The assessment of disability with the Groningen Activity Restriction Scale. Conceptual framework and psychometric properties

1996 ◽  
Vol 43 (11) ◽  
pp. 1601-1610 ◽  
Author(s):  
G.I.J.M. Kempen ◽  
I. Miedema ◽  
J. Ormel ◽  
W. Molenaar
Author(s):  
Louise C. Mâsse ◽  
Teresia M. O’Connor ◽  
Yingyi Lin ◽  
Nicole S. Carbert ◽  
Sheryl O. Hughes ◽  
...  

Abstract Background Many tools have been developed to measure physical activity parenting practices (PAPP). Currently, there is little standardization on how PAPP constructs are operationalized for 5–12 year-old children. Given this lack of consistency our team have started the process of standardizing the measurement of PAPP by developing an item bank which was conceptually informed by 24 experts from 6 countries. Purpose The purpose of this paper is to present the psychometric properties of the PAPP item bank using the expert-informed PAPP conceptual framework. Methods A sample (N = 626) of Canadian parents completed the PAPP item bank (100 items measuring 12 constructs). Confirmatory Factor Analyses (CFA), confirmatory bi-factor item analyses, and Item Response Modeling (IRM) were used to assess the structural validity of scores derived from the PAPP item bank. Differential Item Functioning (DIF) and Differential Response Functioning (DRF) were used to determine whether the PAPP items are invariant by parent sex, ethnicity of parent, and household income. Finally, Computerized Adaptive Testing (CAT) simulations were used to determine the efficiency of the item bank – this involved ascertaining whether each construct can be assessed with fewer items. Results The PAPP expert-informed conceptual framework was mainly supported by the CFA analyses. Notable changes included: a) collapsing smaller constructs into one general construct (modeling, co-participation, and monitoring constructs were collapsed into a construct assessing nondirective support); or b) splitting a construct into two smaller constructs (restrict for safety reason construct was split into indoor physical activity restriction and allowance for unsupervised outside physical activity). While the CFA analyses supported the structural validity of 11 constructs, the bi-factor item analyses and IRM analyses supported collapsing correlated constructs into more general constructs. These analyses further reduced the number of constructs measured by the PAPP item bank to nine constructs (65 items – reliability ranging from .79 to .94). As seven of the PAPP constructs had reliability greater than .80, CAT simulations further reduced the number of items to 31 items. Conclusion Overall, the PAPP item bank has excellent psychometric properties and provides an efficient way to assess PAPP.


1994 ◽  
Vol 84 (8) ◽  
pp. 1270-1273 ◽  
Author(s):  
T P Suurmeijer ◽  
D M Doeglas ◽  
T Moum ◽  
S Briançon ◽  
B Krol ◽  
...  

Author(s):  
Sonia Brito Costa ◽  
Pedro Bem-Haja ◽  
Ana Moisao ◽  
Alfonso Alberty ◽  
Florencio Vicente Castro ◽  
...  

Os dois estudos da presente investigação tiveram como “Conceptual framework” o modelo dos 5 fatores de Costa and McCrae (1987). Num primeiro estudo, traduziu e adaptou-se para a população portuguesa o Big Five Inventory (BFI) de John, Donahue, & Kentle (1991), modificado por Jonh & Srivastava (1999), avaliando a consistência interna e a estabilidade temporal. Num segundo estudo, o objetivo foi avaliar a estrutura fatorial (validade fatorial) e a validade de critério pela comparação concorrente com um instrumento paralelo já validado para Portugal, o Ten Item Personality Inventory (TIPI), adaptado e validado por Lima e Castro (2009). Neste 2º estudo pretendeu-se, ainda, verificar novamente o comportamento da consistência interna. Após o primeiro estudo, o BFI passou a designar-se por Inventário dos Cinco Grandes Fatores da Personalidade (IGFP5). A amostra do primeiro estudo foi constituída por 150 jogadores de futebol e a do segundo estudo por 369 participantes do mesmo grupo profissional. No primeiro estudo foram obtidos bons valores de consistência interna, sendo confirmada a estabilidade temporal da medida mediante a obtenção de correlações significativas entre o teste e o reteste e a aproximação dos valores absolutos de alfa nos dois momentos. Em relação ao estudo 2, inicialmente foi extraída uma solução com 16 fatores; contudo, após uma análise do screenplot de eigenvalues, a solução fixada foi penta-fatorial e muito próxima, na extração de itens, à validação original e validações de outros países. A validade de critério foi alcançada pela existência de correlações significativas na direção esperada entre os dois questionários aplicados. A consistência interna global manteve, neste segundo estudo, valores dentro do recomendado, exceto para o fator “amabilidade” que, embora perto do aceitável, tem de ser analisado com cuidado. Os resultados demonstraram que a versão portuguesa do BFI, agora designado por IGFP5, possui boas características psicométricas, embora a subescala/fator amabilidade tenha de ser usada com cuidado.


