scholarly journals Psychometric Properties of the Self-Healing Assessment Scale for Community-Dwelling Older Adults

Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 484
Author(s):  
Yi-Chen Wu ◽  
Hua-I Hsu ◽  
Heng-Hsin Tung ◽  
Shi-Jun Pan ◽  
Shu-Wei Lin
Keyword(s):  
Older Adults ◽  
Convergent Validity ◽  
Reliability And Validity ◽  
Community Dwelling ◽  
The Self ◽  
Assessment Scale ◽  
Self Healing ◽  
Validity Indices ◽  
Healing Assessment ◽  
Community Dwelling Older Adults

Self-healing, an intrinsic healing capacity, helps individuals’ bodies and minds to regain wholeness and is significant in the pursuit of one’s own healthy ageing and independence. This study was intended to develop and preliminarily test the reliability and validity of the self-healing assessment scale (SHAS) for community-dwelling older adults, and was conducted in three phases. Phase 1: The definitions of self-healing were synthesized from our knowledge of the literature regarding the ontology of self-healing and panels of 25 experts. The initial version of the 12-item questionnaire was developed by the in-depth interviews of focus groups and panels, and the content was validated by six experts. Phase 2: A cross-sectional survey, including a total of 500 community-dwelling older adults with a mean age of 71.76, was then conducted for the preliminary reliability and validity test. The content validity indices were satisfied. Twelve items were retained, and three factors were identified, namely, physical and mental state, socioeconomic and environmental status, and independent lifestyle, which explained 65.8% of the variance under explorative approval. Phase 3: the standardized factor above 60 obtained by confirmatory factorial analysis indicated good convergent validity. The relationship between self-healing and health-related quality of life was confirmed via concurrent validity testing. The SHAS can facilitate the evaluation of factors associated with community-dwelling older adults’ self-healing capacity. Programs tailored to enhance self-healing capacity should be designed, implemented, and inspected regarding their effectiveness in older adults.

Development and Psychometrics Test of Home Environment Assessment Checklist for Community-Dwelling Older Adults with Dementia

2020 ◽  
Vol 77 (4) ◽  
pp. 1389-1396
Author(s):  
Yi Wang ◽  
Liyu Li ◽  
Shuangyue Tian ◽  
Jie Wu ◽  
Zhiwen Wang
Keyword(s):  
Older Adults ◽  
Home Environment ◽  
Visual Cues ◽  
Reliability And Validity ◽  
Living Environment ◽  
Community Dwelling ◽  
Rater Reliability ◽  
Environment Assessment ◽  
People With Dementia ◽  
Community Dwelling Older Adults

Background: Home environment is a core domain in the care of community-dwelling older adults with dementia, but there is no suitable instrument to measure it in China. Objective: To develop and psychometrically test the home environment assessment checklist for community-dwelling older adults with dementia. Methods: A three-step process was performed to develop and test this instrument: 1) based on the evidence-based theory, the checklist was summarized as the main points of evidence from living environment settings among older adults with dementia, 2) the draft tool was assigned to an iterative process of evaluation by a panel of examiners consisting of experts from treatment, nursing and caring, people with dementia and their caregivers, 3) inter-rater reliability and internal consistency were calculated with a sample of 348 caregivers of the older adults with dementia. Results: The HEAC consisted of 71 items in domains addressing safety, stability and familiarity, visual cues, and sensory stimulation. Psychometric evaluation showed that this tool demonstrated sound reliability and validity. Content validity was 0.969 which was established by a panel of experts (n = 10). Inter-rater reliability of two researchers was 0.978, and 0.848 for researchers and caregivers. Test-retest reliability was excellent (ICC = 0.757–0.877) in community-dwelling older adults with dementia 2 week apart. Conclusion: The HEAC is a new tool to help collect the reliable information on the barriers and facilitators of home environment for community-dwelling older adults with dementia and to precipitate the home modification process to improve the quality of care for people with dementia and their caregivers in daily life.

scholarly journals Associations between socio-demographics, nutrition knowledge, nutrition competencies and attitudes in community-dwelling healthy older adults in Singapore: Findings from the SHIELD study

2020 ◽  
Author(s):  
Rebecca Hui Shan Ong ◽  
Wai Leng Chow ◽  
Magdalin Cheong ◽  
Gladys Huiyun Lim ◽  
Weiyi Xie ◽  
...  
Keyword(s):  
Older Adults ◽  
Stepwise Regression ◽  
Nutrition Knowledge ◽  
Community Dwelling ◽  
The Self ◽  
Nutrition Information ◽  
Factors Associated ◽  
Food Decisions ◽  
Knowledge Competencies ◽  
Community Dwelling Older Adults

