The Useful Depression Screening Tool for Older Adults: Psychometric Properties and Clinical Applicability

2015 ◽  
Vol 23 (2) ◽  
pp. 78E-87E
Author(s):  
N. Jennifer Klinedinst ◽  
Barbara Resnick
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Rasch Analysis ◽  
Screening Tool ◽  
Reliability And Validity ◽  
Depression Screening ◽  
Validity And Reliability ◽  
Senior Housing ◽  
Test Retest Reliability ◽  
Over Time

Background and Purpose: The purpose of this study is to test the reliability and validity of the 3-item Useful Depression Screening Tool (UDST) for use with older adults in congregate living settings. Methods: There were 176 residents of senior housing or assisted living who completed the UDST. Rasch analysis and test criterion relationships with pain, physical activity, and depression diagnosis were used to determine validity. Test–retest reliability was conducted with 29 senior housing residents. Results: Rasch analysis demonstrated good fit of all items to the concept of depression. Criterion validity was supported, F(5) = 14.17, p < .001. Test–retest showed no significant differences in UDST scores over time (p = .29). Conclusions: The findings provide support for the validity and reliability of the UDST for use with older adults in congregate living settings.

scholarly journals Reliability and Validity of the Function Impairment Screening Tool in Chinese Older Adults

2021 ◽  
Vol 8 ◽  
Author(s):  
Yaxin Zhang ◽  
Pan Liu ◽  
Yiming Pan ◽  
Ying Li ◽  
Li Zhang ◽  
...  
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Physical Function ◽  
Functional Impairment ◽  
Daily Living ◽  
Screening Tool ◽  
Reliability And Validity ◽  
Chinese Older Adults ◽  
Function Impairment ◽  
Test Retest Reliability

Background: Physical function gradually decreases with age in older adults, affecting their independence and quality of life and leaving them prone to adverse outcomes. Despite the importance of assessing function for older adults, most studies have focused on disability and paid less attention to functional impairment. Thus, given the lack of valid and practical methods for evaluating functional impairment for older adults, we developed the function impairment screening tool (FIST) using the Delphi method.Objective: This study aimed to evaluate the reliability and validity of the FIST in Chinese older adults.Methods: A total of 489 participants aged 60 years or older, and who had completed the FIST were included. A subgroup of 50 participants completed the FIST a second time, 1 week after the first round, and the test–retest reliability was evaluated using the intraclass correlation coefficient (ICC). Reliability was tested using Cronbach's alpha. Validity was examined using exploratory factor analysis. Criterion-related validity was assessed using correlations between the FIST and the Barthel Index activities of daily living (ADL), Lawton, and Brody instrumental activities of daily living (LB-IADL).Results: The Cronbach's alpha coefficient for the FIST was 0.930 (P &lt; 0.001). The test–retest reliability was good, with an ICC of 0.928 (95% confidence interval [0.874, 0.960]). Exploratory factor analyses revealed one factor accounting for 60.14% of the scale's variance and the load values of every item were &gt;0.4 (0.489–0.872). The correlation coefficient was 0.572 (P &lt; 0.001) between the FIST score and ADL, and was 0.793 (P &lt; 0.001) between the FIST score and IADL. The FIST score was positively correlated with walking speed (r = 0.475, P &lt; 0.001) and grip strength (r = 0.307, P &lt; 0.001), and negatively correlated with age (r = −0.588, P &lt; 0.001) and Fried frailty phenotype (r = −0.594, P &lt; 0.001).Conclusion: The FIST is a reliable and valid instrument for assessing physical function impairment in older adults.

