scholarly journals Psychometric Evaluation of Instruments Measuring The Older Adult’s Functional Status in Indonesian

2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Dara Febriana ◽  
Juanita Juanita ◽  
Nurhasanah Nurhasanah

For year research on quantifying how well individual’s function has been reported. Assessing function is particularly important in the older adults, as the prevalence of functional disability increases with age. In Indonesia, there is a lack of studies that measure the functional status of the older adults. There is even less research on evaluating the psychometric properties of an instrument. Therefore, this study aimed to compare the psychometric properties of the evidence supported functional status instrument consisting of the Short Physical Performance Battery (SPPB), the Functional Status Questionnaire (FSQ) and the Physical Performance Test (PPT). This study using the validation design with descriptive approach. And 401 subjects aged more than 60 years old were recruited purposively from five districts in Aceh. Every instrument showed good validity and reliability and has been used either for research purposes or in clinical setting. All subjects completed the FSQ, SPBB, and FSQ assessment. Correlation between SPPB and PPT were higher than FSQ when assessed for convergent validity the FSQ had comparable correlations with the reported health status. However, relationship between SPPB, PPT and FSQ were inconsistent. The findings of this study is expected to support the psychometric properties of all three instrument for functional status assessment in Indonesian Older adults, and SPPB appear to be the best among the other instruments to use in the nursing practice.

Author(s):  
Khadijeh Nasiriani ◽  
Somayeh Kahdoui ◽  
Saeed Nasr Nasrabadi

Introduction: Given the importance of pain assessment in the older adults, instrumentation for pain measurement is inevitable. The aim of this study is to compare psychometric properties of three commonly used pain intensity scales; (Numeric Rating Scale , Verbal Descriptor Scale (VDS) and, Faces Pain Scale Revised (FPS-R)) in Isfahanian older adults, to identify the most validated and reliable scale.   Methods: This was a methodological study on 60 cognitively intact older people in Isfahan in 2017, selected through convenience sampling. First, the worst pain of life and then pain intensity in general, at rest and immediately after the movement of upper and lower limbs was measured using all three scales. The data was analyzed by SPSS 20 using Spearman’s rank correlation coefficient, Kendall’s coefficient of concordance (W) and Chi-square tests.   Results: Based on the results, there was no significant differences between FPS-R and VDS in terms of preference (p = 0.506) and simplicity (p = 0.647). Finding showed significance and convergent validity, and reliability of all three tests (p < 0.05).   Conclusion: All three pain assessment tools adequately demonstrated reliable validity to measure pain in isfahanian older adults. Accordingly, hence probable limited generalizability of the results, nurses and other health care team could be recommended to use the pain assessment tools specially VDS for pain assessment in old people.


2021 ◽  
Author(s):  
Lucy Whitehall ◽  
Sylwia Górska ◽  
Robert Rush ◽  
Anusua Singh Roy ◽  
Linda Irvine Fitzpatrick ◽  
...  

Abstract Background and Objectives Previous efforts to develop a resilience measure for older adults have largely failed to consider the environmental influences on their resilience, and have primarily concentrated on the resilience of community dwelling older adults. Our objective was to validate a new multidimensional measure of resilience, the Making it CLEAR (MiC) questionnaire, for use with older adults at the point of discharge from hospital. Research Design and Methods This study tested the structure, validity and reliability of the MiC questionnaire. The questionnaire consists of 34 items, which assess the ‘individual determinants of resilience’ (IDoR) and the ‘environmental determinants of resilience’ (EDoR) across two subscales. 416 adults aged from 66 to 102 years participated. Exploratory factor analysis (EFA), item analysis, and linear regression were undertaken. Results The IDoR subscale contained six factors which were labelled ‘self-efficacy’, ‘values’, ‘interpersonal skills’, ‘life orientation’, ‘self-care ability’ and ‘process skills’. The EDoR subscale contained five factors related to ‘person-environment fit’, ‘friends’, ‘material assets’, ‘habits’ and ‘family’. Both subscales demonstrated acceptable convergent validity and internal consistency, while individual items showed acceptable levels of discrimination and difficulty. Discussion and Implications The study provides evidence supporting the validity and quality of the MiC questionnaire. The results suggest that the MiC questionnaire could be used to identify the resilience needs of older adults at the point of hospital discharge. However, future research should identify which items of the MiC questionnaire are associated with hospital readmission, in order to develop an easily applicable screening tool for clinical practice.