Abstract BackgroundNutrition literacy refers to an individual’s knowledge, motivation and competencies to access, process, and understand nutrition information to make nutrition-related decisions. It is known to influence dietary habits of individuals including older adults. This cross-sectional study was designed to: (1) understand the nutrition knowledge, competencies and attitudes of community-dwelling older adults in Singapore (2) examine the differences between their nutrition knowledge, and socio-demographic factors, competencies and attitudes, and (3) identify factors associated with better nutrition knowledge in older healthy adults in Singapore.Methods400 (183 males and 217 females) nourished community-dwelling older adults aged 65 years and above took part in this study. Malnutrition Universal Screening Tool (MUST) was used to determine individuals who were at low risk of undernutrition. Nutrition knowledge, competencies, attitudes and sources of nutrition information were measured using a locally developed scale. Nutrition knowledge scores were summed to form the Nutrition Knowledge Index (NKI). Associations between NKI, competencies, attitudes and socio-demographic variables were examined using Chi-square and Fisher’s Exact tests. Factors associated with NKI were determined using a stepwise regression model with resampling based methods for model averaging.ResultsBivariate analyses found significant differences in NKI scores for gender, monthly household earnings, type of housing, the self-reported ability to seek and understand nutrition information and having access to help from family/friends. Females had higher NKI scores compared to males (p < 0.001). Compared to females, more males left food decisions to others (p < 0.001), and fewer males reported consuming home cooked food (p = 0.016). Differences in educational level were found for competencies like the self-reported ability to seek (p < 0.001) and verify nutrition information (p < 0.001). Stepwise regression analysis showed that being female, Chinese, self-reported ability to understand nutrition information and having access to help from family/friends were associated with higher NKI scores. ConclusionsOur study revealed that nutrition knowledge of older males in Singapore was lower than females and more left food decisions to others. Nutrition education programs could be targeted at both the older male, their caregivers, and minority ethnic groups.Trial RegistrationThis study was registered on 7 August 2017 at clinicaltrials.gov (ref. NCT03240952).

scholarly journals Reliability and Validity of the Activity Diversity Questionnaire for Older Adults in Japan

2020 ◽  
Vol 17 (7) ◽  
pp. 2384
Author(s):  
Junta Takahashi ◽  
Hisashi Kawai ◽  
Hiroyuki Suzuki ◽  
Yoshinori Fujiwara ◽  
Yutaka Watanabe ◽  
...  
Keyword(s):  
Older Adults ◽  
Science And Technology ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Correlation Coefficients ◽  
Community Dwelling ◽  
Assessment Tools ◽  
Tokyo Metropolitan ◽  
Community Dwelling Older Adults ◽  
Tokyo Metropolitan Institute

Recent research has suggested that the breadth and evenness of activity and activity diversity contribute to health outcomes among older adults. However, few established assessment tools for activity diversity have been developed. This study developed an Activity Diversity Questionnaire (ADQ) for older adults through expert consultation and a preliminary survey among 18 community-dwelling older adults. The diversity score was calculated according to Shannon’s entropy. In study 1, the intraclass correlation coefficients (ICC) of the diversity scores were determined for community-dwelling older adults (n = 30). In study 2, concurrent validity was tested with participants receiving comprehensive health checkups at the Itabashi ward in Japan in 2018 (n = 766). The correlation coefficients of the diversity scores were then calculated in reference to the Tokyo Metropolitan Institute of Gerontology Index of Competence and Japan Science and Technology Agency Index of Competence. The final version of the ADQ consisted of 20 total items with excellent test-retest reliability (ICC = 0.84) and moderate correlations with both the Tokyo Metropolitan Institute of Gerontology Index of Competence and Japan Science and Technology Agency Index of Competence (r = 0.48 and 0.60, respectively). The ADQ was developed through scientific procedures and revealed sufficient reliability and validity. As such, it is a scientifically validated tool for assessing activity diversity among older adults.

Reliability and Validity of Responses to Submaximal All-Extremity Semirecumbent Exercise in Older Adults

2007 ◽  
Vol 15 (2) ◽  
pp. 184-194 ◽  
Author(s):  
Marissa E. Mendelsohn ◽  
Denise M. Connelly ◽  
Tom J. Overend ◽  
Robert J. Petrella
Keyword(s):  
Older Adults ◽  
Reliability And Validity ◽  
Submaximal Exercise ◽  
Community Dwelling ◽  
Clinical Settings ◽  
Retest Reliability ◽  
Exercise Mode ◽  
Three Stages ◽  
Test Retest Reliability ◽  
Community Dwelling Older Adults

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.

The modified sphygmomanometer test for assessment of muscle strength of community-dwelling older adults in clinical practice: reliability and validity

2020 ◽  
pp. 1-8
Author(s):  
Sherindan Ayessa Ferreira de Brito ◽  
Marina de Melo Santana ◽  
Poliana do Amaral Benfica ◽  
Larissa Tavares Aguiar ◽  
Gisele de Cássia Gomes ◽  
...  
Keyword(s):  
Older Adults ◽  
Clinical Practice ◽  
Muscle Strength ◽  
Reliability And Validity ◽  
Community Dwelling ◽  
Community Dwelling Older Adults
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