Validity and reliability of the Mandarin version of the Treatment Burden Questionnaire among stroke patients in Mainland China

2021 ◽  
Author(s):  
Qi Zhang ◽  
Ke Zhang ◽  
Miao Li ◽  
Jiaxin Gu ◽  
Xintong Li ◽  
...  
Keyword(s):  
Internal Consistency ◽  
Convergent Validity ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Therapeutic Interventions ◽  
Treatment Burden ◽  
Validity And Reliability ◽  
Stroke Patients ◽  
Retest Reliability ◽  
Test Retest Reliability

Abstract Objectives To examine the validity and reliability of the Mandarin version of the Treatment Burden Questionnaire (TBQ) among stroke patients. Background Stroke patients need long-term management of symptoms and life situation, and treatment burden has recently emerged as a new concept that can influence the health outcomes during the rehabilitation process. Methods The convenience sampling method was used to recruit 187 cases of stroke patients in a tertiary grade hospital in Tianjin for a formal investigation. Item analysis, reliability and validity tests were carried out. The reliability test included internal consistency and test–retest reliability. And as well as content, structure and convergent validity were performed for the validity test. Results Of the 187 completed questionnaires, only 180 (96.3%) were suitable for analysis. According to the experts’ evaluation, the I-CVI of each item was from 0.833 to 1.000, and the S-CVI was 0.967. The exploratory factor analysis yielded three-factor components with a cumulative variation of 53.054%. Convergent validity was demonstrated using measures of Morisky’s Medication Adherence Scale 8 (r = –0.450, P &lt; 0.01). All correlations between items and global scores ranged from 0.403 to 0.638. Internal consistency reliability and test–retest reliability were found to be acceptable, as indicated by a Cronbach’s α of 0.824 and an intraclass correlation coefficient of 0.846, respectively. Conclusions The Mandarin TBQ had acceptable validity and reliability. The use of TBQ in the assessment of treatment burden of stroke survivor may benefit health resources allocation and provide tailor therapeutic interventions to construct minimally disruptive care.

scholarly journals Evidence of Validity and Reliability of the Lasher and Faulkender Anxiety about Aging Scale in Mexican Older Adults

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1612
Author(s):  
María del Carmen Zueck-Enríquez ◽  
Ma. Concepción Soto ◽  
Susana Ivonne Aguirre ◽  
Martha Ornelas ◽  
Humberto Blanco ◽  
...  
Keyword(s):  
Older Adults ◽  
Factor Structure ◽  
Physical Appearance ◽  
Reliability And Validity ◽  
The Elderly ◽  
Validity And Reliability ◽  
Validity Indicators ◽  
Mediating Factor ◽  
And Behavior ◽  
Attitudes And Behavior

Anxiety about aging is an important mediating factor in attitudes and behavior toward elderly individuals as well as a mediating factor in the adjustment to one’s own aging processes. The aim of this study was to analyze the factor structure, internal consistency and factorial invariance by sex of the Lasher and Faulkender Anxiety about Aging Scale. The sample consisted of 601 Mexican older adults, 394 women and 207 men, with a mean age of 70.69 ± 8.10 years. The factor structure of the questionnaire was analyzed using confirmatory factor analysis. Analyses show that a four-factor structure is feasible and adequate. The four-factor structure (fear of the elderly, psychological concerns, physical appearance and fear of loss), according to statistical and substantive criteria, showed adequate reliability and validity indicators. However, the obtained model does not fully coincide with that proposed by the questionnaire authors, although it continues to support the multi-factor component of anxiety about aging. On the other hand, the factor structure, the factor loadings and the intercepts are considered invariant in the two populations (men and women); however, there are differences between populations on the means of the physical appearance and fear of loss factors.

The validity and reliability of the revised Chinese version of the Situational Self-Awareness Scale

2009 ◽  
Vol 37 (6) ◽  
pp. 743-752 ◽  
Author(s):  
Xu-Feng Liu ◽  
Yong-Cong Shao ◽  
Ye-Bing Yang ◽  
Sheng-Jun Wu ◽  
Hai Yang ◽  
...  
Keyword(s):  
Undergraduate Students ◽  
Reliability And Validity ◽  
Chinese Version ◽  
Self Awareness ◽  
Validity And Reliability ◽  
Good Reliability ◽  
The Public ◽  
Confirmatory Factor ◽  
Public Setting ◽  
Test Retest Reliability

