scholarly journals Detecting functional disabilities in elderly persons with cardiovascular diseases using the self-reporting method

2020 ◽  
Vol 56 (2) ◽  
pp. 169-180
Author(s):  
Dijana Babić ◽  
Želimir Bertić ◽  
Niveska Križanec ◽  
Ljiljana Babić

The ability to perform basic activities of daily living (ADL) and instrumental ADL (IADL) is an essential indicator of the level of functional capacity in old age. The purpose of this paper was to evaluate reliability and validity of the self - reporting method in detecting functional difficulties among elderly persons with cardiovascular diseases. The Groningen Activity Restriction Scale was used to assess the limitations in functional capacity. The sample consisted of patients over the age of 65 with hypertensive disease, angina pectoris, ischaemic heart disease, degenerative valvular disorders, peripheral arterial disease, cardiac arrhythmias, cardiomyopathy and heart failure. The Cronbach’s alpha internal consistency coefficient was calculated for the total result. Differences in outcome with respect to age, educational level, marital status, and medical diagnoses of participants were compared by means of a t-test or one-way ANOVA. In the group of ADL, participants reported difficulties in climbing stairs (M=2.14, SD=1.07) and caring for feet and toenails (M=2.17, SD=1.27), while in the group of IADL, difficulties were present in performing heavier household chores (M=2.51, SD=1.31) as well as ironing and washing clothes (M=2.20, SD=1.29). Calculation of the Cronbach’s alpha coefficient points to a high degree of internal consistency for this scale on a chosen sample (α=0.95). The use of a validated self-reporting tool may be a valuable and reliable way for assessing the functional capacity of elderly persons with chronic diseases. The findings of this study indicate the possibility of using this method for prognostic purposes in patients with cardiovascular diseases. Introduction of instrumental support measures in a timely manner has a crucial role in delaying the progression of functional dependence.

2005 ◽  
Vol 16 (08) ◽  
pp. 585-595 ◽  
Author(s):  
Melissa N. Ruscetta ◽  
Catherine V. Palmer ◽  
John D. Durrant ◽  
Judith Grayhack ◽  
Carey Ryan

Psychometric evaluations were performed on a self-perceived localization disabilities and handicaps questionnaire. Twenty individuals with normal hearing bilaterally, twenty with profound unilateral hearing impairment (UHI), and ten with any degree of bilateral hearing impairment participated. Each subject completed the questionnaire. Comparisons of the responses of the subjects with normal hearing and those with UHI revealed significant differences among the groups for both disabilities and handicaps, establishing construct validity. Cronbach's Alpha correlational analyses of the responses of all subjects with hearing impairment revealed correlations of .900 (disabilities) and .800 (handicaps), establishing internal consistency. Each participant with hearing impairment was asked to complete the questionnaire again after three weeks. Pearson's correlational analyses of the responses at time one versus time two revealed correlations of .900 (disabilities) and .700 (handicaps), establishing test/retest reliability. This questionnaire is an appropriate tool for investigating the self-perceived localization disabilities and handicaps of individuals with hearing impairment.


2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Kionna Oliveira Bernardes Santos ◽  
Fernando Martins Carvalho ◽  
Tânia Maria de Araújo

ABSTRACT OBJECTIVE To assess the internal consistency of the measurements of the Self-Reporting Questionnaire (SRQ-20) in different occupational groups. METHODS A validation study was conducted with data from four surveys with groups of workers, using similar methods. A total of 9,959 workers were studied. In all surveys, the common mental disorders were assessed via SRQ-20. The internal consistency considered the items belonging to dimensions extracted by tetrachoric factor analysis for each study. Item homogeneity assessment compared estimates of Cronbach’s alpha (KD-20), the alpha applied to a tetrachoric correlation matrix and stratified Cronbach’s alpha. RESULTS The SRQ-20 dimensions showed adequate values, considering the reference parameters. The internal consistency of the instrument items, assessed by stratified Cronbach’s alpha, was high (> 0.80) in the four studies. CONCLUSIONS The SRQ-20 showed good internal consistency in the professional categories evaluated. However, there is still a need for studies using alternative methods and additional information able to refine the accuracy of latent variable measurement instruments, as in the case of common mental disorders.