2018 ◽  
Vol 36 (1) ◽  
pp. 42-56 ◽  
Author(s):  
Olivete Oliveira ◽  
Célia Ribeiro ◽  
Cristina Simões ◽  
Paulo Pereira

The conceptual framework of quality of life (QOL) have received considerable attention within students with visual impairment. The main purpose of this study was to analyse the QOL of children and adolescents with low vision and blindness. Data were collected from 18 children and adolescents, and respective parents ( n = 18). QOL was assessed by the KIDSCREEN 52 questionnaire. Cronbach’s alpha and correlations were calculated to examine the psychometric properties of the scale in the visual impairment field. The scale showed suitable internal consistency and construct validity. The findings highlighted that the mean scores were higher in participants with low vision, in male group, and in children. Furthermore, children and adolescents reported higher scores regarding their QOL than their parents. The results emphasized the importance of collecting information from the person about his or her own life to know the personal outcomes, as well as the perception of their parents.


1996 ◽  
Vol 11 (7) ◽  
pp. 335-343 ◽  
Author(s):  
H D'haenen

SummaryInstruments developed to measure anhedonia are reviewed and their psychometric properties and conceptual framework discussed. Most instruments were designed considering anhedonia to be a symptom either of schizophrenia or of depression. Only the Physical and Social Anhedonia Scales of Chapman et al, designed to measure a lifelong pleasure deficiency, considered to be related to schizophrenia, and, to a lesser extent, the Pleasure Scale of Fawcett et al, designed to evaluate a state dependent deficit, considered to identify a subtype of depression, have been psychometrically extensively investigated. Since we were interested in studying anhedonia in depression, we made a Dutch translation of the Fawcett-Clark Pleasure Scale and report here on the psychometric properties of this translated version. Using the Rasch model for testing the homogeneity and transferability of the scale, we demonstrated that the original scale did not fit the model. A subscale of 14 items was constructed which did.


2013 ◽  
Vol 21 (7) ◽  
pp. 774-793 ◽  
Author(s):  
Esther E Kuis ◽  
Gijs Hesselink ◽  
Anne Goossensen

Background: Ethics-of-care theories contain important notions regarding the quality of care; however, until now, concrete translations of the insights into instruments are lacking. This may be a result of the completely different type of epistemology, theories and concepts used in the field of quality of care research. Objectives: Both the fields of ‘ethics of care’ and ‘quality of care’ aim for improvement of care; therefore; insights could possibly meet by focusing on the following question: How could ethics-of-care theories contribute to better quality in care at a measurement level? This study reviews existing instruments with the aim of bridging this gap and examines the evidence of their psychometric properties, feasibility and responsiveness. Research design: A systematic search of the literature was undertaken using multiple electronic databases covering January 1990 through May 2012. Method and findings: Of the 3427 unique references identified, 55 studies describing 40 instruments were selected. Using a conceptual framework, an attempt was made to distinguish between related concepts and to group available instruments measuring different types of concepts. A total of 13 instruments that reflect essential aspects of ethics-of-care theory were studied in greater detail, and a quality assessment was conducted. Conclusion: Three promising qualitative instruments were found, which follow the logic of the patient and take their specific context into account.