In this study a Chinese version of the Situational Self-Awareness Scale (SSAS; Govern & Marsch, 2001) was developed and tested for validity and reliability. Participants were 1,244 undergraduate students. Exploratory and confirmatory factor analysis and other statistical methods yielded results indicating a good correlation of items in the Chinese (C-SSAS) and English version of the scale. When private self-awareness was assessed in a private setting the score of participants was significantly greater and likewise the public self-awareness scores were higher when the scale was completed in a public setting. Test-retest reliability was significant across situations and time. The reallocation of one item to public self-awareness in the C-SSAS from private in the SSAS was indicative of differences between Eastern and Western cultures and this is discussed. In general, the results indicated that the Chinese version of the SSAS has good reliability and validity. The scale should, therefore, be suitable as a reference to develop scales for evaluating personnel working in specific occupations.

scholarly journals Structural Validity and Reliability of the Spanish Version of the White Bear Suppression Inventory (WBSI) in a Sample of the General Spanish Population

2008 ◽  
Vol 11 (2) ◽  
pp. 650-659 ◽  
Author(s):  
Manuel González Rodríguez ◽  
Pedro Avero Delgado ◽  
Anna Teresa Rovella ◽  
Rosario Cubas León
Keyword(s):  
Factor Analysis ◽  
General Population ◽  
Internal Consistency Reliability ◽  
Validity And Reliability ◽  
Suppression Factor ◽  
Factor Solution ◽  
Negative Thoughts ◽  
Confirmatory Factor ◽  
Test Retest Reliability ◽  
Over Time

This paper introduces the validation of the Spanish adaptation of the White Bear Suppression Inventory (WBSI) by Wegner and Zanakos (1994). A sample of 833 people from the general population completed the WBSI along with other questionnaires. The exploratory factor analysis and the confirmatory factor analysis supported a two-factor solution accounting for 51.8% of the cumulative variance. This structure is comprised of the two following factors: unwanted intrusive thoughts (α = .87, r = .70) and actions of distraction and suppression of thoughts (α = .80, r = .60). Both internal consistency reliability (α = .89) and test-retest reliability (r = .71) showed adequate homogeneity, sound consistency, and stability over time. The results are discussed bearing in mind both isolated factors and the possible relationships of the suppression factor with automatic negative thoughts and insomnia.

scholarly journals PERCEIVED PHYSICAL LITERACY FOR CHINESE ELDERLY QUESTIONNAIRE DEVELOPMENT: PRELIMINARY VALIDITY AND RELIABILITY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S523-S523
Author(s):  
Haocen Wang ◽  
Barbara King
Keyword(s):  
Older Adults ◽  
Sense Of Self ◽  
Reliability And Validity ◽  
Questionnaire Development ◽  
Self Report ◽  
Validity And Reliability ◽  
Physical Literacy ◽  
Chinese Elderly ◽  
Holistic View ◽  
Chinese Older Adults

Abstract Physical activity (PA) is an essential health prompting behavior. Unfortunately, in China, only about 12% to 40% of older adults met the PA recommendations. To guide the design of future PA interventions and policy-making, innovative solutions are needed to be introduced. Physical literacy, a relatively novel concept, has been recently introduced in the field of older adults’ PA. This concept takes a holistic view of PA behavior, which proposed that a person need to be motivationally, physically, strategically, effectively, socially, and knowledgeably prepared to be and stay physically active. The aim of this study was to develop the Perceived Physical literacy for Chinese Elderly (PPLCE) questionnaire and to establish its reliability and validity. An item pool for the PPLCE was generated from literature and interviews with Chinese older adults. Expert panel reviews and cognitive interviews were applied to establish the face and content validity of the questionnaire. A convenient sample of 388 Chinese older adults was recruited to assess the psychometric properties of the PPLCE. The item-level analysis and exploratory factor analysis resulted in a 46-item self-report measure, consisting with four factors: motivation, physical competence, interaction with environment, sense of self, interaction with others, and knowledge and understanding. The Cronbach’s alpha coefficient and test-retest reliability of the PPLCE were 0.88 and 0.79 respectively. A positive correlation between PPLCE and leisure-time PA was found (r=0.43). The PPLCE has the potential to be used as a valid and reliable measure to assess Chinese older adults’ perceived physical literacy.