2019 ◽  
Vol 18 (4) ◽  
pp. 308-312
Author(s):  
Gabriel Justi Schmidt ◽  
Ana Paula Bonilauri Ferreira ◽  
Ricardo Pietrobon ◽  
João Ricardo Nickenig Vissoci ◽  
Ricardo André Acácio dos Santos ◽  
...  

ABSTRACT Objective: To evaluate the reliability, response capacity and validity of four scales for low back pain and correlate these scales with each other and the Self-Administered Comorbidity Questionnaire (SACQ). Methods: We evaluated the psychometric properties of four previously selected scales for low back pain: the Roland-Morris Disability Questionnaire (RMDQ), the Quebec Back Pain Questionnaire (QBPDS), the Waddell Disability Index (WDI) and the Back Pain Functional Scale (BPFS) and Self-Administered Comorbidity Questionnaire (SACQ) comorbidity scale. Exploratory and confirmatory factor analyses were conducted. Reliability and internal consistency were measured by Cronbach's alpha. Validity was measured through correlation of the scales with the Self-Administered Comorbidity Questionnaire comorbidity scale and an analysis of the structural equations between them. Results: The scales showed adequate indicators based on the factor structure and showed Kaiser-Meyer-Olkin values above 0.90. After the exploratory factor analysis, all scales showed fit indicators suited to a factor model, following the same pattern as the original validations. Similarly, they showed good internal consistency (Cronbach's alpha greater than .78). The only scale that showed factor loadings suggesting the exclusion of any item was the Roland-Morris. In terms of validity, the scales showed positive correlation coefficients similar to the Self-Administered Comorbidity Questionnaire and between them. Conclusion: Regarding the scales evaluated, they showed similar indications of reliability and internal consistency, such that we did not find sufficient evidence to indicate one scale over another. Level of Evidence I; Diagnostic studies – Investigation of a diagnostic test.


2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Melis Orhan ◽  
Nicole Korten ◽  
Ralph Kupka ◽  
Patricia van Oppen ◽  
Max Stek ◽  
...  

Abstract Background Many frequently used instruments fail to assess psychosocial functioning in patients with bipolar disorder. The Functioning Assessment Short Test (FAST) was developed in order to tackle this problem and to assess the main functioning problems experienced by patients with bipolar disorder. However, the original FAST is not fully applicable in older adults due to the domain of occupational functioning. The aim of our study was to validate an adapted version for Older adults (FAST-O) in a group of older adults with bipolar disorder (OABD). Methods 88 patients aged 50 years and over diagnosed with bipolar disorder were included. We adapted the items in the area of “work-related functioning” of the FAST into items assessing “societal functioning”. Several measurements were conducted in order to analyse the psychometric qualities of the FAST-O (confirmatory factor analysis for internal structure, Cronbach’s alpha for internal consistency, Spearman’s rho for concurrent validity, Mann–Whitney U test for discriminant validity). Results Mean age in the study sample was 65.3 (SD = 7.5) and 57.3% was female. The internal structure was most similar to the internal structure of the original FAST. The internal consistency was excellent (Cronbach’s alpha = .93). The concurrent validity when correlated with the Social and Occupational Functioning Assessment Scale was low, but significant. The FAST-O was also able to distinguish between euthymic and symptomatic OABD patients. Conclusions The FAST-O has strong psychometric qualities. Based on our results, we can conclude that the FAST-O is a short, efficient solution in order to replace global rating scales or extensive test batteries in order to assess daily functioning of older psychiatric patients in a valid and reliable manner.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Rebecca Horn ◽  
Kanykey Jailobaeva ◽  
Stella Arakelyan ◽  
Alastair Ager

