Assessing Older Adult Wellness: An Assessment of the Psychometric Properties of the Lifestyle Survey

2020 ◽  
pp. JNM-D-19-00030
Author(s):  
Kelley Strout ◽  
Jennifer Crittenden ◽  
Liam M. O’Brien ◽  
Elizabeth P. Howard

Background and purposeTo measure wellness interventions, researchers need valid and reliable tools to measure the concept of wellness. The purpose of this study is to examine the validity and reliability of the Lifestyle Survey instrument.MethodsCommunitydwelling older adults were recruited and asked to evaluate the reliability by engaging in a test retest reliability. Observer agreement was measured by calculating a kappa score for each item. Content validity was evaluated with a focus group session.Results(n = 56) older adults completed the survey on time one and time two. Of 115 items, 77.39% demonstrated moderate or higher kappa agreement. Focus group respondents identified rewording a few items.ConclusionWith refinement, the Lifestyle Survey is a valid and reliable measure of wellness among community-dwelling older adults.

2017 ◽  
Vol 25 (1) ◽  
pp. 17E-30E
Author(s):  
Ronald L. Hickman ◽  
John M. Clochesy ◽  
Breanna Hetland ◽  
Marym Alaamri

Background and Purpose: There are limited reliable and valid measures of the patient– provider interaction among adults with hypertension. Therefore, the purpose of this report is to describe the construct validity and reliability of the Questionnaire on the Quality of Physician–Patient Interaction (QQPPI), in community-dwelling adults with hypertension. Methods: A convenience sample of 109 participants with hypertension was recruited and administered the QQPPI at baseline and 8 weeks later. Results: The exploratory factor analysis established a 12-item, 2-factor structure for the QQPPI was valid in this sample. The modified QQPPI proved to have sufficient internal consistency and test– retest reliability. Conclusions: The modified QQPPI is a valid and reliable measure of the provider–patient interaction, a construct posited to impact self-management, in adults with hypertension.


2012 ◽  
Vol 92 (2) ◽  
pp. 318-328 ◽  
Author(s):  
Alaina M. Newell ◽  
Jessie M. VanSwearingen ◽  
Elizabeth Hile ◽  
Jennifer S. Brach

BackgroundPerceived ability or confidence plays an important role in determining function and behavior. The modified Gait Efficacy Scale (mGES) is a 10-item self-report measure used to assess walking confidence under challenging everyday circumstances.ObjectiveThe purpose of this study was to determine the reliability, internal consistency, and validity of the mGES as a measure of gait in older adults.DesignThis was a cross-sectional study.MethodsParticipants were 102 community-dwelling older adults (mean [±SD] age=78.6±6.1 years) who were independent in ambulation with or without an assistive device. Participants were assessed using the mGES and measures of confidence and fear, measures of function and disability, and performance-based measures of mobility. In a subsample (n=26), the mGES was administered twice within a 1-month period to establish test-retest reliability through the intraclass correlation coefficient (ICC [2,1]). The standard error of measure (SEM) was determined from the ICC and standard deviation. The Cronbach α value was calculated to determine internal consistency. To establish the validity of the mGES, the Spearman rank order correlation coefficient was used to examine the association with measures of confidence, fear, gait, and physical function and disability.ResultsThe mGES demonstrated test-retest reliability within the 1-month period (ICC=.93, 95% confidence interval=.85, .97). The SEM of the mGES was 5.23. The mGES was internally consistent across the 10 items (Cronbach α=.94). The mGES was related to measures of confidence and fear (r=.54–.88), function and disability (Late-Life Function and Disability Instrument, r=.32–.88), and performance-based mobility (r=.38–.64).LimitationsThis study examined only community-dwelling older adults. The results, therefore, should not be generalized to other patient populations.ConclusionThe mGES is a reliable and valid measure of confidence in walking among community-dwelling older adults.


