Dr. Rossel-Cid, Pedro

Balance is affected in numerous neurologic disorders, like stroke, multiple sclerosis and Parkinson’s disease contributing to falls, and diminishing quality of life and functionality. The mini-BESTest is one of the most recommended scales to detect balance disorders in people with Parkinson’s disease, which has solid psychometric properties. Unfortunately, this scale has not been validated in Chile and there are no other validated scales that can determine balance disorders in patients with Parkinson’s disease to date. The study objective was to validate the mini-BESTest scale in Chilean Parkinson’s disease patients. The translation and adaptation to Chilean Spanish of the mini-BESTest scale were made following a cross-cultural adaptation process, to then obtain face and content validity by an expert committee. Afterwards, the demographic data and psychometric properties of internal consistency and ceiling and floor effects were measured with a sample of 50 subjects with Parkinson’s disease. Furthermore, 10 subjects of the sample were evaluated with the purpose of measuring inter rater reliability. The scale presented a good internal consistency (Cronbach’s alpha = 0.845), and an excellent inter rater reliability (intraclass correlation coefficient = 0.97), no ceiling or floor effects were found. The results of the face and content validity and psychometric properties are adequate, achieving the validation of the mini-BESTest scale for balance in Chilean people with Parkinson’s disease.

Diary studies are used to gather user information in their natural context. Despite the advantages of digital diaries, older users are not able to fully beneft from them, e.g. due to decreased motor and cognitive abilities, and low digital skills. This work presents InMyDay, a digital diary application specifcally designed and implemented for older users. The goal of this work is twofold: frst, we research whether older users are able to record activities and refect on their emotions using a digital diary. Then, using the results of this frst phase, we implemented three input styles for the second version of the digital diary: voice, stylus, and keyboard. Overall, 23 older users participated in evaluations aimed at improving the design of the diary and understanding their input style preferences. We found that the older adults used the diary to refect on their emotions, registering positive as well as negative emotions. We also found that the variety of choices in input styles helped the participants select the option most suited to their particular needs and preferences. Future work will focus on evaluating the digital diary over a longer period of time, to analyze variables such as long-term adoption and motivation, as well as trends in the selection of input styles.