Abstract Background Studies of psychological distress in Sierra Leone have typically used measures which were developed for use in other contexts, and which often have not been adapted or validated for use in Sierra Leone. This has resulted in a lack of reliable information about the patterns of psychological distress within the population, which is a barrier to the development of effective and appropriate mental health services. The aim of the study was to develop a locally-appropriate measure of psychological distress for Sierra Leone. Methods The new measure consists of two instruments: the Sierra Leone Psychological Distress Scale (SLPDS) and a gendered measure of ability to carry out daily tasks—a Function scale—as an indication of the severity of distress. A three-phase mixed methods exploratory sequential study was conducted. Phase 1 was item generation and testing, leading to the development of a set of potential items for both instruments. Phase 2 was a small pilot study (N = 202) leading to the selection of the final set of items for both measures. Phase 3 was a validation phase where the SLPDS and the Function scale were administered with a larger sample of 904 respondents. Item analysis was used to assess the internal consistency of the scales, and Exploratory Factor Analysis to explore the properties of the SLPDS. Results Exploratory factor analysis using the principal axis factoring with an oblique rotation identified a three-factor structure for the 18-item SLPDS. Internal consistency for the SLPDS (Cronbach’s alpha = 0.89) and three subscales was good (Cronbach’s alpha > 0.73). The internal reliability of the male and female versions of the Function scale was also found to be acceptable (Cronbach’s alpha = 0.90 for the female scale and 0.79 for the male scale). Conclusions Together the SLPD and Function scales provide a locally-validated tool which will enable government bodies and local and international non-governmental organisations in Sierra Leone to assess mental health and psychosocial needs. This will support both effective service provision and the evaluation of initiatives designed to improve mental health and psychosocial wellbeing.


2021 ◽  
pp. 105477382198980
Author(s):  
Marta Nunes Lira ◽  
Clemente Neves Sousa ◽  
Maria Carolina Medeiros Wanderley ◽  
Natália Ramos Costa Pessoa ◽  
Kelly Cristiane Rocha Lemos ◽  
...  

The purpose of this study was to evaluate the psychometric properties of the Brazilian Scale for the Assessment of Self-Care Behaviors with Arteriovenous Fistula in Hemodialysis. Cross-sectional validation study, followed the recommendation provided by Sousa and Rojjanasrirat. Content validity, explanatory and confirmatory factor analyses used to check validity and Cronbach’s alpha was the reliability measure. Three hundred hemodialysis patients with arteriovenous fistula were included in the study. The expert committee assessed the content validity. Exploratory factor analysis confirmed the same two-factor structure found for the original scale, explaining 60.10% of the variance. Such solution was checked by confirmatory factor analysis with Cronbach’s alpha equal to 0.920, 0.810, and 0.884 for the overall scale, the self-care in management of signs and symptoms and the self-care in prevention of complications subscales respectively. The scale has good psychometric properties to assess self-care behaviors and can be used with Brazilian patients on hemodialysis with arteriovenous fistula.


2021 ◽  
Vol 10 (10) ◽  
pp. 2081
Author(s):  
Edyta Kinel ◽  
Krzysztof Korbel ◽  
Piotr Janusz ◽  
Mateusz Kozinoga ◽  
Dariusz Czaprowski ◽  
...  

The study aimed to carry on the process of the cultural adaptation of the Italian Spine Youth Quality of Life Questionnaire (ISYQOL) into Polish (ISYQOL-PL). The a priori hypothesis was: the ISYQOL-PL questionnaire is reliable and appropriate for adolescents with a spinal deformity. Fifty-six adolescents (mean age 13.8 ± 1.9) with idiopathic scoliosis (AIS) with a mean Cobb angle 29.1 (±9.7) and two with Scheuermann juvenile kyphosis (SJK) with a kyphosis angle 67.5 (±17.7) degrees were enrolled. All patients had been wearing a corrective TLSO brace for an average duration of 2.3 (±1.8) years. The Institutional Review Board approved the study. The cross-cultural adaptation of the ISYQOL-PL was performed following the guidelines set up by the International Quality of Life Assessment Project. The reliability was assessed using internal consistency (the Cronbach’s alpha coefficient) and test–retest reliability (intraclass correlation coefficient ICC2.1, CI = 95%); moreover, floor and ceiling effects were calculated. The internal consistency was satisfactory (Cronbach’s alpha coefficient 0.8). The test–retest revealed high reliability with the value of ICC2.1 for the entire group 0.90, CI (0.84 to 0.94). There was neither floor nor ceiling effect for the ISYQOL-PL overall score. The ISYQOL-PL is reliable and can be used in adolescents with spinal deformity.