GeroPsych ◽  
2015 ◽  
Vol 28 (3) ◽  
pp. 137-141 ◽  
Author(s):  
Thomson W. L. Wong ◽  
Bruce Abernethy ◽  
Rich S. W. Masters

Abstract. The Chinese version of the Movement Specific Reinvestment Scale (MSRS-C) was discovered to have good discriminative power between older fallers from nonfallers, and it shows potential as a novel fall prediction tool by assessing conscious motor processing propensity of the older adults. This qualitative study (focus group) investigated potential weaknesses during the application of the MSRS-C in community-dwelling older adults. The results confirmed two major potential weaknesses of the MSRS-C: older adults may respond differently when asked to complete the MSRS-C in the context of movements related or unrelated to balance or locomotion; older adults may be better able to differentiate a 4-point Likert response format than the original 6-point format MSRS-C. Further study was developed to examine the identified potential weaknesses.


2007 ◽  
Vol 15 (2) ◽  
pp. 184-194 ◽  
Author(s):  
Marissa E. Mendelsohn ◽  
Denise M. Connelly ◽  
Tom J. Overend ◽  
Robert J. Petrella

Although popular in clinical settings, little is known about the utility of all-extremity semirecumbent exercise machines for research. Twenty-one community-dwelling older adults performed two exercise trials (three 4-min stages at increasing workloads) to evaluate the reliability and validity of exercise responses to submaximal all-extremity semirecumbent exercise (BioStep). Exercise responses were measured directly (Cosmed K4b2) and indirectly through software on the BioStep. Test–retest reliability (ICC2,1) was moderate to high across all three stages for directly measured METs (.92, .87, and .88) and HR (.91, .83, and .86). Concurrent criterion validity between the K4b2and BioStep MET values was moderate to very good across the three stages on both Day 1 (r= .86, .71, and .83) and Day 2 (r= .73, .87, and .72). All-extremity semirecumbent submaximal exercise elicited reliable and valid responses in our sample of older adults and thus can be considered a viable exercise mode.


2021 ◽  
pp. 105477382110368
Author(s):  
Kuei-Min Chen ◽  
Meng-Chin Chen ◽  
Hui-Fen Hsu ◽  
Frank Belcastro ◽  
Wei-Yun Chang

This study aimed to verify the factorial structure, internal consistency, test-retest reliability, and discriminant validity of the High-need Community-dwelling Older Adults Screening Scale (HCOASS). A 20-item HCOASS covering five domains was used with a systematic random sample of 818 community-dwelling older adults. After the analyses, the Exploratory Factor Analysis suggested a removal of two items, resulting in 5 domains with 18 items, and the Confirmatory Factor Analysis yielded satisfactory results with Goodness of Fit Index of .98. The HCOASS demonstrated acceptable internal consistency (Kuder-Richardson Formula 20 α = .75) and excellent test-retest reliability (0.94; 95% CI [0.91, 0.97]). The area under the Receiver Operating Characteristic (ROC) curve was 0.90 (95% CI [0.84, 0.95]) and the optimal cut-off score was 4/5. The HCOASS is a valid and reliable screening tool. It has the potential for consistent and efficient administration to be used by non-healthcare professionals in the community.


2021 ◽  
Vol 30 ◽  
Author(s):  
Cristina Maria Alves Marques-Vieira ◽  
Luís Manuel Mota de Sousa ◽  
Cristina Rosa Soares Lavareda Baixinho ◽  
Maria Gorete Mendonça dos Reis ◽  
Francisco Javier Pérez-Rivas ◽  
...  

ABSTRACT Objective to determine the psychometric properties of the international 7-item Falls Efficacy Scale. Method a psychometric study. Convenience sample consisting of 170 older adults living in the Madeira Autonomous Region, Portugal. A two-part instrument was used (sociodemographic characterization and the Falls Efficacy Scale-International-Portugal). The starting point was the translation and transcultural adaptation already carried out for the Falls Efficacy Scale - International (16 items). Construct validity (factorial analysis and discriminant validity) and the reliability (Cronbach's α) of the 7-item scale were evaluated. Previous authorization was obtained from the Ethics Commission and from the people involved. Results in the exploratory factorial analysis, the International 7-item Falls Efficacy Scale presents an explained variance of 65.8%. The Spearman's correlation between the score obtained based on the 7 items and the score obtained based on the 16 items is significant and very strong (r=0.987, p<0.0001). Internal consistency was 0.958. Conclusion the validity and reliability study of the International 7-item Falls Efficacy Scale revealed that it is an adequate scale for the evaluation of the fear of falling in the community-dwelling older adults.


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