2021 ◽  
pp. 106648072110230
Author(s):  
Çiğdem Yavuz Güler

Objective: According to the family systems theory, triangulation is defined as reflecting and conveying the tension between two individuals to a third individual to reduce the existing tension, stress, and anxiety. This study was conducted to adapt the “Triangular Relationship Inventory” to Turkish and to assess psychometric properties. Method: The sample of the study included 337 individuals (234 women and 103 men) aged between 18 and 25 years. The structure validity of the inventory was evaluated with the confirmatory factor analysis and reliability was evaluated with Chronbach's alpha internal consistency coefficient, test–retest method, and item analyses. Results: The result showed that the Turkish form of the Triangular Relationship Inventory showed similar psychometric properties to the original inventory. The structure which consists of the balanced, mediator, cross-generational coalition, and scapegoat subdimensions of 24 items displayed acceptable goodness-of-fit values in the Turkish sample with the 0.91 Cronbach's alpha coefficient while the reliability values of the subdimensions changed between 0.86 and 0.91. Considering the convergent validity of the inventory, there was a negative correlation between the triangular relationship and satisfaction with life and the differentiation of self, and a significant positive correlation with depression, anxiety, and stress. Conclusion: The psychometric properties revealed in this study show that the Turkish form of the Triangular Relationship Inventory is a valid and reliable measurement tool that can be used to measure the triangulation levels and roles of the individuals, who are in the Turkish sample and between the ages of 18 and 25 years, within the family system.


2018 ◽  
Vol 26 (4) ◽  
pp. 530-536 ◽  
Author(s):  
Ka-Man Leung ◽  
Pak-Kwong Chung ◽  
Tin-Lok Yuen ◽  
Jing Dong Liu ◽  
Donggen Wang

This study evaluated the psychometric properties of a Chinese version of the 24-item Social Environment Questionnaire (SEQ-C). Confirmatory factor analysis was used to examine the factor validity and measurement invariance (Purpose 1) of the SEQ-C in 453 older adults in Hong Kong. Convergent validity (Purpose 2) and test–retest reliability (Purpose 3) were also measured. The results of the confirmatory factor analysis and measurement invariance supported the four-factor structure (representing companionship, encouragement, neighborhood social cohesion, and role models) of the SEQ-C, in a 15-item model that closely fitted the data. The SEQ-C was also found to have acceptable to satisfactory internal consistency, test–retest reliability, composite reliability, and moderate convergent validity in correlating perceived social support. This study showed that the SEQ-C is a suitable means of measuring the social environments of older adults in Hong Kong.


Author(s):  
Eliza M. Park ◽  
Mian Wang ◽  
Savannah M. Bowers ◽  
Anna C. Muriel ◽  
Paula K. Rauch ◽  
...  

