Validación de un test breve para el diagnóstico de capacidad funcional en adultos mayores en Chile

Background: The Pfeffer Functional Activities Questionnaire (PFAQ) is a validated instrument used in Chile to diagnose dependency in older people. Aim: To suggest a shorter and easier version of the PFAQ, with appropriate levels of sensitivity and specificity, which may be applied to the general old...

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Autores principales: Herrera P,M. Soledad, Saldías,Paula, Testa,Natalia
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2014
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000900006
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spelling oai:scielo:S0034-988720140009000062014-12-17Validación de un test breve para el diagnóstico de capacidad funcional en adultos mayores en ChileHerrera P,M. SoledadSaldías,PaulaTesta,Natalia Activities of Daily Living Dependency (Psychology) Elderly Background: The Pfeffer Functional Activities Questionnaire (PFAQ) is a validated instrument used in Chile to diagnose dependency in older people. Aim: To suggest a shorter and easier version of the PFAQ, with appropriate levels of sensitivity and specificity, which may be applied to the general older population. Material and Methods: Three Chilean surveys applied to older people were used, namely the Survey of Life Events of the Elderly, (n = 1,371) and the 2010 and 2013 National Surveys of Quality of Life of Older People (n = 1,954 and 2,644 respectively). To evaluate the instrument, we performed correlation analysis between items and principal components analysis. We calculated internal consistency using Cronbach alpha, we computed sensitivity and specificity indicators, and analyzed convergent and predictive validity. Results: After constructing different scales, the one that gave more information and had the best balance between sensitivity and specificity was chosen. Items with less weight factor and greater gender bias were eliminated, keeping seven questions from the original PFAQ. Reliability was verified using Cronbach alpha’s coefficient and from correlations between the new instrument and key variables. Conclusions: According to our goals, the proposed scale is solely conformed by items that do not have gender bias. It discriminates in the general population adequately, allowing the design of a shorter test, of easier implementation.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.142 n.9 20142014-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000900006es10.4067/S0034-98872014000900006
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Activities of Daily Living
Dependency (Psychology)
Elderly
spellingShingle Activities of Daily Living
Dependency (Psychology)
Elderly
Herrera P,M. Soledad
Saldías,Paula
Testa,Natalia
Validación de un test breve para el diagnóstico de capacidad funcional en adultos mayores en Chile
description Background: The Pfeffer Functional Activities Questionnaire (PFAQ) is a validated instrument used in Chile to diagnose dependency in older people. Aim: To suggest a shorter and easier version of the PFAQ, with appropriate levels of sensitivity and specificity, which may be applied to the general older population. Material and Methods: Three Chilean surveys applied to older people were used, namely the Survey of Life Events of the Elderly, (n = 1,371) and the 2010 and 2013 National Surveys of Quality of Life of Older People (n = 1,954 and 2,644 respectively). To evaluate the instrument, we performed correlation analysis between items and principal components analysis. We calculated internal consistency using Cronbach alpha, we computed sensitivity and specificity indicators, and analyzed convergent and predictive validity. Results: After constructing different scales, the one that gave more information and had the best balance between sensitivity and specificity was chosen. Items with less weight factor and greater gender bias were eliminated, keeping seven questions from the original PFAQ. Reliability was verified using Cronbach alpha’s coefficient and from correlations between the new instrument and key variables. Conclusions: According to our goals, the proposed scale is solely conformed by items that do not have gender bias. It discriminates in the general population adequately, allowing the design of a shorter test, of easier implementation.
author Herrera P,M. Soledad
Saldías,Paula
Testa,Natalia
author_facet Herrera P,M. Soledad
Saldías,Paula
Testa,Natalia
author_sort Herrera P,M. Soledad
title Validación de un test breve para el diagnóstico de capacidad funcional en adultos mayores en Chile
title_short Validación de un test breve para el diagnóstico de capacidad funcional en adultos mayores en Chile
title_full Validación de un test breve para el diagnóstico de capacidad funcional en adultos mayores en Chile
title_fullStr Validación de un test breve para el diagnóstico de capacidad funcional en adultos mayores en Chile
title_full_unstemmed Validación de un test breve para el diagnóstico de capacidad funcional en adultos mayores en Chile
title_sort validación de un test breve para el diagnóstico de capacidad funcional en adultos mayores en chile
publisher Sociedad Médica de Santiago
publishDate 2014
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000900006
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AT saldiaspaula validaciondeuntestbreveparaeldiagnosticodecapacidadfuncionalenadultosmayoresenchile
AT testanatalia validaciondeuntestbreveparaeldiagnosticodecapacidadfuncionalenadultosmayoresenchile
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