The Brazilian version of the Home Falls and Accidents Screening Tool (HOME FAST): translation, cross-cultural adaptation, validation and reliability

Abstract

Objective: to translate and cross-culturally adapt the Home Falls and Accidents Screening Tool - HOME FAST into Brazilian Portuguese and to evaluate its construct validity and intra-and inter-rater reliability. Method: a cross-sectional study was carried out that included older people aged 60 years or older. Translation and cross-cultural adaptation were carried out in the following stages: 1. Translation, 2. Synthesis, 3. Back translation, 4. Expert panel (review and pre-final version), 5. Pre-testing, 6. Analysis by the expert panel and the final version of the instrument. The Berg Balance Scale - BBS was used to test construct validity (Spearman correlation coefficient). Additionally, intra-and inter-rater reliability analysis was conducted using the Intraclass Correlation Coefficient (ICC) and the Bland-Altman plot. Results were considered significant at p<0.05. Results: the HOME FAST-Brazil was applied to 53 older people with a mean age of 71(5) years; 79% (42) of whom were female and 21% (11) of whom were male. The translation and cross-cultural adaptation process resulted in similar versions among translations. The correlation of the total score of HOME FAST-Brazil with the BBS was ρ=-0.241, p=0.041. The reliability rate was ICC=0.99 and 0.92 (intra-and inter-rater, respectively). Conclusion: The HOME FAST-Brazil, translated and cross-culturally adapted to Brazilian Portuguese, was shown to have construct validity and excellent intra-and inter-rater reliability.

Confiabilidade e objetividade de uma bateria de avaliação da coordenação motora para cadeirantes

“…Melo Filho et al (2020), used intra and inter-rater reliability to translate and adapt the test to Portuguese, showing excellent reliability in the results. The reliability results of the study by Aburachid et al (2019), Pinto et al (2019, and Barroso et al (2019) pointed out excellent intra and inter-evaluator indices, ensuring reliability and objectivity.…”

Reliability of HOME FAST BRAZIL—Self-Reported Version for Community-Dwelling Older Adults

“…A study found that among the standardized instruments developed to assess the residential risks of falls in the older adults, the Home Fall and Accidents Screening Tool (HOME FAST) ( 12 ) is one of the instruments with high potential for evaluating home hazards associated with falls ( 13 ). This instrument was translated and culturally adapted to Brazilian Portuguese ( 14 ), however, the need for home visits for its application is a limiting factor ( 15 , 16 ).…”