Purpose: When patients with advanced cancer have minor children (age < 18), their health-related quality of life is closely linked to their concerns about the impact of progressive illness and death on their children. The Parenting Concerns Questionnaire (PCQ), a validated measure for parents with cancer, does not capture the full range of concerns in advanced cancer. The aim of this was study was to adapt and establish psychometrics for the PCQ for advanced disease (PCQ-AD). Methods: After generating an initial item-bank, we conducted concept elicitation interviews with clinicians (n = 8) and cognitive interviews with patients (n = 23) for face validity. New items addressed concerns about impact of parental death, making every moment count, communication, and financial impact of cancer on children. We administered 21 candidate items to 151 parents with advanced cancer. We conducted confirmatory factor analysis (CFA), calculated internal consistency, and assessed convergent and known-groups validity. Results: We removed 8 redundant items due to residual covariation between items. CFA of the 13-item PCQ-AD demonstrated satisfactory fit (CFI = 0.971, TLI = 0.966, RMSEA = 0.081) and high internal consistency (Cronbach’s alpha = 0.94, composite reliability = 0.95). The PCQ-AD demonstrated convergent validity and known-groups validity; patients with poor functional status reported higher scores than patients with better functional status (Cohen’s d = 0.56, p = 0.002). Conclusion: Adaptation of the PCQ yielded the addition of constructs important in advanced cancer. The PCQ-AD appears to be a reliable and valid measure of parenting concerns in advanced cancer, but future studies are needed to examine measure performance in diverse populations and responsiveness of the PCQ-AD to interventions.


2017 ◽  
Vol 86 (3) ◽  
pp. 266-280 ◽  
Author(s):  
Mohammad Rezaei ◽  
Vahid Rashedi ◽  
Gohar Lotfi ◽  
Peymaneh Shirinbayan ◽  
Mahshid Foroughan

The aim of this study was to assess the psychometric properties of the Mini-Cog in Iranian older adults. It was a cross-sectional study; 50 older people with dementia and 50 without dementia who matched for age, gender, and education entered the study. The diagnostic and statistical manual of mental disorders criteria for dementia were used as gold standard. A battery of scales included the abbreviated mental test score (AMTS), the Geriatric Depression Scale, and the Mini-Cog was performed. Validity and reliability of the Mini-Cog determined using the Pearson product-moment correlation coefficient (Pearson’s r), Cronbach’s alpha, and Receiver Operating Characteristic (ROC) curve analysis. The Persian version of Mini-Cog showed a good inter-rater reliability ( K = 0.76, p < .01) and a positive concurrent validity ( r = 0.39, p < .01) with the AMTS. The sensitivity and specificity were 88% and 62.8%, respectively, using the original cutoff point of 2. The findings showed that the Persian version of Mini-Cog have an acceptable sensitivity, specificity, and substantial overall agreement with the AMTS.


2017 ◽  
Vol 9 (3) ◽  
pp. 21 ◽  
Author(s):  
Sofia von Humboldt ◽  
Isabel Leal

Objectives: Literature suggests some inconsistent results in the validity and reliability of the Satisfaction with Life Scale (SwLS) in older samples. The objective was to evaluate the psychometric properties of the SwLS in a cross-cultural sample of older adults.Methods: This is a validation study to assess the psychometric properties of the SWLS in a sample of 1291 older adults 75 years of age or older, cross-culturally diverse and living in the community. A confirmatory factor analysis was performed. Item analysis and reliability, were also assessed.Results: The systematic procedure used in the SwLS validation points to a good level of psychometric properties, such as reliability, construct, criterion validity, external validity and divergent criterion validity, suggesting that the SwL is assessing a construct different from the ones evaluated by PANAS and OtLQ.Conclusion: The SwLS has demonstrated reliability, validity, and reproducibility for use in measuring health-related satisfaction with life among older adults in policy programs and interventions in community settings.


2015 ◽  
pp. 1-5
Author(s):  
M.U. PÉREZ-ZEPEDA ◽  
J.G. GONZÁLEZ-CHAVERO ◽  
R. SALINAS-MARTINEZ ◽  
L.M. GUTIÉRREZ-ROBLEDO

