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handle: 20.500.12105/5877 , 10261/23022
OBJECTIVE: To assess the psychometric quality of an instrument designed to measure functional independence (Functional Independence Scale [FIS]) in several activities of daily living domains and to be applied by trained non-health-related interviewers. The study was carried out in the autonomous region of Madrid in community-dwelling elders. METHODS: We performed a cross-sectional validation study. In addition to the FIS, Pfeiffer's questionnaire, the Depression Subscale of the Hospital Anxiety and Depression Scale, the Comorbidity Index, the Barthel Index, and EQ-5D were used. These measures were cross-sectionally applied to community-dwelling elders (n=500) and outpatients in a general hospital (n=100) aged 65 years. The following FIS psychometric attributes were analyzed: acceptability, scaling assumptions, internal consistency, construct validity, and precision. RESULTS: A fully computable FIS total score was obtained in 94.3% of the subjects. A ceiling effect (60.65%), but no floor effect (0.22%) was evident in the community-dwelling elders. No floor or ceiling effects were detected in the hospital sample. Scaling assumptions and internal consistency were satisfactory (item-total correlations: 0.57-0.91; Cronbach's alpha: 0.94). Factor analysis identified three factors that explained 74.3% of the variance. Indexes of convergent, internal, and known-groups validity were satisfactory. The scale's precision, determined by the standard error of measurement (2.49; 95%CI=4.88), was also satisfactory. CONCLUSION: The FIS is an easy-to-use instrument with appropriate metric attributes. This scale can be usefully applied in broad samples of non-institutionalized elders by non-health related personnel.
Aged, 80 and over, Male, Functional Independence Scale, Validación, Población anciana, Psychometrics, Pacientes ambulatorios, Public Health, Environmental and Occupational Health, Community dwelling, Ámbito comunitario, The elderly, Cross-Sectional Studies, Surveys and Questionnaires, Validation, Activities of Daily Living, Humans, Female, Hospital outpatients, Escala de Independencia Funcional, Aged
Aged, 80 and over, Male, Functional Independence Scale, Validación, Población anciana, Psychometrics, Pacientes ambulatorios, Public Health, Environmental and Occupational Health, Community dwelling, Ámbito comunitario, The elderly, Cross-Sectional Studies, Surveys and Questionnaires, Validation, Activities of Daily Living, Humans, Female, Hospital outpatients, Escala de Independencia Funcional, Aged
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