bias. Minimal detectable change values were 10.8 (expressed as a percentage 13.5%), 5.3 (23.7%) and 5.6 (34%) points for the BESTest, Mini-BESTest and Brief-BESTest, respectively. CONCLUSIONS: All tests are valid and reliable to assess balance in patients with end-stage renal disease. Nevertheless, based on the minimal detectable changes found, BESTest and Mini-BESTest may be the most recommended tests for this specific population. Implications for Rehabilitation Balance evaluation systems test (BESTest), mini-balance evaluation systems test (Mini-BESTest) and brief-balance evaluation systems test (Brief-BESTest) are reliable and valid in patients with end stage renal disease (ESRD). The minimal detectable changes of 10.8 for the BESTest, 5.3 for the Mini-BESTest and 5.6 for the Brief-BESTest can be used by clinicians to identify a true change in balance over time or in response to interventions. Based on the minimal detectable changes found, BESTest and Mini-BESTest may be the most recommended; and the selection of one of them may be based on time and equipment availability. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | article |
| id | ria_3807feba5c6fbda7edeff19be4fc652f |
| identifier.url.fl_str_mv | http://hdl.handle.net/10773/22124 |
| instacron_str | ua |
| institution | Universidade de Aveiro |
| instname_str | Universidade de Aveiro |
| language | eng |
| network_acronym_str | ria |
| network_name_str | RIA - Repositório Institucional da Universidade de Aveiro |
| oai_identifier_str | oai:ria.ua.pt:10773/22124 |
| organization_str_mv | urn:organizationAcronym:ua |
| person_str_mv | Jácome, Cristina Flores, Inês Martins, Filipa Castro, Conceição McPhee, Charlotte Shepherd, Ellen Demain, Sara Figueiredo, Daniela Marques, Alda |
| publishDate | 2017 |
| publisher.none.fl_str_mv | Taylor & Francis |
| reponame_str | RIA - Repositório Institucional da Universidade de Aveiro |
| repository_id_str | urn:repositoryAcronym:ria |
| service_str_mv | urn:repositoryAcronym:ria |
| spelling | porPURPOSE: This study determined the validity, test-retest reliability and minimal detectable change of the balance evaluation systems test (BESTest), mini-balance evaluation systems test (Mini-BESTest) and brief-balance evaluation systems test (Brief-BESTest) in patients with end-stage renal disease. METHODS: A cross-sectional study with 74 patients with end-stage renal disease (male 66.2%; 63.9 ± 15.1 years old) was conducted. Participants were asked to report the number of falls during the previous 12 months and to complete the activity-specific balance confidence (ABC) scale. The BESTest was administered, and the Mini-BESTest and Brief-BESTest scores were computed based on the BESTest performance. Validity was assessed by correlating balance tests with each other and with the ABC scale. Test-retest relative reliability and agreement were explored with the intraclass correlation coefficient (ICC) equation (2,1) and the Bland and Altman method. Minimal detectable changes at the 95% confidence level were established. RESULTS: Balance test scores were significantly correlated with each other (spearman's correlation = 0.89-0.92) and with the ABC scale (spearman's correlation = 0.49-0.59). Balance tests presented high test-retest reliability (ICC = 0.84-0.94), with no evidence of bias. Minimal detectable change values were 10.8 (expressed as a percentage 13.5%), 5.3 (23.7%) and 5.6 (34%) points for the BESTest, Mini-BESTest and Brief-BESTest, respectively. CONCLUSIONS: All tests are valid and reliable to assess balance in patients with end-stage renal disease. Nevertheless, based on the minimal detectable changes found, BESTest and Mini-BESTest may be the most recommended tests for this specific population. Implications for Rehabilitation Balance evaluation systems test (BESTest), mini-balance evaluation systems test (Mini-BESTest) and brief-balance evaluation systems test (Brief-BESTest) are reliable and valid in patients with end stage renal disease (ESRD). The minimal detectable changes of 10.8 for the BESTest, 5.3 for the Mini-BESTest and 5.6 for the Brief-BESTest can be used by clinicians to identify a true change in balance over time or in response to interventions. Based on the minimal detectable changes found, BESTest and Mini-BESTest may be the most recommended; and the selection of one of them may be based on time and equipment availability.application/pdfengTaylor & FrancisporValidity, reliability and minimal detectable change of the balance evaluation systems test (BESTest), mini-BESTest and brief-BESTest in patients with end-stage renal diseaseJácome, CristinaFlores, InêsMartins, FilipaCastro, ConceiçãoMcPhee, CharlotteShepherd, EllenDemain, SaraFigueiredo, DanielaMarques, AldaHandlehttp://hdl.handle.net/10773/22124ISSNIsPartOf0963-8288DOIIsPartOf10.1080/09638288.2017.13750342025-06-13T10:44:40Z2017-09-08T00:00:00Z2017-09-08http://purl.org/coar/access_right/c_abf2open accessporChronic kidney failureporDialysisporPostural balanceporReproducibility of resultsporRisk assessment613493 byteshttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://ria.ua.pt/bitstream/10773/22124/1/2017_Jacome_Validity%2c%20reliability%20and%20minimal%20detectable%20change%20of%20BESTest%20in%20end-stage%20renal%20disease.pdfliteraturehttp://purl.org/coar/resource_type/c_6501journal article |
| spellingShingle | Validity, reliability and minimal detectable change of the balance evaluation systems test (BESTest), mini-BESTest and brief-BESTest in patients with end-stage renal disease Jácome, Cristina Chronic kidney failure Dialysis Postural balance Reproducibility of results Risk assessment |
| status | SINGLETON |
| subject.fl_str_mv | Chronic kidney failure Dialysis Postural balance Reproducibility of results Risk assessment |
| title | Validity, reliability and minimal detectable change of the balance evaluation systems test (BESTest), mini-BESTest and brief-BESTest in patients with end-stage renal disease |
| title_full | Validity, reliability and minimal detectable change of the balance evaluation systems test (BESTest), mini-BESTest and brief-BESTest in patients with end-stage renal disease |
| title_fullStr | Validity, reliability and minimal detectable change of the balance evaluation systems test (BESTest), mini-BESTest and brief-BESTest in patients with end-stage renal disease |
| title_full_unstemmed | Validity, reliability and minimal detectable change of the balance evaluation systems test (BESTest), mini-BESTest and brief-BESTest in patients with end-stage renal disease |
| title_short | Validity, reliability and minimal detectable change of the balance evaluation systems test (BESTest), mini-BESTest and brief-BESTest in patients with end-stage renal disease |
| title_sort | Validity, reliability and minimal detectable change of the balance evaluation systems test (BESTest), mini-BESTest and brief-BESTest in patients with end-stage renal disease |
| topic | Chronic kidney failure Dialysis Postural balance Reproducibility of results Risk assessment |
| topic_facet | Chronic kidney failure Dialysis Postural balance Reproducibility of results Risk assessment |
| url | http://hdl.handle.net/10773/22124 |
| visible | 1 |