scholarly journals HOUSING CONTEXT AND FUNCTIONAL HEALTH AMONG LOWER INCOME OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S968-S968
Author(s):  
Noah J Webster
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Independent Living ◽  
Functional Health ◽  
Assisted Living Facilities ◽  
Lower Income ◽  
Free Standing ◽  
Senior Housing ◽  
Multiunit Housing ◽  
Nationally Representative

Abstract The characteristics of where older adults live have strong links with disability. Although lower income older adults experience disability at higher rates, less is known about the link between housing characteristics and functional health in this group. A within group comparison among this population is needed to understand how aspects of this vulnerable subgroup’s housing context are associated with health outcomes. The present study examines the association between housing and functional health among a U.S. nationally representative sample of independent living (i.e., not living in nursing homes or assisted living facilities) lower income adults age 65+. Using data from round one of the National Health and Aging Trends Study, a sub-sample of N=2,865 lower income (&lt;$15,000 in the past year) older adults was selected for analysis. Regression analyses indicate that lower income older adults living in multiunit buildings reported better functional health compared to those in other housing contexts (e.g., free-standing homes). This link also significantly varied by age and gender. Living in multiunit housing was associated with better functional health among those age 90+, not associated among those age 80-90, and was negatively associated among those age 65-79. In terms of gender, the link between multiunit housing and better functional health was only significant among women. Findings highlight variation in health across lower income older adults’ housing contexts. Potential explanatory mechanisms (e.g., social isolation) will be discussed. Such information can inform senior housing policy regarding best approaches to providing housing for older adults that optimizes and promotes independent living.

Reliability and Validity of the Outcome Expectations for Exercise Scale-2

2005 ◽  
Vol 13 (4) ◽  
pp. 382-394 ◽  
Author(s):  
Barbara Resnick
Keyword(s):  
Older Adults ◽  
Convergent Validity ◽  
Rasch Analysis ◽  
Reliability And Validity ◽  
Outcome Expectations ◽  
Retirement Community ◽  
Continuing Care ◽  
Validity Testing ◽  
Confirmatory Factor ◽  
The Relationship

Development of a reliable and valid measure of outcome expectations for exercise for older adults will help establish the relationship between outcome expectations and exercise and facilitate the development of interventions to increase physical activity in older adults. The purpose of this study was to test the reliability and validity of the Outcome Expectations for Exercise-2 Scale (OEE-2), a 13-item measure with two subscales: positive OEE (POEE) and negative OEE (NOEE). The OEE-2 scale was given to 161 residents in a continuing-care retirement community. There was some evidence of validity based on confirmatory factor analysis, Rasch-analysis INFIT and OUTFIT statistics, and convergent validity and test criterion relationships. There was some evidence for reliability of the OEE-2 based on alpha coefficients, person- and item-separation reliability indexes, and R2 values. Based on analyses, suggested revisions are provided for future use of the OEE-2. Although ongoing reliability and validity testing are needed, the OEE-2 scale can be used to identify older adults with low outcome expectations for exercise, and interventions can then be implemented to strengthen these expectations and improve exercise behavior.

scholarly journals Reliability, Validity, and Feasibility of a Computer-Based Geriatric Assessment for Older Adults With Cancer

2016 ◽  
Vol 12 (12) ◽  
pp. e1025-e1034 ◽  
Author(s):  
Arti Hurria ◽  
Chie Akiba ◽  
Jerome Kim ◽  
Dale Mitani ◽  
Matthew Loscalzo ◽  
...  
Keyword(s):  
Older Adults ◽  
Geriatric Assessment ◽  
Hematologic Malignancy ◽  
Social Activity ◽  
Reliability And Validity ◽  
Data Capture ◽  
Computer Based ◽  
Paper And Pencil ◽  
Test Retest Reliability ◽  
Completion Times