Background: Physical performance tests play a major role in the geriatric assessment. In particular, gait speed has shown to be useful for predicting adverse outcomes. However, risk factors for slow gait speed (slowness) are not clearly described. Objectives: To determine risk factors associated with slowness in Mexican older adults. Design: A two-step process was adopted for exploring the antecedent risk factors of slow gait speed. First, the cut-off values for gait speed were determined in a representative sample of Mexican older adults. Then, antecedent risk factors of slow gait speed (defined using the identified cut-points) were explored in a nested cohort case-control study. Setting, participants: One representative sample of a cross-sectional survey for the first step and the Mexican Health and Aging Study (a cohort characterized by a 10-year follow-up). Measurements: A 4-meter usual gait speed test was conducted. Lowest gender and height-stratified groups were considered as defining slow gait speed. Sociodemographic characteristics, comorbidities, psychological and health-care related variables were explored to find those associated with the subsequent development of slow gait speed. Unadjusted and adjusted logistic regression models were performed. Results: In the final model, age, diabetes, hypertension, and history of fractures were associated with the development of slow gait speed. Conclusions: Early identification of subjects at risk of developing slow gait speed may halt the path to disability due to the robust association of this physical performance test with functional decline.


2012 ◽  
Vol 46 (4) ◽  
pp. 702-711 ◽  
Author(s):  
Daniel Apolinario ◽  
Rafaela de Castro Oliveira Pereira Braga ◽  
Regina Miksian Magaldi ◽  
Alexandre Leopold Busse ◽  
Flavia Campora ◽  
...  

OBJECTIVE: To develop and validate a short health literacy assessment tool for Portuguese-speaking adults. METHODS: The Short Assessment of Health Literacy for Portuguese-speaking Adults is an assessment tool which consists of 50 items that assess an individual's ability to correctly pronounce and understand common medical terms. We evaluated the instrument's psychometric properties in a convenience sample of 226 Brazilian older adults. Construct validity was assessed by correlating the tool scores with years of schooling, self-reported literacy, and global cognitive functioning. Discrimination validity was assessed by testing the tool's accuracy in detecting inadequate health literacy, defined as failure to fully understand standard medical prescriptions. RESULTS: Moderate to high correlations were found in the assessment of construct validity (Spearman's coefficients ranging from 0.63 to 0.76). The instrument showed adequate internal consistency (Cronbach's alpha=0.93) and adequate test-retest reliability (intraclass correlation coefficient=0.95). The area under the receiver operating characteristic curve for detection of inadequate health literacy was 0.82. A version consisting of 18 items was tested and showed similar psychometric properties. CONCLUSIONS: The instrument developed showed good validity and reliability in a sample of Brazilian older adults. It can be used in research and clinical settings for screening inadequate health literacy.


2014 ◽  
Vol 27 (7) ◽  
pp. 1089-1097 ◽  
Author(s):  
Carly Johnco ◽  
Ashleigh Knight ◽  
Dusanka Tadic ◽  
Viviana M. Wuthrich

ABSTRACTBackground:The Geriatric Anxiety Inventory is a 20-item geriatric-specific measure of anxiety severity. While studies suggest good internal consistency and convergent validity, divergent validity from measures of depression are weak. Clinical cutoffs have been developed that vary across studies due to the small clinical samples used. A six-item short form (GAI-SF) has been developed, and while this scale is promising, the research assessing the psychometrics of this scale is limited.Methods:This study examined the psychometric properties of GAI and GAI-SF in a large sample of 197 clinical geriatric participants with a comorbid anxiety and unipolar mood disorder, and a non-clinical control sample (N = 59).Results:The internal consistency and convergent validity with other measures of anxiety was adequate for GAI and GAI-SF. Divergent validity from depressive symptoms was good in the clinical sample but weak in the total and non-clinical samples. Divergent validity from cognitive functioning was good in all samples. The one-factor structure was replicated for both measures. Receiver Operating Characteristic analyses indicated that the GAI is more accurate at identifying clinical status than the GAI-SF, although the sensitivity and specificity for the recommended cutoffs was adequate for both measures.Conclusions:Both GAI and GAI-SF show good psychometric properties for identifying geriatric anxiety. The GAI-SF may be a useful alternative screening measure for identifying anxiety in older adults.


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