2016 ◽  
Vol 65 (3) ◽  
pp. 201-208 ◽  
Author(s):  
Eliane Traebert ◽  
Karoliny dos Santos ◽  
Luciana Müller Carvalho ◽  
Jane da Silva ◽  
Jefferson Traebert

ABSTRACT Objective To carry out the preliminary stages of the cross-cultural adaptation of the Family Assessment Device (FAD) to Brazilian Portuguese language and examine its reliability. Methods The translation and cross-cultural adaptation of the FAD were developed according to the methods internationally recommended. The resulting product was applied to 80 individuals who completed the questionnaire on two different occasions, seven days apart. Internal consistency was obtained through Cronbach’s alpha, and reliability was estimated by using the Bland and Altman method. Results The internal consistency obtained was very good (Cronbach’s alpha = 0.910). The mean differences of FAD dimensions found in the Bland and Altman test were the following: -0.21 (Problem Solving); -0.32 (Communication); -0.17 (Roles); 0.2 (Affective Responsiveness); -0.27 (Affective Involvement); -0.08 (Behavior Control); -0.02 (General Functioning). Conclusion The processes of translation and cross-cultural adaptation were successful. Assessment of the structural validity and external construct validity is recommended for the improvement of the Brazilian version.


2014 ◽  
Vol 48 (1) ◽  
pp. 25-33 ◽  
Author(s):  
Noélle de Oliveira Freitas ◽  
Marina Paes Caltran ◽  
Rosana Aparecida Spadoti Dantas ◽  
Lidia Aparecida Rossi

This methodological study aimed to describe the process of translation and cultural adaptation of the Perceived stigmatization Questionnaire (PSQ) and analyze the internal consistency of the items in the step of pre-testing. The PSQ was developed to evaluate the perception of stigmatizing behaviors of burn victims. The adaptation process was carried out from August 2012 to February 2013, comprising the steps outlined in the literature. As part of this process, the pre-test with 30 adult burn victims was held. All participants at this step reported to understand the instrument items and the scale of responses. There were no suggestions or changes in the tested version. The value of Cronbach’s alpha at pre-test was 0.87. The contribution of this study is to describe the operation of each of the steps of this methodological process and show the internal consistency of the items in the pre-test.


2018 ◽  
Vol 43 (1) ◽  
pp. 80-87 ◽  
Author(s):  
Robert Gailey ◽  
Anat Kristal ◽  
Jennifer Lucarevic ◽  
Shane Harris ◽  
Brooks Applegate ◽  
...  

Background: Prosthetic socket fit is an important element associated with successful ambulation and use of a prosthesis. Prosthetists and rehabilitation clinicians would benefit from an assessment tool that discriminates between and quantifies the multiple determinants that influence the lower limb amputee’s performance and satisfaction of a prosthetic socket. Objectives: To determine the internal consistency of the comprehensive lower limb amputee socket survey, a new self-report measure of prosthetic socket satisfaction that quantifies suspension, stability, comfort, and appearance. Study design: Cross-sectional sample of active amputees. Methods: Interviews were conducted with prosthetists, physical therapists, and lower limb amputees to identify clinical concerns and common activities influencing socket fit. An expert panel of five clinicians reviewed the items and constructed the original version of the comprehensive lower limb amputee socket survey which was then administered to a convenience sample of 47 active lower limb amputees. Item analysis and Cronbach’s alpha were used to determine the final version of the comprehensive lower limb amputee socket survey. Results: Following item raw score-to-total score correlation with Cronbach’s alpha for comprehensive lower limb amputee socket survey determinants, internal consistency improved when nine questions were eliminated. Conclusion: The comprehensive lower limb amputee socket survey is a self-report measure of prosthetic socket satisfaction with very good internal consistency. Clinical relevance When socket problems occur, the ability to determine the specific cause can reduce modification time, enhance socket fit, and promote patient satisfaction. A standardized multi-dimensional assessment measure of socket satisfaction enables prosthetists to quantify the multiple determinants of socket satisfaction, improve patient communication, and demonstrate the value of socket interventions.


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