Purpose: The goal of this study was to evaluate the feasibility, reliability, and validity of a computer-based geriatric assessment via two methods of electronic data capture ( SupportScreen and REDCap) compared with paper-and-pencil data capture among older adults with cancer. Methods: Eligible patients were ≥ 65 years old, had a cancer diagnosis, and were fluent in English. Patients were randomly assigned to one of four arms, in which they completed the geriatric assessment twice: (1) REDCap and paper and pencil in sessions 1 and 2; (2) REDCap in both sessions; (3) SupportScreen and paper and pencil in sessions 1 and 2; and (4) SupportScreen in both sessions. The feasibility, reliability, and validity of the computer-based geriatric assessment compared with paper and pencil were evaluated. Results: The median age of participants (N = 100) was 71 years (range, 65 to 91 years) and the diagnosis was solid tumor (82%) or hematologic malignancy (18%). For session 1, REDCap took significantly longer to complete than paper and pencil (median, 21 minutes [range, 11 to 44 minutes] v median, 15 minutes [range, 9 to 29 minutes], P < .01) or SupportScreen (median, 16 minutes [range, 6 to 38 minutes], P < .01). There were no significant differences in completion times between SupportScreen and paper and pencil ( P = .50). The computer-based geriatric assessment was feasible. Few participants (8%) needed help with completing the geriatric assessment (REDCap, n = 7 and SupportScreen, n = 1), 89% reported that the length was “just right,” and 67% preferred the computer-based geriatric assessment to paper and pencil. Test–retest reliability was high (Spearman correlation coefficient ≥ 0.79) for all scales except for social activity. Validity among similar scales was demonstrated. Conclusion: Delivering a computer-based geriatric assessment is feasible, reliable, and valid. SupportScreen methodology is preferred to REDCap.

scholarly journals The Farsi translation, reliability and validity of the Death Concern Scale

2018 ◽  
Vol 40 (2) ◽  
pp. 114-125 ◽  
Author(s):  
Mahboubeh Dadfar ◽  
David Lester
Keyword(s):  
Depression Scale ◽  
Reliability And Validity ◽  
Cross Sectional Study ◽  
Negative Evaluation ◽  
Sectional Study ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Test Retest Reliability ◽  
Farsi Version

Abstract Introduction: Death concern is a conscious contemplation of the reality of death combined with a negative evaluation of that reality. The Death Concern Scale (DCS) is related to thinking, and death fear or anxiety about death. The aim of the present study was to develop a Farsi version of the DCS and to explore its psychometric properties in a sample of Iranian nurses. Methods: A cross-sectional study was conducted to investigate the reliability, validity, and factorial structure of the Farsi version of the DCS in a convenience sample of 106 Iranian nurses in two hospitals in Tehran, Iran. The nurses completed the DCS, the Collett-Lester Fear of Death Scale (CLFDS), the Death Anxiety Scale (DAS), the Reasons for Death Fear Scale (RDFS), the Death Depression Scale (DDS), and the Death Obsession Scale (DOS). Results: For the DCS, Cronbach's α was 0.77, the Spearman-Brown coefficient 0.63, the Guttman split-half coefficient 0.62, and two-week test-retest reliability 0.77. The DCS correlated at 0.51 with the CLFDS, 0.52 with the DAS, 0.34 with the RDFS, 0.40 with the DDS, and 0.48 with the DOS, indicating good construct and criterion-related validity. The results of an exploratory factor analysis for the DCS identified seven factors, accounting for 64.30% of the variance and indicating considerable heterogeneity in the content of the items. Conclusions: The Farsi version of the DCS has good validity and reliability, and it can be used in clinical, educational, and research settings to assess death concerns in the Iranian society.

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