2016 ◽  
Vol 5 (1) ◽  
pp. 84
Author(s):  
Syarifah Nurhayati ◽  
Widya Hary Cahyati

Disabilitas adalah penurunan fungsi individu dalam melakukan aktivitas sehari-hari, dimana aktivitas tersebut sebelumnya dapat dilakukan sendiri atau tanpa bantuan orang lain. Disabilitas menyebabkan lansia tidak dapat mencapai tujuan menjadi tua tetap sehat (healthy aging) dan menjadi tua yang aktif (active aging). Penelitian ini membahas tentang status medical check up dan keterkaitannya dengan disabilitas pada lansia di Kecamatan Punung, Kabupaten Pacitan. Jenis penelitian ini adalah analitik observasional dengan pendekatan case control. Jumlah sampelnya adalah 134 terdiri dari 67 kasus dan 67 kontrol yang diambil dengan teknik accidental sampling. Instrumen yang digunakan dalam penelitian ini adalah kuesioner dan skala keterbatasan GARS (Groningen Activity Restriction Scale). Analisis data dilakukan dengan uji chi-square (α=0,05). Hasil penelitian menunjukkan bahwa variabel status medical check up mempunyai hubungan dengan kejadian disabilitas fisik yaitu dengan nilai p value 0,034 dan OR=5,702, yang berarti lansia yang tidak pernah melakukan medical check up ≥40 tahun berisiko 5,702 untuk mengalami kejadian disabilitas fisik. Disability is a decreasing function of individuals in performing daily activities, where these activities can be done alone or in advance without the help of others. Disability caused elderly can not achieve the goal of becoming elderly stay healthy (healthy aging) and become active elderly (active aging). This research was to identify about the status of the medical check-up and its association with disability in the elderly in District Punung, Pacitan. This research was analytic observational with case control approach. Total sample was composed 134 consist of 67 cases and 67 controls were taken by accidental sampling technique. The instrument used in this study was a questionnaire and scale limitations of GARS (Groningen Activity Restriction Scale ). Data analysis was performed with chi-square test (α=0.05). The results showed that the medical check-up status variables influences the occurence of phsycal disability (p value=0.034 and OR = 5.702). The suggests that elderly who have never done medical check up in ≥40th, would have a chance five times to occurence of phsycal disability compared with receive medical check-up.


2020 ◽  
Vol 9 (1) ◽  
pp. 56-62
Author(s):  
Muhammad Syafii ◽  
Nur Rachmat

Background: The physical condition of patients with transtibial amputations affects the fulfillment of activity of daily living. Transtibial Prosthesis is used to increase the patient's activity abilities. This research is to find the effect of using transtibial prostheses on the activity of daily living. This study aims to determine the effect of the use of transtibial prostheses on the activities of daily life. Methods: This research method uses Quasi Experiment in the form of two-group post test only design. The study population was transtbial amputee at PT. Kuspito Prosthetic Orthotics. The sample in this study 40 people, namely 20 people using Transtibial Prosthesis,  20 people using Axial Crutches. The study was conducted at PT. Kuspito Prosthetic Orthotics from April to May 2019. This study used an observation sheet prepared by Kempen, et al (1996), namely The Groningen Activity Restriction Scale. Results: The normality test used is Shapiro Wilk. Mann Whitney test resuls shows an average difference of ADL between users of transtibial prosthesis users (22.40) and axillary crutch users (19.95) with a p value = 0.008 where a p value <0.05. Conclusion: So  there is a difference in ADL which is statistically significant in patients using transtibial prosthesis and patients using axillary crutches. Where for transtibial prosthesis users better in ADL than axillary crutch users.  


1996 ◽  
Author(s):  
G. I. J. M. Kempen ◽  
I. Miedema ◽  
J. Ormel ◽  
W. Molenaar

2010 ◽  
Vol 20 (4) ◽  
pp. 277-287 ◽  
Author(s):  
J Perez-Jara ◽  
D Walker ◽  
P Heslop ◽  
S Robinson

SummaryIn this review, we analyse original research articles in English and Spanish in which fear of falling (FoF) as a long-term syndrome defines the participants, or is the main outcome, or in cases where FoF is a secondary outcome, falls or activity are the main outcomes.FoF is difficult to measure. Attempts are made to do so by use of single questions or scales. Restriction in activity due to FoF is a secondary outcome and can be an important influence on a person's quality of life. There are also various methods of measuring it by use of single questions or scales, and general questions in basic or instrumental activities of daily living (ADL) indices are frequently used. Other scales or questionnaires about quality of life (such as the SF-36) or activity (such as the Survey of Activity and Fear of Falling Scales (SAFE), or the Groningen Activity Restriction Scale (GARS)) are also used. The varying objectives of the analysed articles explain some of the variations in measures used. Further work is required to reach a consensus on definition and standardized measurement of FoF and its effect on quality of life and activity.


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